Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	74110029
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$24,890.32
Rate for Payer: Aetna Better Health Medicaid	$16,790.24
Rate for Payer: Aetna Commercial	$19,618.94
Rate for Payer: Aetna Medicare Advantage	$19,618.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,676.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,676.09
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	$16,676.09
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,501.54
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,809.47
Rate for Payer: UnitedHealthcare Commercial	$11,456.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

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

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	5100240
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

PACEMAKER INSERT SNGL CHAM****

Facility

$2,104.00

Service Code	HCPCS 33206
Hospital Charge Code	5100194
Hospital Revenue Code	361
Min. Negotiated Rate	$273.52
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Better Health Medicaid	$46,790.24
Rate for Payer: Aetna Commercial	$631.20
Rate for Payer: Aetna Medicare Advantage	$631.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.52
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	$536.52
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.52
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.60
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 SNGL CHAM****

Facility

$2,104.00

Service Code	HCPCS 33206
Hospital Charge Code	5100194
Hospital Revenue Code	361
Min. Negotiated Rate	$315.60
Max. Negotiated Rate	$315.60
Rate for Payer: Qualcare PPO/HMO/WC	$315.60

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	74110030
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$24,890.32
Rate for Payer: Aetna Better Health Medicaid	$16,790.24
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	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	5100250
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$24,890.32
Rate for Payer: Aetna Better Health Medicaid	$16,790.24
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	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	5100250
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 VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	74110030
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 INSIG I ULTRA 1290

Facility

$25,000.00

Hospital Charge Code	270640190
Hospital Revenue Code	278
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 INSIG I ULTRA 1290

Facility

$25,000.00

Hospital Charge Code	270640190
Hospital Revenue Code	278
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 INSIGNIA ENTRA 1295

Facility

$33,207.25

Hospital Charge Code	270631912
Hospital Revenue Code	275
Min. Negotiated Rate	$4,981.09
Max. Negotiated Rate	$16,603.62
Rate for Payer: Aetna Commercial	$9,962.17
Rate for Payer: Aetna Medicare Advantage	$9,962.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,467.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,467.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,641.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,467.85
Rate for Payer: Cigna Commercial	$16,603.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,036.15
Rate for Payer: Qualcare PPO/HMO/WC	$4,981.09

PACEMAKER INSIGNIA ENTRA 1295

Facility

$33,207.25

Hospital Charge Code	270631912
Hospital Revenue Code	275
Min. Negotiated Rate	$4,981.09
Max. Negotiated Rate	$8,036.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,641.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,036.15
Rate for Payer: Qualcare PPO/HMO/WC	$4,981.09

PACEMAKER INSIGNIA PLUS DR1298

Facility

$35,687.25

Hospital Charge Code	270628379
Hospital Revenue Code	275
Min. Negotiated Rate	$5,353.09
Max. Negotiated Rate	$17,843.62
Rate for Payer: Aetna Commercial	$10,706.17
Rate for Payer: Aetna Medicare Advantage	$10,706.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,100.25
Rate for Payer: Cigna Commercial	$17,843.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09

PACEMAKER INSIGNIA PLUS DR1298

Facility

$35,687.25

Hospital Charge Code	270628379
Hospital Revenue Code	275
Min. Negotiated Rate	$5,353.09
Max. Negotiated Rate	$8,636.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09

PACEMAKER INSIGN PLUS DR 1297

Facility

$35,687.25

Hospital Charge Code	270627633
Hospital Revenue Code	275
Min. Negotiated Rate	$5,353.09
Max. Negotiated Rate	$17,843.62
Rate for Payer: Aetna Commercial	$10,706.17
Rate for Payer: Aetna Medicare Advantage	$10,706.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,100.25
Rate for Payer: Cigna Commercial	$17,843.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09

PACEMAKER INSIGN PLUS DR 1297

Facility

$35,687.25

Hospital Charge Code	270627633
Hospital Revenue Code	275
Min. Negotiated Rate	$5,353.09
Max. Negotiated Rate	$8,636.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09

PACEMAKER INSIGN ULTRA DR 1291

Facility

$38,475.00

Hospital Charge Code	270633909
Hospital Revenue Code	275
Min. Negotiated Rate	$5,771.25
Max. Negotiated Rate	$19,237.50
Rate for Payer: Aetna Commercial	$11,542.50
Rate for Payer: Aetna Medicare Advantage	$11,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,811.12
Rate for Payer: Cigna Commercial	$19,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,310.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.25

PACEMAKER INSIGN ULTRA DR 1291

Facility

$38,475.00

Hospital Charge Code	270633909
Hospital Revenue Code	275
Min. Negotiated Rate	$5,771.25
Max. Negotiated Rate	$9,310.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,310.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.25

PACEMAKER INTERR DUAL

Facility

$332.85

Service Code	HCPCS 93731
Hospital Charge Code	5100199
Hospital Revenue Code	921
Min. Negotiated Rate	$49.93
Max. Negotiated Rate	$49.93
Rate for Payer: Qualcare PPO/HMO/WC	$49.93

PACEMAKER INTERR DUAL

Facility

$332.85

Service Code	HCPCS 93731
Hospital Charge Code	5100199
Hospital Revenue Code	921
Min. Negotiated Rate	$43.27
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$99.86
Rate for Payer: Aetna Medicare Advantage	$99.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.88
Rate for Payer: Cigna Commercial	$166.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.27
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.93
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

PACEMAKER INTERROGRATION

Facility

$214.68

Service Code	HCPCS 93288
Hospital Charge Code	74115021
Hospital Revenue Code	480
Min. Negotiated Rate	$24.75
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	$24.75
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

PACEMAKER INTERROGRATION

Facility

$301.65

Service Code	HCPCS 93288
Hospital Charge Code	5100275
Hospital Revenue Code	480
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$90.50
Rate for Payer: Aetna Medicare Advantage	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.92
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.21
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.25
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PACEMAKER INTERROGRATION

Facility

$301.65

Service Code	HCPCS 93288
Hospital Charge Code	94053085
Hospital Revenue Code	480
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$90.50
Rate for Payer: Aetna Medicare Advantage	$90.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.92
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.21
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.25
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PACEMAKER INTERROGRATION

Facility

$214.68

Service Code	HCPCS 93288
Hospital Charge Code	74117021
Hospital Revenue Code	480
Min. Negotiated Rate	$24.75
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	$24.75
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

Know your out-of-pocket cost for care.

All Charges