Heights University Hospital

All Charges

Charge

Type

Setting

Price

CALCITONIN

Facility

$338.45

Service Code	HCPCS 82308
Hospital Charge Code	3008315
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	$44.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.77
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

$680.00

Service Code	HCPCS 82308
Hospital Charge Code	38472146
Hospital Revenue Code	301
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00

CALCITONIN

Facility

$390.00

Service Code	HCPCS 82308
Hospital Charge Code	39900051
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CALCITONIN

Facility

$680.00

Service Code	HCPCS 82308
Hospital Charge Code	38472146
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	$88.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00
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 INJ 200IU/ML

Facility

$7,422.26

Service Code	HCPCS J0630
Hospital Charge Code	6000830
Hospital Revenue Code	636
Min. Negotiated Rate	$1,113.34
Max. Negotiated Rate	$1,796.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.34

CALCITONIN INJ 200IU/ML

Facility

$7,422.26

Service Code	HCPCS J0630
Hospital Charge Code	6000830
Hospital Revenue Code	636
Min. Negotiated Rate	$1,113.34
Max. Negotiated Rate	$3,711.13
Rate for Payer: Aetna Commercial	$2,226.68
Rate for Payer: Aetna Medicare Advantage	$2,226.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,892.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,892.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,892.68
Rate for Payer: Cigna Commercial	$3,711.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.34

CALCITONIN NSL SPR 200U/0.09ML

Facility

$26.47

Service Code	NDC 60505082306
Hospital Charge Code	60628243
Hospital Revenue Code	250
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

CALCITONIN NSL SPR 200U/0.09ML

Facility

$26.47

Service Code	NDC 60505082306
Hospital Charge Code	60628243
Hospital Revenue Code	250
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.23
Rate for Payer: Aetna Commercial	$7.94
Rate for Payer: Aetna Medicare Advantage	$7.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.75
Rate for Payer: Cigna Commercial	$13.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.23

CALCITONIN SALMON NSL SOL 2ML

Facility

$204.80

Hospital Charge Code	6017883
Hospital Revenue Code	252
Min. Negotiated Rate	$30.72
Max. Negotiated Rate	$30.72
Rate for Payer: Qualcare PPO/HMO/WC	$30.72

CALCITONIN SALMON NSL SOL 2ML

Facility

$204.80

Hospital Charge Code	6017883
Hospital Revenue Code	252
Min. Negotiated Rate	$26.62
Max. Negotiated Rate	$102.40
Rate for Payer: Aetna Commercial	$61.44
Rate for Payer: Aetna Medicare Advantage	$61.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.22
Rate for Payer: Cigna Commercial	$102.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Oxford Commercial	$102.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.72
Rate for Payer: UnitedHealthcare Commercial	$102.40

CALCITRIOL 0.25 MCG CAP

Facility

$10.45

Service Code	NDC 63304023901
Hospital Charge Code	60628491
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

CALCITRIOL 0.25 MCG CAP

Facility

$10.45

Service Code	NDC 63304023901
Hospital Charge Code	60628491
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

CALCITRIOL 1 MCG/ML INJ

Facility

$39.25

Hospital Charge Code	6007033
Hospital Revenue Code	250
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CALCITRIOL 1 MCG/ML INJ

Facility

$39.25

Hospital Charge Code	6007033
Hospital Revenue Code	250
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

CALCITROIL 1MCG/15 ML SOL

Facility

$79.93

Service Code	HCPCS J0636
Hospital Charge Code	60635677
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$19.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.34
Rate for Payer: Qualcare PPO/HMO/WC	$11.99

CALCITROIL 1MCG/15 ML SOL

Facility

$79.93

Service Code	HCPCS J0636
Hospital Charge Code	60635677
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$39.97
Rate for Payer: Aetna Commercial	$23.98
Rate for Payer: Aetna Medicare Advantage	$23.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.38
Rate for Payer: Cigna Commercial	$39.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.34
Rate for Payer: Qualcare PPO/HMO/WC	$11.99

CALCITROL 1MCG/1ML INJ***

Facility

$32.40

Service Code	HCPCS J0635
Hospital Charge Code	6007033P
Hospital Revenue Code	259
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$16.20
Rate for Payer: Aetna Commercial	$9.72
Rate for Payer: Aetna Medicare Advantage	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.26
Rate for Payer: Cigna Commercial	$16.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.21
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.86
Rate for Payer: UnitedHealthcare Commercial	$16.20

CALCITROL 1MCG/1ML INJ***

Facility

$32.40

Service Code	HCPCS J0635
Hospital Charge Code	6007033P
Hospital Revenue Code	259
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$4.86
Rate for Payer: Qualcare PPO/HMO/WC	$4.86

CALCIUM

Facility

$390.00

Service Code	HCPCS 82310
Hospital Charge Code	39708034B
Hospital Revenue Code	306
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.91
Rate for Payer: Cigna Commercial	$5.16
Rate for Payer: Cigna Medicare Advantage	$2.58
Rate for Payer: Clover Medicare Advantage	$4.90
Rate for Payer: EmblemHealth Commercial	$15.48
Rate for Payer: Humana Medicare Advantage	$5.31
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	$5.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.47
Rate for Payer: Wellcare Medicare Advantage	$5.16

CALCIUM

Facility

$390.00

Service Code	HCPCS 82310
Hospital Charge Code	39708034B
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CALCIUM (24 HR UR)

Facility

$390.00

Service Code	HCPCS 82340
Hospital Charge Code	3008190
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CALCIUM (24 HR UR)

Facility

$390.00

Service Code	HCPCS 82340
Hospital Charge Code	3008190
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.54
Rate for Payer: Aetna Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.09
Rate for Payer: Cigna Commercial	$6.03
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.73
Rate for Payer: EmblemHealth Commercial	$18.09
Rate for Payer: Humana Medicare Advantage	$6.21
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	$6.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.39
Rate for Payer: Wellcare Medicare Advantage	$6.03

CALCIUM,24 URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38479030
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.54
Rate for Payer: Aetna Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.09
Rate for Payer: Cigna Commercial	$6.03
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.73
Rate for Payer: EmblemHealth Commercial	$18.09
Rate for Payer: Humana Medicare Advantage	$6.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.21
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.39
Rate for Payer: Wellcare Medicare Advantage	$6.03

CALCIUM,24 URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38479030
Hospital Revenue Code	301
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$77.55

CALCIUM ACETATE 667 MG TAB

Facility

$4.00

Service Code	NDC 574011302
Hospital Charge Code	60628582
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

Know your out-of-pocket cost for care.

All Charges