Heights University Hospital

All Charges

Charge

Type

Setting

Price

CALCANEUS REMOVAL

Facility

$19,998.60

Service Code	HCPCS 28118
Hospital Charge Code	16000514
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

CAL CARBONATE/MAG HYDROX.TAB

Facility

$1.95

Hospital Charge Code	60628581
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

CAL CARBONATE/MAG HYDROX.TAB

Facility

$1.95

Hospital Charge Code	60628581
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

CALCAR MALLORY/HEAD 15mmX45mm

Facility

$69,099.00

Hospital Charge Code	270637184
Hospital Revenue Code	278
Min. Negotiated Rate	$10,364.85
Max. Negotiated Rate	$34,549.50
Rate for Payer: Aetna Commercial	$20,729.70
Rate for Payer: Aetna Medicare Advantage	$20,729.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,620.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,620.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,819.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,620.24
Rate for Payer: Cigna Commercial	$34,549.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,721.96
Rate for Payer: Qualcare PPO/HMO/WC	$10,364.85

CALCAR MALLORY/HEAD 15mmX45mm

Facility

$69,099.00

Hospital Charge Code	270637184
Hospital Revenue Code	278
Min. Negotiated Rate	$10,364.85
Max. Negotiated Rate	$16,721.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,819.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,721.96
Rate for Payer: Qualcare PPO/HMO/WC	$10,364.85

CALC CHLORDE 10% ABBOJECT

Facility

$61.00

Hospital Charge Code	60634761
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

CALC CHLORDE 10% ABBOJECT

Facility

$61.00

Hospital Charge Code	60634761
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

CALCELLOUS BONE CHIP 30 CC

Facility

$860.00

Hospital Charge Code	270335631
Hospital Revenue Code	278
Min. Negotiated Rate	$129.00
Max. Negotiated Rate	$208.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.12
Rate for Payer: Qualcare PPO/HMO/WC	$129.00

CALCELLOUS BONE CHIP 30 CC

Facility

$860.00

Hospital Charge Code	270335631
Hospital Revenue Code	278
Min. Negotiated Rate	$129.00
Max. Negotiated Rate	$430.00
Rate for Payer: Aetna Commercial	$258.00
Rate for Payer: Aetna Medicare Advantage	$258.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.30
Rate for Payer: Cigna Commercial	$430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.12
Rate for Payer: Qualcare PPO/HMO/WC	$129.00

CALCHICINE-PROBENECID TAB

Facility

$3.20

Hospital Charge Code	60628871
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

CALCHICINE-PROBENECID TAB

Facility

$3.20

Hospital Charge Code	60628871
Hospital Revenue Code	250
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$1.60
Rate for Payer: Aetna Commercial	$0.96
Rate for Payer: Aetna Medicare Advantage	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.82
Rate for Payer: Cigna Commercial	$1.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.48
Rate for Payer: UnitedHealthcare Commercial	$1.60

CALCI CARB VIT D TAB250MG-125U

Facility

$4.00

Service Code	NDC 904188261
Hospital Charge Code	60628497
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCI CARB VIT D TAB250MG-125U

Facility

$4.00

Service Code	NDC 904188261
Hospital Charge Code	60628497
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
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	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

CALCIFEROL 8,000 IU DROPS

Facility

$4.00

Service Code	NDC 39328035760
Hospital Charge Code	6063943069
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
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	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

CALCIFEROL 8,000 IU DROPS

Facility

$4.00

Service Code	NDC 39328035760
Hospital Charge Code	6063943069
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCIJEX/1MCG/1ML

Facility

$44.00

Hospital Charge Code	60634908
Hospital Revenue Code	250
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

CALCIJEX/1MCG/1ML

Facility

$44.00

Hospital Charge Code	60634908
Hospital Revenue Code	250
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

CALCIJEX 1MCG (CALCITRIOL)

Facility

$152.00

Service Code	HCPCS J0635
Hospital Charge Code	6007736
Hospital Revenue Code	250
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

CALCIJEX 1MCG (CALCITRIOL)

Facility

$152.00

Service Code	HCPCS J0635
Hospital Charge Code	6007736
Hospital Revenue Code	250
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

CALCIMAR/200U/1ML

Facility

$154.00

Hospital Charge Code	60632601
Hospital Revenue Code	250
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

CALCIMAR/200U/1ML

Facility

$154.00

Hospital Charge Code	60632601
Hospital Revenue Code	250
Min. Negotiated Rate	$20.02
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$46.20
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$77.00

CALCIPOTRIENE 0.005% OINTMENT

Facility

$312.00

Hospital Charge Code	60628875
Hospital Revenue Code	250
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$46.80
Rate for Payer: Qualcare PPO/HMO/WC	$46.80

CALCIPOTRIENE 0.005% OINTMENT

Facility

$312.00

Hospital Charge Code	60628875
Hospital Revenue Code	250
Min. Negotiated Rate	$40.56
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$93.60
Rate for Payer: Aetna Medicare Advantage	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.56
Rate for Payer: Cigna Commercial	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.80
Rate for Payer: UnitedHealthcare Commercial	$156.00

CALCITONIN

Facility

$390.00

Service Code	HCPCS 82308
Hospital Charge Code	39900051
Hospital Revenue Code	301
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.80
Rate for Payer: Aetna Medicare Advantage	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.16
Rate for Payer: Cigna Commercial	$26.79
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$25.45
Rate for Payer: EmblemHealth Commercial	$80.37
Rate for Payer: Humana Medicare Advantage	$27.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.40
Rate for Payer: Wellcare Medicare Advantage	$26.79

CALCITONIN

Facility

$338.45

Service Code	HCPCS 82308
Hospital Charge Code	3008315
Hospital Revenue Code	301
Min. Negotiated Rate	$50.77
Max. Negotiated Rate	$50.77
Rate for Payer: Qualcare PPO/HMO/WC	$50.77

Know your out-of-pocket cost for care.

All Charges