Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER INTERROGRATION

Facility

$214.68

Hospital Charge Code	74116021
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
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) PPO	$54.74
Rate for Payer: Cigna Commercial	$107.34
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

$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

PACEMAKER INTERROGRATION

Facility

$214.68

Service Code	HCPCS 93288
Hospital Charge Code	74117021
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACEMAKER INTERROGRATION

Facility

$214.68

Service Code	HCPCS 93288
Hospital Charge Code	74115021
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACEMAKER INTERROGRATION

Facility

$301.65

Service Code	HCPCS 93288
Hospital Charge Code	94053085
Hospital Revenue Code	480
Min. Negotiated Rate	$45.25
Max. Negotiated Rate	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$45.25

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 INTERR SNGL

Facility

$301.65

Service Code	HCPCS 93734
Hospital Charge Code	5100200
Hospital Revenue Code	921
Min. Negotiated Rate	$45.25
Max. Negotiated Rate	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$45.25

PACEMAKER INTERR SNGL

Facility

$301.65

Service Code	HCPCS 93734
Hospital Charge Code	5100200
Hospital Revenue Code	921
Min. Negotiated Rate	$39.21
Max. Negotiated Rate	$5,061.00
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) PPO	$76.92
Rate for Payer: Cigna Commercial	$150.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.21
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.25
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

PACEMAKER INTGY ADX XL DR 5366

Facility

$30,475.00

Hospital Charge Code	270639307C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,571.25
Max. Negotiated Rate	$7,374.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,374.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,571.25

PACEMAKER INTGY ADX XL DR 5366

Facility

$30,475.00

Hospital Charge Code	270639307C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,571.25
Max. Negotiated Rate	$15,237.50
Rate for Payer: Aetna Commercial	$9,142.50
Rate for Payer: Aetna Medicare Advantage	$9,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,771.12
Rate for Payer: Cigna Commercial	$15,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,374.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,571.25

PACEMAKER KAPPA SGL CH KSR901

Facility

$26,536.00

Hospital Charge Code	270629829
Hospital Revenue Code	275
Min. Negotiated Rate	$3,980.40
Max. Negotiated Rate	$13,268.00
Rate for Payer: Aetna Commercial	$7,960.80
Rate for Payer: Aetna Medicare Advantage	$7,960.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,766.68
Rate for Payer: Cigna Commercial	$13,268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40

PACEMAKER KAPPA SGL CH KSR901

Facility

$26,536.00

Hospital Charge Code	270629829
Hospital Revenue Code	275
Min. Negotiated Rate	$3,980.40
Max. Negotiated Rate	$6,421.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40

PACEMAKER KAPPA SGL CH KSR901

Facility

$26,536.00

Hospital Charge Code	270629829C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,980.40
Max. Negotiated Rate	$13,268.00
Rate for Payer: Aetna Commercial	$7,960.80
Rate for Payer: Aetna Medicare Advantage	$7,960.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,766.68
Rate for Payer: Cigna Commercial	$13,268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40

PACEMAKER KAPPA SGL CH KSR901

Facility

$26,536.00

Hospital Charge Code	270629829C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,980.40
Max. Negotiated Rate	$6,421.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40

PACEMAKER LEAD

Facility

$3,500.00

Service Code	HCPCS C1779
Hospital Charge Code	270656326
Hospital Revenue Code	275
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PACEMAKER LEAD

Facility

$3,500.00

Hospital Charge Code	270656327
Hospital Revenue Code	275
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PACEMAKER LEAD

Facility

$3,500.00

Hospital Charge Code	270656327
Hospital Revenue Code	275
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PACEMAKER LEAD

Facility

$3,500.00

Service Code	HCPCS C1779
Hospital Charge Code	270656326
Hospital Revenue Code	275
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PACEMAKER LEADS DUAL INSERT

Facility

$27,008.30

Service Code	HCPCS 33217
Hospital Charge Code	5100296
Hospital Revenue Code	361
Min. Negotiated Rate	$4,051.24
Max. Negotiated Rate	$4,051.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,051.24

PACEMAKER LEADS DUAL INSERT

Facility

$27,008.30

Service Code	HCPCS 33217
Hospital Charge Code	74110033
Hospital Revenue Code	361
Min. Negotiated Rate	$4,051.24
Max. Negotiated Rate	$4,051.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,051.24

PACEMAKER LEADS DUAL INSERT

Facility

$27,008.30

Service Code	HCPCS 33217
Hospital Charge Code	5100296
Hospital Revenue Code	361
Min. Negotiated Rate	$1,861.87
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Better Health Medicaid	$1,861.87
Rate for Payer: Aetna Commercial	$8,102.49
Rate for Payer: Aetna Medicare Advantage	$8,102.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,887.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,887.12
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	$6,887.12
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,511.08
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,051.24
Rate for Payer: UnitedHealthcare Commercial	$9,851.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,899.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1,861.87

PACEMAKER LEADS DUAL INSERT

Facility

$27,008.30

Service Code	HCPCS 33217
Hospital Charge Code	74110033
Hospital Revenue Code	361
Min. Negotiated Rate	$1,861.87
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Better Health Medicaid	$1,861.87
Rate for Payer: Aetna Commercial	$8,102.49
Rate for Payer: Aetna Medicare Advantage	$8,102.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,887.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,887.12
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	$6,887.12
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,511.08
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,051.24
Rate for Payer: UnitedHealthcare Commercial	$9,851.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,899.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1,861.87

PACEMAKER LEAD SETROX 45

Facility

$2,365.00

Service Code	HCPCS C1898
Hospital Charge Code	270675163
Hospital Revenue Code	275
Min. Negotiated Rate	$354.75
Max. Negotiated Rate	$572.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$473.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.33
Rate for Payer: Qualcare PPO/HMO/WC	$354.75

PACEMAKER LEAD SETROX 45

Facility

$2,365.00

Service Code	HCPCS C1898
Hospital Charge Code	270675163
Hospital Revenue Code	275
Min. Negotiated Rate	$354.75
Max. Negotiated Rate	$1,182.50
Rate for Payer: Aetna Commercial	$709.50
Rate for Payer: Aetna Medicare Advantage	$709.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$473.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.08
Rate for Payer: Cigna Commercial	$1,182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.33
Rate for Payer: Qualcare PPO/HMO/WC	$354.75

PACEMAKER LEAD TENDRIL DC

Facility

$24,500.00

Hospital Charge Code	270CH0120
Hospital Revenue Code	275
Min. Negotiated Rate	$3,675.00
Max. Negotiated Rate	$5,929.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,929.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,675.00

Know your out-of-pocket cost for care.

All Charges