Heights University Hospital

All Charges

Charge

Type

Setting

Price

CALCIUM GLUCONATE INJ 1G/50ML

Facility

$10.85

Service Code	HCPCS J0612
Hospital Charge Code	60627898
Hospital Revenue Code	636
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$3.25
Rate for Payer: Aetna Commercial	$3.25
Rate for Payer: Aetna Medicare Advantage	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.77
Rate for Payer: Cigna Commercial	$0.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.63

CALCIUM, IONIZED

Facility

$609.00

Service Code	HCPCS 82330
Hospital Charge Code	38472155
Hospital Revenue Code	301
Min. Negotiated Rate	$91.35
Max. Negotiated Rate	$91.35
Rate for Payer: Qualcare PPO/HMO/WC	$91.35

CALCIUM, IONIZED

Facility

$609.00

Service Code	HCPCS 82330
Hospital Charge Code	38472155
Hospital Revenue Code	301
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.32
Rate for Payer: Aetna Medicare Advantage	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.12
Rate for Payer: Cigna Commercial	$13.68
Rate for Payer: Cigna Medicare Advantage	$6.84
Rate for Payer: Clover Medicare Advantage	$13.00
Rate for Payer: EmblemHealth Commercial	$41.04
Rate for Payer: Humana Medicare Advantage	$14.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.50
Rate for Payer: Wellcare Medicare Advantage	$13.68

CALCIUM IONIZED SERUM

Facility

$121.65

Service Code	HCPCS 82330
Hospital Charge Code	3030996
Hospital Revenue Code	301
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.32
Rate for Payer: Aetna Medicare Advantage	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.12
Rate for Payer: Cigna Commercial	$13.68
Rate for Payer: Cigna Medicare Advantage	$6.84
Rate for Payer: Clover Medicare Advantage	$13.00
Rate for Payer: EmblemHealth Commercial	$41.04
Rate for Payer: Humana Medicare Advantage	$14.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.81
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.50
Rate for Payer: Wellcare Medicare Advantage	$13.68

CALCIUM IONIZED SERUM

Facility

$121.65

Service Code	HCPCS 82330
Hospital Charge Code	3030996
Hospital Revenue Code	301
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

CALCIUM,IONIZED,SERUM

Facility

$667.59

Service Code	HCPCS 82330
Hospital Charge Code	39900052
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CALCIUM,IONIZED,SERUM

Facility

$667.59

Service Code	HCPCS 82330
Hospital Charge Code	39900052
Hospital Revenue Code	301
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.32
Rate for Payer: Aetna Medicare Advantage	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.12
Rate for Payer: Cigna Commercial	$13.68
Rate for Payer: Cigna Medicare Advantage	$6.84
Rate for Payer: Clover Medicare Advantage	$13.00
Rate for Payer: EmblemHealth Commercial	$41.04
Rate for Payer: Humana Medicare Advantage	$14.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.50
Rate for Payer: Wellcare Medicare Advantage	$13.68

CALCIUM POLY CARBO 625MG

Facility

$2.45

Hospital Charge Code	60628585
Hospital Revenue Code	250
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.74
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	$0.32
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.23

CALCIUM POLY CARBO 625MG

Facility

$2.45

Hospital Charge Code	60628585
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

CALCIUM POLY CARBO TAB 500MG

Facility

$1.95

Hospital Charge Code	60628584
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

CALCIUM POLY CARBO TAB 500MG

Facility

$1.95

Hospital Charge Code	60628584
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

CALCIUM, SERUM

Facility

$54.45

Service Code	HCPCS 82310
Hospital Charge Code	3000577
Hospital Revenue Code	301
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$8.17
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

CALCIUM, SERUM

Facility

$54.45

Service Code	HCPCS 82310
Hospital Charge Code	3000577
Hospital Revenue Code	301
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	$7.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
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, SERUM PANEL***

Facility

$7.20

Service Code	HCPCS 82310
Hospital Charge Code	3000577P
Hospital Revenue Code	301
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

CALCIUM, SERUM PANEL***

Facility

$7.20

Service Code	HCPCS 82310
Hospital Charge Code	3000577P
Hospital Revenue Code	301
Min. Negotiated Rate	$0.94
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	$0.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
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 SULPHATE RPD CURE 5CC

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270668725
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

CALCIUM SULPHATE RPD CURE 5CC

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270668725
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

CALCIUM,TOTAL

Facility

$145.00

Service Code	HCPCS 82310
Hospital Charge Code	38472149
Hospital Revenue Code	301
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	$18.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
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,TOTAL

Facility

$145.00

Service Code	HCPCS 82310
Hospital Charge Code	38472149
Hospital Revenue Code	301
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

CALCIUM UNDECYLENATE POWD 10%

Facility

$13.45

Hospital Charge Code	60628333
Hospital Revenue Code	250
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

CALCIUM UNDECYLENATE POWD 10%

Facility

$13.45

Hospital Charge Code	60628333
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.72
Rate for Payer: Aetna Commercial	$4.04
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.43
Rate for Payer: Cigna Commercial	$6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.72

CALCIUM, URINE

Facility

$52.00

Service Code	HCPCS 82340
Hospital Charge Code	3000585
Hospital Revenue Code	301
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CALCIUM, URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38472152
Hospital Revenue Code	301
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$77.55

CALCIUM, URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38472152
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, URINE

Facility

$52.00

Service Code	HCPCS 82340
Hospital Charge Code	3000585
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	$6.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
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

Know your out-of-pocket cost for care.

All Charges