Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$6,289.94
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR701

Facility

$26,000.00

Service Code	HCPCS C1786
Hospital Charge Code	270616653
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$13,000.00
Rate for Payer: Aetna Commercial	$7,800.00
Rate for Payer: Aetna Medicare Advantage	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,630.00
Rate for Payer: Cigna Commercial	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

PACEMAKER MEDT KSR701

Facility

$26,000.00

Hospital Charge Code	270616653C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$6,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

PACEMAKER MEDT KSR701

Facility

$26,000.00

Hospital Charge Code	270616653C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$13,000.00
Rate for Payer: Aetna Commercial	$7,800.00
Rate for Payer: Aetna Medicare Advantage	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,630.00
Rate for Payer: Cigna Commercial	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

PACEMAKER MEDT KSR701

Facility

$26,000.00

Service Code	HCPCS C1786
Hospital Charge Code	270616653
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$6,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$6,289.94
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$6,289.94
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.53
Max. Negotiated Rate	$19,918.42
Rate for Payer: Aetna Commercial	$11,951.06
Rate for Payer: Aetna Medicare Advantage	$11,951.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,158.40
Rate for Payer: Cigna Commercial	$19,918.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.53
Max. Negotiated Rate	$19,918.42
Rate for Payer: Aetna Commercial	$11,951.06
Rate for Payer: Aetna Medicare Advantage	$11,951.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,158.40
Rate for Payer: Cigna Commercial	$19,918.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.53
Max. Negotiated Rate	$9,640.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.53
Max. Negotiated Rate	$9,640.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,446.69
Max. Negotiated Rate	$3,947.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,446.69
Max. Negotiated Rate	$8,155.62
Rate for Payer: Aetna Commercial	$4,893.38
Rate for Payer: Aetna Medicare Advantage	$4,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,159.37
Rate for Payer: Cigna Commercial	$8,155.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722
Hospital Revenue Code	275
Min. Negotiated Rate	$2,446.69
Max. Negotiated Rate	$3,947.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722
Hospital Revenue Code	275
Min. Negotiated Rate	$2,446.69
Max. Negotiated Rate	$8,155.62
Rate for Payer: Aetna Commercial	$4,893.38
Rate for Payer: Aetna Medicare Advantage	$4,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,159.37
Rate for Payer: Cigna Commercial	$8,155.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69

PACEMAKER MEDT SDR303

Facility

$18,144.00

Hospital Charge Code	270617980
Hospital Revenue Code	275
Min. Negotiated Rate	$2,721.60
Max. Negotiated Rate	$4,390.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,628.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,390.85
Rate for Payer: Qualcare PPO/HMO/WC	$2,721.60

PACEMAKER MEDT SDR303

Facility

$18,144.00

Hospital Charge Code	270617980
Hospital Revenue Code	275
Min. Negotiated Rate	$2,721.60
Max. Negotiated Rate	$9,072.00
Rate for Payer: Aetna Commercial	$5,443.20
Rate for Payer: Aetna Medicare Advantage	$5,443.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,626.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,626.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,628.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,626.72
Rate for Payer: Cigna Commercial	$9,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,390.85
Rate for Payer: Qualcare PPO/HMO/WC	$2,721.60

PACEMAKER MEDT SIGMA SR SSR203

Facility

$12,353.65

Hospital Charge Code	270625759
Hospital Revenue Code	275
Min. Negotiated Rate	$1,853.05
Max. Negotiated Rate	$2,989.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,470.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,989.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,853.05

PACEMAKER MEDT SIGMA SR SSR203

Facility

$12,353.65

Hospital Charge Code	270625759
Hospital Revenue Code	275
Min. Negotiated Rate	$1,853.05
Max. Negotiated Rate	$6,176.82
Rate for Payer: Aetna Commercial	$3,706.09
Rate for Payer: Aetna Medicare Advantage	$3,706.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,150.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,150.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,470.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,150.18
Rate for Payer: Cigna Commercial	$6,176.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,989.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,853.05

PACEMAKER MEDT SSR303B

Facility

$15,724.85

Hospital Charge Code	270616530C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,358.73
Max. Negotiated Rate	$7,862.43
Rate for Payer: Aetna Commercial	$4,717.45
Rate for Payer: Aetna Medicare Advantage	$4,717.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,009.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,009.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,144.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,009.84
Rate for Payer: Cigna Commercial	$7,862.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,805.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.73

PACEMAKER MEDT SSR303B

Facility

$15,724.85

Hospital Charge Code	270616530C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,358.73
Max. Negotiated Rate	$3,805.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,144.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,805.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.73

Know your out-of-pocket cost for care.

All Charges