Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CALCIUM CARBONATE TAB 420MG

Facility

$2.45

Hospital Charge Code	60627895
Hospital Revenue Code	250
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.93
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$0.49
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

CALCIUM CARB SUSP 1.25G/5ML

Facility

$4.00

Service Code	NDC 54311763
Hospital Charge Code	60628915
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCIUM CARB SUSP 1.25G/5ML

Facility

$4.00

Service Code	NDC 54311763
Hospital Charge Code	60628915
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

CALCIUM CHLORIDE 100 MG/ML INJ

Facility

$26.26

Service Code	NDC 409492834
Hospital Charge Code	6000848
Hospital Revenue Code	250
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CALCIUM CHLORIDE 100 MG/ML INJ

Facility

$26.26

Service Code	NDC 409492834
Hospital Charge Code	6000848
Hospital Revenue Code	250
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$13.13
Rate for Payer: Aetna Commercial	$9.98
Rate for Payer: Aetna Medicare Advantage	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.70
Rate for Payer: Cigna Commercial	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.88
Rate for Payer: Oxford Commercial	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$5.25
Rate for Payer: UnitedHealthcare Community & State	$0.63
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

CALCIUM CHLORIDE 10%/1GM

Facility

$104.00

Hospital Charge Code	60632604
Hospital Revenue Code	250
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

CALCIUM CHLORIDE 10%/1GM

Facility

$104.00

Hospital Charge Code	60632604
Hospital Revenue Code	250
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$39.52
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$20.80
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

CALCIUM CHLORIDE 5.1GM

Facility

$560.00

Hospital Charge Code	270610490
Hospital Revenue Code	259
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.00
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$13.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.84

CALCIUM CHLORIDE 5.1GM

Facility

$560.00

Hospital Charge Code	270610490
Hospital Revenue Code	259
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

CALCIUM CHLORIDE ABBOJECT

Facility

$38.00

Hospital Charge Code	60634799
Hospital Revenue Code	250
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

CALCIUM CHLORIDE ABBOJECT

Facility

$38.00

Hospital Charge Code	60634799
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.40
Rate for Payer: Oxford Commercial	$7.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$7.60
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

CALCIUM CHLORIDE LFS10%

Facility

$12.00

Hospital Charge Code	60635527
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$2.40
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

CALCIUM CHLORIDE LFS10%

Facility

$12.00

Hospital Charge Code	60635527
Hospital Revenue Code	250
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

CALCIUM CHLOR SYR 1G/10ML

Facility

$73.60

Hospital Charge Code	60627896
Hospital Revenue Code	250
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$36.80
Rate for Payer: Aetna Commercial	$27.97
Rate for Payer: Aetna Medicare Advantage	$22.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.77
Rate for Payer: Cigna Commercial	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.08
Rate for Payer: Oxford Commercial	$14.72
Rate for Payer: Qualcare PPO/HMO/WC	$11.04
Rate for Payer: UnitedHealthcare Commercial	$14.72
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

CALCIUM CHLOR SYR 1G/10ML

Facility

$73.60

Hospital Charge Code	60627896
Hospital Revenue Code	250
Min. Negotiated Rate	$11.04
Max. Negotiated Rate	$11.04
Rate for Payer: Qualcare PPO/HMO/WC	$11.04

CALCIUM CL 100MG/ML SYRNG

Facility

$12.00

Hospital Charge Code	60635670
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$2.40
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

CALCIUM CL 100MG/ML SYRNG

Facility

$12.00

Hospital Charge Code	60635670
Hospital Revenue Code	250
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

CALCIUM DISOD EDETATE 200MG/ML

Facility

$622.10

Service Code	HCPCS J0600
Hospital Charge Code	60632312
Hospital Revenue Code	636
Min. Negotiated Rate	$14.99
Max. Negotiated Rate	$22,029.53
Rate for Payer: Aetna Commercial	$16,599.81
Rate for Payer: Aetna Medicare Advantage	$19,773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,029.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,029.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,102.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,469.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,029.53
Rate for Payer: Cigna Medicare Advantage	$6,102.87
Rate for Payer: Clover Medicare Advantage	$5,797.73
Rate for Payer: EmblemHealth Commercial	$18,308.61
Rate for Payer: Humana Medicare Advantage	$6,285.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,102.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.55
Rate for Payer: Qualcare PPO/HMO/WC	$93.31
Rate for Payer: UnitedHealthcare Community & State	$14.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,102.87
Rate for Payer: Wellcare Medicare Advantage	$6,102.87
Rate for Payer: Wellpoint Medicaid Managed Care	$16.49

CALCIUM DISOD EDETATE 200MG/ML

Facility

$622.10

Service Code	HCPCS J0600
Hospital Charge Code	60632312
Hospital Revenue Code	636
Min. Negotiated Rate	$93.31
Max. Negotiated Rate	$150.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.55
Rate for Payer: Qualcare PPO/HMO/WC	$93.31

CALCIUM GLUCOBIO LQ 1.8GM/5ML

Facility

$165.80

Hospital Charge Code	6000855
Hospital Revenue Code	251
Min. Negotiated Rate	$24.87
Max. Negotiated Rate	$24.87
Rate for Payer: Qualcare PPO/HMO/WC	$24.87

CALCIUM GLUCOBIO LQ 1.8GM/5ML

Facility

$165.80

Hospital Charge Code	6000855
Hospital Revenue Code	251
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$82.90
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$49.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$82.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.74
Rate for Payer: Oxford Commercial	$33.16
Rate for Payer: Qualcare PPO/HMO/WC	$24.87
Rate for Payer: UnitedHealthcare Commercial	$33.16
Rate for Payer: UnitedHealthcare Community & State	$4.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

CALCIUM GLUCONATE

Facility

$7.70

Hospital Charge Code	6008114
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

CALCIUM GLUCONATE

Facility

$7.70

Hospital Charge Code	6008114
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

CALCIUM GLUCONATE 10%/1GM

Facility

$114.00

Hospital Charge Code	60632605
Hospital Revenue Code	250
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

CALCIUM GLUCONATE 10%/1GM

Facility

$412.00

Hospital Charge Code	60632606
Hospital Revenue Code	250
Min. Negotiated Rate	$9.93
Max. Negotiated Rate	$206.00
Rate for Payer: Aetna Commercial	$156.56
Rate for Payer: Aetna Medicare Advantage	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.06
Rate for Payer: Cigna Commercial	$206.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.60
Rate for Payer: Oxford Commercial	$82.40
Rate for Payer: Qualcare PPO/HMO/WC	$61.80
Rate for Payer: UnitedHealthcare Commercial	$82.40
Rate for Payer: UnitedHealthcare Community & State	$9.93
Rate for Payer: Wellpoint Medicaid Managed Care	$10.92

Know your out-of-pocket cost for care.

All Charges