Heights University Hospital

All Charges

Charge

Type

Setting

Price

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 5.1GM

Facility

$560.00

Hospital Charge Code	270610490
Hospital Revenue Code	259
Min. Negotiated Rate	$72.80
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$168.00
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	$72.80
Rate for Payer: Oxford Commercial	$280.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$280.00

CALCIUM CHLORIDE ABBOJECT

Facility

$38.00

Hospital Charge Code	60634799
Hospital Revenue Code	250
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
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	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

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 LFS10%

Facility

$12.00

Hospital Charge Code	60635527
Hospital Revenue Code	250
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
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	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

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	$9.57
Max. Negotiated Rate	$36.80
Rate for Payer: Aetna Commercial	$22.08
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	$9.57
Rate for Payer: Oxford Commercial	$36.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.04
Rate for Payer: UnitedHealthcare Commercial	$36.80

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	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
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	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

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	$93.31
Max. Negotiated Rate	$186.63
Rate for Payer: Aetna Commercial	$186.63
Rate for Payer: Aetna Medicare Advantage	$186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.55
Rate for Payer: Qualcare PPO/HMO/WC	$93.31

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	$21.55
Max. Negotiated Rate	$82.90
Rate for Payer: Aetna Commercial	$49.74
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	$21.55
Rate for Payer: Oxford Commercial	$82.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.87
Rate for Payer: UnitedHealthcare Commercial	$82.90

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 GLUCONATE

Facility

$7.70

Hospital Charge Code	6008114
Hospital Revenue Code	250
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
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	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

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

$412.00

Hospital Charge Code	60632606
Hospital Revenue Code	250
Min. Negotiated Rate	$53.56
Max. Negotiated Rate	$206.00
Rate for Payer: Aetna Commercial	$123.60
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	$53.56
Rate for Payer: Oxford Commercial	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.80
Rate for Payer: UnitedHealthcare Commercial	$206.00

CALCIUM GLUCONATE 10%/1GM

Facility

$114.00

Hospital Charge Code	60632605
Hospital Revenue Code	250
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$57.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.07
Rate for Payer: Cigna Commercial	$57.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.82
Rate for Payer: Oxford Commercial	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.10
Rate for Payer: UnitedHealthcare Commercial	$57.00

CALCIUM GLUCONATE 10%/1GM

Facility

$412.00

Hospital Charge Code	60632606
Hospital Revenue Code	250
Min. Negotiated Rate	$61.80
Max. Negotiated Rate	$61.80
Rate for Payer: Qualcare PPO/HMO/WC	$61.80

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/1G/TAB

Facility

$3.00

Hospital Charge Code	60634355
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

CALCIUM GLUCONATE/1G/TAB

Facility

$3.00

Hospital Charge Code	60634355
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

CALCIUM GLUCONATE 500 MG TAB

Facility

$4.00

Service Code	NDC 54026225
Hospital Charge Code	60627897
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCIUM GLUCONATE 500 MG TAB

Facility

$4.00

Service Code	NDC 54026225
Hospital Charge Code	60627897
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

CALCIUM GLUCONATE INJ 1G/50ML

Facility

$10.85

Service Code	HCPCS J0612
Hospital Charge Code	60627898
Hospital Revenue Code	636
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$2.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.63

Know your out-of-pocket cost for care.

All Charges