Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER GENERATOR

Facility

$34,975.00

Hospital Charge Code	270703090
Hospital Revenue Code	278
Min. Negotiated Rate	$5,246.25
Max. Negotiated Rate	$17,487.50
Rate for Payer: Aetna Commercial	$10,492.50
Rate for Payer: Aetna Medicare Advantage	$10,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,918.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,918.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,918.62
Rate for Payer: Cigna Commercial	$17,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,463.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,246.25

PACEMAKER GENERATOR

Facility

$34,975.00

Hospital Charge Code	270703090
Hospital Revenue Code	278
Min. Negotiated Rate	$5,246.25
Max. Negotiated Rate	$8,463.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,463.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,246.25

PACEMAKER GENERATOR ALTRUA 60

Facility

$34,080.00

Hospital Charge Code	270CH0074
Hospital Revenue Code	275
Min. Negotiated Rate	$5,112.00
Max. Negotiated Rate	$17,040.00
Rate for Payer: Aetna Commercial	$10,224.00
Rate for Payer: Aetna Medicare Advantage	$10,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,690.40
Rate for Payer: Cigna Commercial	$17,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,247.36
Rate for Payer: Qualcare PPO/HMO/WC	$5,112.00

PACEMAKER GENERATOR ALTRUA 60

Facility

$34,080.00

Hospital Charge Code	270CH0074
Hospital Revenue Code	275
Min. Negotiated Rate	$5,112.00
Max. Negotiated Rate	$8,247.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,816.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,247.36
Rate for Payer: Qualcare PPO/HMO/WC	$5,112.00

PACEMAKER GENERATOR ALTRUA 60

Facility

$34,080.00

Hospital Charge Code	2709007326
Hospital Revenue Code	272
Min. Negotiated Rate	$5,112.00
Max. Negotiated Rate	$5,112.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,112.00

PACEMAKER GENERATOR ALTRUA 60

Facility

$34,080.00

Hospital Charge Code	2709007326
Hospital Revenue Code	272
Min. Negotiated Rate	$4,430.40
Max. Negotiated Rate	$17,040.00
Rate for Payer: Aetna Commercial	$10,224.00
Rate for Payer: Aetna Medicare Advantage	$10,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,690.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,690.40
Rate for Payer: Cigna Commercial	$17,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,430.40
Rate for Payer: Oxford Commercial	$17,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,112.00
Rate for Payer: UnitedHealthcare Commercial	$17,040.00

PACEMAKER GUI DISCOV SR 1174

Facility

$23,768.85

Hospital Charge Code	270617494
Hospital Revenue Code	275
Min. Negotiated Rate	$3,565.33
Max. Negotiated Rate	$5,752.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,753.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,752.06
Rate for Payer: Qualcare PPO/HMO/WC	$3,565.33

PACEMAKER GUI DISCOV SR 1174

Facility

$23,768.85

Hospital Charge Code	270617494
Hospital Revenue Code	275
Min. Negotiated Rate	$3,565.33
Max. Negotiated Rate	$11,884.42
Rate for Payer: Aetna Commercial	$7,130.65
Rate for Payer: Aetna Medicare Advantage	$7,130.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,061.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,061.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,753.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,061.06
Rate for Payer: Cigna Commercial	$11,884.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,752.06
Rate for Payer: Qualcare PPO/HMO/WC	$3,565.33

PACEMAKER IDENTITY ADX DR 5380

Facility

$32,215.25

Hospital Charge Code	270633744
Hospital Revenue Code	275
Min. Negotiated Rate	$4,832.29
Max. Negotiated Rate	$7,796.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,443.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,796.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,832.29

PACEMAKER IDENTITY ADX DR 5380

Facility

$32,215.25

Hospital Charge Code	270633744
Hospital Revenue Code	275
Min. Negotiated Rate	$4,832.29
Max. Negotiated Rate	$16,107.62
Rate for Payer: Aetna Commercial	$9,664.58
Rate for Payer: Aetna Medicare Advantage	$9,664.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,214.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,214.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,443.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,214.89
Rate for Payer: Cigna Commercial	$16,107.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,796.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,832.29

PACEMAKER IDENTITY ADX DR 5380

Facility

$32,215.25

Hospital Charge Code	270633744C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,832.29
Max. Negotiated Rate	$7,796.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,443.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,796.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,832.29

PACEMAKER IDENTITY ADX DR 5380

Facility

$32,215.25

Hospital Charge Code	270633744C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,832.29
Max. Negotiated Rate	$16,107.62
Rate for Payer: Aetna Commercial	$9,664.58
Rate for Payer: Aetna Medicare Advantage	$9,664.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,214.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,214.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,443.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,214.89
Rate for Payer: Cigna Commercial	$16,107.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,796.09
Rate for Payer: Qualcare PPO/HMO/WC	$4,832.29

PACEMAKER INDENTITY XL DR 5376

Facility

$31,223.25

Hospital Charge Code	270625331
Hospital Revenue Code	275
Min. Negotiated Rate	$4,683.49
Max. Negotiated Rate	$15,611.62
Rate for Payer: Aetna Commercial	$9,366.98
Rate for Payer: Aetna Medicare Advantage	$9,366.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,961.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,961.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,244.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,961.93
Rate for Payer: Cigna Commercial	$15,611.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,556.03
Rate for Payer: Qualcare PPO/HMO/WC	$4,683.49

PACEMAKER INDENTITY XL DR 5376

Facility

$31,223.25

Hospital Charge Code	270625331
Hospital Revenue Code	275
Min. Negotiated Rate	$4,683.49
Max. Negotiated Rate	$7,556.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,244.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,556.03
Rate for Payer: Qualcare PPO/HMO/WC	$4,683.49

PACEMAKER INGENIO DR IS-1 K173

Facility

$26,750.00

Hospital Charge Code	270648711C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,012.50
Max. Negotiated Rate	$6,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,473.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,012.50

PACEMAKER INGENIO DR IS-1 K173

Facility

$26,750.00

Hospital Charge Code	270648711C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,012.50
Max. Negotiated Rate	$13,375.00
Rate for Payer: Aetna Commercial	$8,025.00
Rate for Payer: Aetna Medicare Advantage	$8,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,821.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,821.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,821.25
Rate for Payer: Cigna Commercial	$13,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,473.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,012.50

PACEMAKER INGENIO DR IS1 K173

Facility

$36,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270648711
Hospital Revenue Code	275
Min. Negotiated Rate	$5,400.00
Max. Negotiated Rate	$18,000.00
Rate for Payer: Aetna Commercial	$10,800.00
Rate for Payer: Aetna Medicare Advantage	$10,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,180.00
Rate for Payer: Cigna Commercial	$18,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,712.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,400.00

PACEMAKER INGENIO DR IS1 K173

Facility

$36,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270648711
Hospital Revenue Code	275
Min. Negotiated Rate	$5,400.00
Max. Negotiated Rate	$8,712.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,712.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,400.00

PACEMAKER INGENIO SINGLE CHAMB

Facility

$33,500.00

Service Code	HCPCS C1786
Hospital Charge Code	270665529
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 INGENIO SINGLE CHAMB

Facility

$33,500.00

Service Code	HCPCS C1786
Hospital Charge Code	270665529
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 INSERT ATRIAL SNGL

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	5100230
Hospital Revenue Code	361
Min. Negotiated Rate	$8,677.87
Max. Negotiated Rate	$8,677.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87

PACEMAKER INSERT ATRIAL SNGL

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	5100230
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Better Health Medicaid	$46,790.24
Rate for Payer: Aetna Commercial	$17,355.74
Rate for Payer: Aetna Medicare Advantage	$17,355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,752.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,752.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,752.37
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,520.82
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$10,997.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$46,790.24

PACEMAKER INSERT ATRIAL SNGL

Facility

$53,474.25

Service Code	HCPCS 33206
Hospital Charge Code	74110028
Hospital Revenue Code	361
Min. Negotiated Rate	$8,021.14
Max. Negotiated Rate	$8,021.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14

PACEMAKER INSERT ATRIAL SNGL

Facility

$53,474.25

Service Code	HCPCS 33206
Hospital Charge Code	74110028
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Better Health Medicaid	$46,790.24
Rate for Payer: Aetna Commercial	$16,042.27
Rate for Payer: Aetna Medicare Advantage	$16,042.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,635.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,635.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,635.93
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,951.65
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14
Rate for Payer: UnitedHealthcare Commercial	$10,997.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$46,790.24

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	74110029
Hospital Revenue Code	361
Min. Negotiated Rate	$9,809.47
Max. Negotiated Rate	$9,809.47
Rate for Payer: Qualcare PPO/HMO/WC	$9,809.47

Know your out-of-pocket cost for care.

All Charges