Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER SINGL CHAMBER KSR903

Facility

$25,742.45

Hospital Charge Code	270625758
Hospital Revenue Code	275
Min. Negotiated Rate	$3,861.37
Max. Negotiated Rate	$12,871.23
Rate for Payer: Aetna Commercial	$7,722.73
Rate for Payer: Aetna Medicare Advantage	$7,722.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,564.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,564.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,148.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,564.32
Rate for Payer: Cigna Commercial	$12,871.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,229.67
Rate for Payer: Qualcare PPO/HMO/WC	$3,861.37

PACEMAKER SJM INTEG AFXDR 5342

Facility

$24,172.00

Hospital Charge Code	270622691
Hospital Revenue Code	275
Min. Negotiated Rate	$3,625.80
Max. Negotiated Rate	$12,086.00
Rate for Payer: Aetna Commercial	$7,251.60
Rate for Payer: Aetna Medicare Advantage	$7,251.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,163.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,163.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,834.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,163.86
Rate for Payer: Cigna Commercial	$12,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,849.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,625.80

PACEMAKER SJM INTEG AFXDR 5342

Facility

$24,172.00

Hospital Charge Code	270622691C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,625.80
Max. Negotiated Rate	$5,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,834.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,849.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,625.80

PACEMAKER SJM INTEG AFXDR 5342

Facility

$24,172.00

Hospital Charge Code	270622691
Hospital Revenue Code	275
Min. Negotiated Rate	$3,625.80
Max. Negotiated Rate	$5,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,834.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,849.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,625.80

PACEMAKER SJM INTEG AFXDR 5342

Facility

$24,172.00

Hospital Charge Code	270622691C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,625.80
Max. Negotiated Rate	$12,086.00
Rate for Payer: Aetna Commercial	$7,251.60
Rate for Payer: Aetna Medicare Advantage	$7,251.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,163.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,163.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,834.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,163.86
Rate for Payer: Cigna Commercial	$12,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,849.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,625.80

PACEMAKER SLZR 294-23***

Facility

$27,720.00

Hospital Charge Code	270605850
Hospital Revenue Code	275
Min. Negotiated Rate	$4,158.00
Max. Negotiated Rate	$6,708.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,544.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,708.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,158.00

PACEMAKER SLZR 294-23***

Facility

$27,720.00

Hospital Charge Code	270605850
Hospital Revenue Code	275
Min. Negotiated Rate	$4,158.00
Max. Negotiated Rate	$13,860.00
Rate for Payer: Aetna Commercial	$8,316.00
Rate for Payer: Aetna Medicare Advantage	$8,316.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,068.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,068.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,544.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,068.60
Rate for Payer: Cigna Commercial	$13,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,708.24
Rate for Payer: Qualcare PPO/HMO/WC	$4,158.00

PACEMAKER SLZR NOVA III 282-07

Facility

$19,112.00

Hospital Charge Code	270615112
Hospital Revenue Code	275
Min. Negotiated Rate	$2,866.80
Max. Negotiated Rate	$4,625.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,822.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,625.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,866.80

PACEMAKER SLZR NOVA III 282-07

Facility

$19,112.00

Hospital Charge Code	270615112
Hospital Revenue Code	275
Min. Negotiated Rate	$2,866.80
Max. Negotiated Rate	$9,556.00
Rate for Payer: Aetna Commercial	$5,733.60
Rate for Payer: Aetna Medicare Advantage	$5,733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,873.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,873.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,822.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,873.56
Rate for Payer: Cigna Commercial	$9,556.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,625.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,866.80

PACEMAKER SORIN SR ICV1102

Facility

$13,737.00

Service Code	HCPCS C1786
Hospital Charge Code	270660758
Hospital Revenue Code	275
Min. Negotiated Rate	$2,060.55
Max. Negotiated Rate	$3,324.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,747.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,324.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,060.55

PACEMAKER SORIN SR ICV1102

Facility

$24,500.00

Service Code	HCPCS C1786
Hospital Charge Code	270660758N
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 SORIN SR ICV1102

Facility

$24,500.00

Service Code	HCPCS C1786
Hospital Charge Code	270660758N
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

PACEMAKER SORIN SR ICV1102

Facility

$13,737.00

Service Code	HCPCS C1786
Hospital Charge Code	270660758
Hospital Revenue Code	275
Min. Negotiated Rate	$2,060.55
Max. Negotiated Rate	$6,868.50
Rate for Payer: Aetna Commercial	$4,121.10
Rate for Payer: Aetna Medicare Advantage	$4,121.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,502.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,502.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,747.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,502.93
Rate for Payer: Cigna Commercial	$6,868.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,324.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,060.55

PACEMAKER VERITY ADX 5156

Facility

$22,975.00

Hospital Charge Code	270638746
Hospital Revenue Code	275
Min. Negotiated Rate	$3,446.25
Max. Negotiated Rate	$5,559.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,559.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,446.25

PACEMAKER VERITY ADX 5156

Facility

$22,975.00

Hospital Charge Code	270638746
Hospital Revenue Code	275
Min. Negotiated Rate	$3,446.25
Max. Negotiated Rate	$11,487.50
Rate for Payer: Aetna Commercial	$6,892.50
Rate for Payer: Aetna Medicare Advantage	$6,892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,858.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,858.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,858.62
Rate for Payer: Cigna Commercial	$11,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,559.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,446.25

PACEMAKER WEARABLE INSERTABLE

Facility

$300.65

Service Code	HCPCS 93284
Hospital Charge Code	5100276
Hospital Revenue Code	480
Min. Negotiated Rate	$39.08
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$90.19
Rate for Payer: Aetna Medicare Advantage	$90.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.67
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.08
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.10
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PACEMAKER WEARABLE INSERTABLE

Facility

$300.65

Service Code	HCPCS 93284
Hospital Charge Code	5100276
Hospital Revenue Code	480
Min. Negotiated Rate	$45.10
Max. Negotiated Rate	$45.10
Rate for Payer: Qualcare PPO/HMO/WC	$45.10

PACEMAKER XTDR AZURE SURESCAN

Facility

$27,175.00

Service Code	HCPCS C1785
Hospital Charge Code	270681677N
Hospital Revenue Code	275
Min. Negotiated Rate	$4,076.25
Max. Negotiated Rate	$13,587.50
Rate for Payer: Aetna Commercial	$8,152.50
Rate for Payer: Aetna Medicare Advantage	$8,152.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,929.62
Rate for Payer: Cigna Commercial	$13,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.35
Rate for Payer: Qualcare PPO/HMO/WC	$4,076.25

PACEMAKER XTDR AZURE SURESCAN

Facility

$27,175.00

Service Code	HCPCS C1785
Hospital Charge Code	270681677S
Hospital Revenue Code	275
Min. Negotiated Rate	$4,076.25
Max. Negotiated Rate	$6,576.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.35
Rate for Payer: Qualcare PPO/HMO/WC	$4,076.25

PACEMAKER XTDR AZURE SURESCAN

Facility

$27,175.00

Service Code	HCPCS C1785
Hospital Charge Code	270681677N
Hospital Revenue Code	275
Min. Negotiated Rate	$4,076.25
Max. Negotiated Rate	$6,576.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.35
Rate for Payer: Qualcare PPO/HMO/WC	$4,076.25

PACEMAKER XTDR AZURE SURESCAN

Facility

$27,175.00

Service Code	HCPCS C1785
Hospital Charge Code	270681677S
Hospital Revenue Code	275
Min. Negotiated Rate	$4,076.25
Max. Negotiated Rate	$13,587.50
Rate for Payer: Aetna Commercial	$8,152.50
Rate for Payer: Aetna Medicare Advantage	$8,152.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,929.62
Rate for Payer: Cigna Commercial	$13,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.35
Rate for Payer: Qualcare PPO/HMO/WC	$4,076.25

PACEMAKER XT SR AZURE SURESCAN

Facility

$18,683.50

Service Code	HCPCS C1785
Hospital Charge Code	270681678
Hospital Revenue Code	278
Min. Negotiated Rate	$2,802.53
Max. Negotiated Rate	$9,341.75
Rate for Payer: Aetna Commercial	$5,605.05
Rate for Payer: Aetna Medicare Advantage	$5,605.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,764.29
Rate for Payer: Cigna Commercial	$9,341.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53

PACEMAKER XT SR AZURE SURESCAN

Facility

$21,725.00

Service Code	HCPCS C1785
Hospital Charge Code	270681678C
Hospital Revenue Code	278
Min. Negotiated Rate	$3,258.75
Max. Negotiated Rate	$10,862.50
Rate for Payer: Aetna Commercial	$6,517.50
Rate for Payer: Aetna Medicare Advantage	$6,517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,539.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,539.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,539.88
Rate for Payer: Cigna Commercial	$10,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,257.45
Rate for Payer: Qualcare PPO/HMO/WC	$3,258.75

PACEMAKER XT SR AZURE SURESCAN

Facility

$21,725.00

Service Code	HCPCS C1785
Hospital Charge Code	270681678C
Hospital Revenue Code	278
Min. Negotiated Rate	$3,258.75
Max. Negotiated Rate	$5,257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,257.45
Rate for Payer: Qualcare PPO/HMO/WC	$3,258.75

PACEMAKER XT SR AZURE SURESCAN

Facility

$18,683.50

Service Code	HCPCS C1785
Hospital Charge Code	270681678
Hospital Revenue Code	278
Min. Negotiated Rate	$2,802.53
Max. Negotiated Rate	$4,521.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53

Know your out-of-pocket cost for care.

All Charges