Heights University Hospital

All Charges

Charge

Type

Setting

Price

REPLIFORM 4X7

Facility

$3,912.00

Hospital Charge Code	270650889
Hospital Revenue Code	272
Min. Negotiated Rate	$508.56
Max. Negotiated Rate	$1,956.00
Rate for Payer: Aetna Commercial	$1,173.60
Rate for Payer: Aetna Medicare Advantage	$1,173.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$997.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$997.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$997.56
Rate for Payer: Cigna Commercial	$1,956.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.56
Rate for Payer: Oxford Commercial	$1,956.00
Rate for Payer: Qualcare PPO/HMO/WC	$586.80
Rate for Payer: UnitedHealthcare Commercial	$1,956.00

REP LOC MITEK EXP RENT 900647

Facility

$1,250.00

Hospital Charge Code	270639033
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

REP LOC MITEK EXP RENT 900647

Facility

$1,250.00

Hospital Charge Code	270639033
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

REPL TUNNELED VAD W PORT

Facility

$28,691.63

Service Code	HCPCS 36582
Hospital Charge Code	1600000784
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,607.49
Rate for Payer: Aetna Commercial	$8,607.49
Rate for Payer: Aetna Medicare Advantage	$8,607.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,316.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,316.37
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	$7,316.37
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,729.91
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,303.74
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPL TUNNELED VAD W PORT

Facility

$28,691.63

Service Code	HCPCS 36582
Hospital Charge Code	1600000784
Hospital Revenue Code	360
Min. Negotiated Rate	$4,303.74
Max. Negotiated Rate	$4,303.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,303.74

REPLY DR

Facility

$21,210.00

Service Code	HCPCS C1785
Hospital Charge Code	270656329
Hospital Revenue Code	275
Min. Negotiated Rate	$3,181.50
Max. Negotiated Rate	$10,605.00
Rate for Payer: Aetna Commercial	$6,363.00
Rate for Payer: Aetna Medicare Advantage	$6,363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,408.55
Rate for Payer: Cigna Commercial	$10,605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,132.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,181.50

REPLY DR

Facility

$21,210.00

Service Code	HCPCS C1785
Hospital Charge Code	270656329
Hospital Revenue Code	275
Min. Negotiated Rate	$3,181.50
Max. Negotiated Rate	$5,132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,132.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,181.50

REPLY SR PACEMAKER SINGLE RATE

Facility

$4,500.00

Hospital Charge Code	270662057
Hospital Revenue Code	272
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

REPLY SR PACEMAKER SINGLE RATE

Facility

$4,500.00

Hospital Charge Code	270662057
Hospital Revenue Code	272
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$2,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Commercial	$2,250.00

REP NU/MU,METATARSAL

Facility

$57,824.50

Service Code	HCPCS 28322
Hospital Charge Code	16000516
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,347.35
Rate for Payer: Aetna Commercial	$17,347.35
Rate for Payer: Aetna Medicare Advantage	$17,347.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,745.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,745.25
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	$14,745.25
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,517.19
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,673.67
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

REP NU/MU,METATARSAL

Facility

$57,824.50

Service Code	HCPCS 28322
Hospital Charge Code	16000516
Hospital Revenue Code	360
Min. Negotiated Rate	$8,673.67
Max. Negotiated Rate	$8,673.67
Rate for Payer: Qualcare PPO/HMO/WC	$8,673.67

REPORT AND INTERPRETATION

Facility

$111.00

Hospital Charge Code	3032738D
Hospital Revenue Code	301
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.30
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

REPORT AND INTERPRETATION

Facility

$111.00

Hospital Charge Code	3032738D
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

REPOSITIONABLE22M OPENING 235

Facility

$775.00

Hospital Charge Code	270700610
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

REPOSITIONABLE22M OPENING 235

Facility

$775.00

Hospital Charge Code	270700610
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

REPOSITIONABLE MAX SURECLIP 1

Facility

$500.00

Hospital Charge Code	270700612
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

REPOSITIONABLE MAX SURECLIP 1

Facility

$500.00

Hospital Charge Code	270700612
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

REPOSITION LEFT VENTICU LEAD

Facility

$9,500.00

Service Code	HCPCS 33226
Hospital Charge Code	74110077
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPOSITION LEFT VENTICU LEAD

Facility

$9,500.00

Service Code	HCPCS 33226
Hospital Charge Code	74110077
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

REPOSITION LEFT VENTICU LEAD

Facility

$9,500.00

Service Code	HCPCS 33226
Hospital Charge Code	5100776
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

REPOSITION LEFT VENTICU LEAD

Facility

$9,500.00

Service Code	HCPCS 33226
Hospital Charge Code	5100776
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	366833222
Hospital Revenue Code	480
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	366833222
Hospital Revenue Code	480
Min. Negotiated Rate	$253.00
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$2,758.62
Rate for Payer: Aetna Medicare Advantage	$2,758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,344.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,344.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,344.83
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,195.40
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	403433222
Hospital Revenue Code	480
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

REPOSITION PULSE GEN

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	403433222
Hospital Revenue Code	480
Min. Negotiated Rate	$253.00
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$2,758.62
Rate for Payer: Aetna Medicare Advantage	$2,758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,344.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,344.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,344.83
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,195.40
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

Know your out-of-pocket cost for care.

All Charges