Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER QDT 1176

Facility

$19,333.65

Hospital Charge Code	270617227
Hospital Revenue Code	275
Min. Negotiated Rate	$2,900.05
Max. Negotiated Rate	$4,678.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,866.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,678.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,900.05

PACEMAKER QUADPOLAR VALITUDE

Facility

$51,250.00

Service Code	HCPCS C2621
Hospital Charge Code	270680910
Hospital Revenue Code	275
Min. Negotiated Rate	$7,687.50
Max. Negotiated Rate	$12,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,402.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,687.50

PACEMAKER QUADPOLAR VALITUDE

Facility

$51,250.00

Service Code	HCPCS C2621
Hospital Charge Code	270680910
Hospital Revenue Code	275
Min. Negotiated Rate	$7,687.50
Max. Negotiated Rate	$25,625.00
Rate for Payer: Aetna Commercial	$15,375.00
Rate for Payer: Aetna Medicare Advantage	$15,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,068.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,068.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,068.75
Rate for Payer: Cigna Commercial	$25,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,402.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,687.50

PACEMAKER RELY DR

Facility

$31,000.00

Hospital Charge Code	270656328
Hospital Revenue Code	275
Min. Negotiated Rate	$4,650.00
Max. Negotiated Rate	$15,500.00
Rate for Payer: Aetna Commercial	$9,300.00
Rate for Payer: Aetna Medicare Advantage	$9,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,905.00
Rate for Payer: Cigna Commercial	$15,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00

PACEMAKER RELY DR

Facility

$31,000.00

Hospital Charge Code	270656328
Hospital Revenue Code	275
Min. Negotiated Rate	$4,650.00
Max. Negotiated Rate	$7,502.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00

PACEMAKER REMOVAL****

Facility

$1,263.60

Service Code	HCPCS 33234
Hospital Charge Code	5100196
Hospital Revenue Code	481
Min. Negotiated Rate	$189.54
Max. Negotiated Rate	$189.54
Rate for Payer: Qualcare PPO/HMO/WC	$189.54

PACEMAKER REMOVAL****

Facility

$1,263.60

Service Code	HCPCS 33234
Hospital Charge Code	5100196
Hospital Revenue Code	481
Min. Negotiated Rate	$164.27
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$379.08
Rate for Payer: Aetna Medicare Advantage	$379.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.22
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.27
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.54
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOVAL PULSE GEN***

Facility

$1,424.10

Service Code	HCPCS 33235
Hospital Charge Code	5100195
Hospital Revenue Code	489
Min. Negotiated Rate	$185.13
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$427.23
Rate for Payer: Aetna Medicare Advantage	$427.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.15
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.62
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PACEMAKER REMOVAL PULSE GEN***

Facility

$1,424.10

Service Code	HCPCS 33235
Hospital Charge Code	5100195
Hospital Revenue Code	489
Min. Negotiated Rate	$213.62
Max. Negotiated Rate	$213.62
Rate for Payer: Qualcare PPO/HMO/WC	$213.62

PACEMAKER REMOV DUAL LD SYS

Facility

$20,101.20

Service Code	HCPCS 33235
Hospital Charge Code	411033235
Hospital Revenue Code	481
Min. Negotiated Rate	$2,613.16
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$6,030.36
Rate for Payer: Aetna Medicare Advantage	$6,030.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,125.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,125.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,125.81
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,613.16
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOV DUAL LD SYS

Facility

$20,101.20

Service Code	HCPCS 33235
Hospital Charge Code	411033235
Hospital Revenue Code	481
Min. Negotiated Rate	$3,015.18
Max. Negotiated Rate	$3,015.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	5100215
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	5100215
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.96
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$3,551.45
Rate for Payer: Aetna Medicare Advantage	$3,551.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,018.73
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	$3,018.73
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,538.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	74110023
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	74110023
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.96
Max. Negotiated Rate	$8,899.18
Rate for Payer: Aetna Commercial	$3,551.45
Rate for Payer: Aetna Medicare Advantage	$3,551.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,018.73
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	$3,018.73
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,538.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	74110024
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.96
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$3,551.45
Rate for Payer: Aetna Medicare Advantage	$3,551.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,018.73
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	$3,018.73
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,538.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.96
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$3,551.45
Rate for Payer: Aetna Medicare Advantage	$3,551.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,018.73
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	$3,018.73
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,538.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	74110024
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	74110022
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100210
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100210
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.96
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$3,551.45
Rate for Payer: Aetna Medicare Advantage	$3,551.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,018.73
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	$3,018.73
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,538.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	74110022
Hospital Revenue Code	361
Min. Negotiated Rate	$1,538.96
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$3,551.45
Rate for Payer: Aetna Medicare Advantage	$3,551.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,018.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,018.73
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	$3,018.73
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,538.96
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PACEMAKER REPLACE DUAL***

Facility

$530.00

Service Code	HCPCS 33213
Hospital Charge Code	5100198
Hospital Revenue Code	489
Min. Negotiated Rate	$68.90
Max. Negotiated Rate	$24,890.32
Rate for Payer: Aetna Better Health Medicaid	$16,790.24
Rate for Payer: Aetna Commercial	$159.00
Rate for Payer: Aetna Medicare Advantage	$159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.15
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.90
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.50
Rate for Payer: UnitedHealthcare Commercial	$1,793.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04

PACEMAKER REPLACE DUAL***

Facility

$530.00

Service Code	HCPCS 33213
Hospital Charge Code	5100198
Hospital Revenue Code	489
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$79.50
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

Know your out-of-pocket cost for care.

All Charges