Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$12,250.00
Rate for Payer: Aetna Commercial	$7,350.00
Rate for Payer: Aetna Medicare Advantage	$7,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,247.50
Rate for Payer: Cigna Commercial	$12,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,929.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,675.00

PACEMAKER MEDT*******

Facility

$10,000.00

Hospital Charge Code	270601715
Hospital Revenue Code	275
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

PACEMAKER MEDT*******

Facility

$10,000.00

Hospital Charge Code	270601715
Hospital Revenue Code	275
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,000.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

PACEMAKER MEDT 2029M/S

Facility

$20,946.45

Hospital Charge Code	270608808
Hospital Revenue Code	275
Min. Negotiated Rate	$3,141.97
Max. Negotiated Rate	$5,069.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,189.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,069.04
Rate for Payer: Qualcare PPO/HMO/WC	$3,141.97

PACEMAKER MEDT 2029M/S

Facility

$15,083.25

Hospital Charge Code	270608906
Hospital Revenue Code	275
Min. Negotiated Rate	$2,262.49
Max. Negotiated Rate	$3,650.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,016.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,650.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,262.49

PACEMAKER MEDT 2029M/S

Facility

$15,083.25

Hospital Charge Code	270608906
Hospital Revenue Code	275
Min. Negotiated Rate	$2,262.49
Max. Negotiated Rate	$7,541.62
Rate for Payer: Aetna Commercial	$4,524.98
Rate for Payer: Aetna Medicare Advantage	$4,524.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,846.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,846.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,016.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,846.23
Rate for Payer: Cigna Commercial	$7,541.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,650.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,262.49

PACEMAKER MEDT 2029M/S

Facility

$20,946.45

Hospital Charge Code	270608808
Hospital Revenue Code	275
Min. Negotiated Rate	$3,141.97
Max. Negotiated Rate	$10,473.23
Rate for Payer: Aetna Commercial	$6,283.94
Rate for Payer: Aetna Medicare Advantage	$6,283.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,341.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,341.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,189.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,341.34
Rate for Payer: Cigna Commercial	$10,473.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,069.04
Rate for Payer: Qualcare PPO/HMO/WC	$3,141.97

PACEMAKER MEDT 5033

Facility

$3,158.45

Hospital Charge Code	270602740
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$1,579.22
Rate for Payer: Aetna Commercial	$947.53
Rate for Payer: Aetna Medicare Advantage	$947.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$805.40
Rate for Payer: Cigna Commercial	$1,579.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

PACEMAKER MEDT 5033

Facility

$3,625.00

Hospital Charge Code	270602740C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

PACEMAKER MEDT 5033

Facility

$3,625.00

Hospital Charge Code	270602740C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,087.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

PACEMAKER MEDT 5033

Facility

$3,158.45

Hospital Charge Code	270602740
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$764.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

PACEMAKER MEDT 7084***

Facility

$16,200.00

Hospital Charge Code	270602701
Hospital Revenue Code	275
Min. Negotiated Rate	$2,430.00
Max. Negotiated Rate	$8,100.00
Rate for Payer: Aetna Commercial	$4,860.00
Rate for Payer: Aetna Medicare Advantage	$4,860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,131.00
Rate for Payer: Cigna Commercial	$8,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.00

PACEMAKER MEDT 7084***

Facility

$16,200.00

Hospital Charge Code	270602701
Hospital Revenue Code	275
Min. Negotiated Rate	$2,430.00
Max. Negotiated Rate	$3,920.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.00

PACEMAKER MEDT 7085***

Facility

$16,200.00

Hospital Charge Code	270602702
Hospital Revenue Code	275
Min. Negotiated Rate	$2,430.00
Max. Negotiated Rate	$8,100.00
Rate for Payer: Aetna Commercial	$4,860.00
Rate for Payer: Aetna Medicare Advantage	$4,860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,131.00
Rate for Payer: Cigna Commercial	$8,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.00

PACEMAKER MEDT 7085***

Facility

$16,200.00

Hospital Charge Code	270602702
Hospital Revenue Code	275
Min. Negotiated Rate	$2,430.00
Max. Negotiated Rate	$3,920.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.00

PACEMAKER MEDT 7086***

Facility

$16,200.00

Hospital Charge Code	270602703
Hospital Revenue Code	275
Min. Negotiated Rate	$2,430.00
Max. Negotiated Rate	$3,920.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.00

PACEMAKER MEDT 7086***

Facility

$16,200.00

Hospital Charge Code	270602703
Hospital Revenue Code	275
Min. Negotiated Rate	$2,430.00
Max. Negotiated Rate	$8,100.00
Rate for Payer: Aetna Commercial	$4,860.00
Rate for Payer: Aetna Medicare Advantage	$4,860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,131.00
Rate for Payer: Cigna Commercial	$8,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,430.00

PACEMAKER MEDT 7107***

Facility

$12,960.00

Hospital Charge Code	270602710
Hospital Revenue Code	275
Min. Negotiated Rate	$1,944.00
Max. Negotiated Rate	$3,136.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,136.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.00

PACEMAKER MEDT 7107***

Facility

$12,960.00

Hospital Charge Code	270602710
Hospital Revenue Code	275
Min. Negotiated Rate	$1,944.00
Max. Negotiated Rate	$6,480.00
Rate for Payer: Aetna Commercial	$3,888.00
Rate for Payer: Aetna Medicare Advantage	$3,888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,304.80
Rate for Payer: Cigna Commercial	$6,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,136.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.00

PACEMAKER MEDT 7108***

Facility

$12,960.00

Hospital Charge Code	270602711
Hospital Revenue Code	275
Min. Negotiated Rate	$1,944.00
Max. Negotiated Rate	$6,480.00
Rate for Payer: Aetna Commercial	$3,888.00
Rate for Payer: Aetna Medicare Advantage	$3,888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,304.80
Rate for Payer: Cigna Commercial	$6,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,136.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.00

PACEMAKER MEDT 7108***

Facility

$12,960.00

Hospital Charge Code	270602711
Hospital Revenue Code	275
Min. Negotiated Rate	$1,944.00
Max. Negotiated Rate	$3,136.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,136.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.00

PACEMAKER MEDT 7445*****

Facility

$24,192.00

Hospital Charge Code	270602708
Hospital Revenue Code	275
Min. Negotiated Rate	$3,628.80
Max. Negotiated Rate	$12,096.00
Rate for Payer: Aetna Commercial	$7,257.60
Rate for Payer: Aetna Medicare Advantage	$7,257.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,168.96
Rate for Payer: Cigna Commercial	$12,096.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80

PACEMAKER MEDT 7445*****

Facility

$24,192.00

Hospital Charge Code	270602708
Hospital Revenue Code	275
Min. Negotiated Rate	$3,628.80
Max. Negotiated Rate	$5,854.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80

PACEMAKER MEDT 7940B***

Facility

$17,820.00

Hospital Charge Code	270602697
Hospital Revenue Code	275
Min. Negotiated Rate	$2,673.00
Max. Negotiated Rate	$8,910.00
Rate for Payer: Aetna Commercial	$5,346.00
Rate for Payer: Aetna Medicare Advantage	$5,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,544.10
Rate for Payer: Cigna Commercial	$8,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00

PACEMAKER MEDT 7940B***

Facility

$17,820.00

Hospital Charge Code	270602697
Hospital Revenue Code	275
Min. Negotiated Rate	$2,673.00
Max. Negotiated Rate	$4,312.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00

Know your out-of-pocket cost for care.

All Charges