Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CALCANCEAL OSTEOTOMY DRY

Facility

$6,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270690329
Hospital Revenue Code	278
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

CALCANEUS REMOVAL

Facility

$19,998.60

Service Code	HCPCS 28118
Hospital Charge Code	16000514
Hospital Revenue Code	360
Min. Negotiated Rate	$567.96
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,199.64
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$631.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$567.96

CALCANEUS REMOVAL

Facility

$19,998.60

Service Code	HCPCS 28118
Hospital Charge Code	16000514
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

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	$24.42
Max. Negotiated Rate	$430.00
Rate for Payer: Aetna Commercial	$326.80
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
Rate for Payer: UnitedHealthcare Community & State	$27.18
Rate for Payer: Wellpoint Medicaid Managed Care	$24.42

CALCI CARB VIT D TAB250MG-125U

Facility

$4.00

Service Code	NDC 904188261
Hospital Charge Code	60628497
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
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	$1.04
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	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

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

CALCIFEROL 8,000 IU DROPS

Facility

$4.00

Service Code	NDC 39328035760
Hospital Charge Code	6063943069
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
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	$1.04
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	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

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

CALCITONIN

Facility

$680.00

Service Code	HCPCS 82308
Hospital Charge Code	38472146
Hospital Revenue Code	301
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$340.00
Rate for Payer: Aetna Commercial	$72.87
Rate for Payer: Aetna Medicare Advantage	$86.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.18
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	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.18
Rate for Payer: Cigna Commercial	$340.00
Rate for Payer: Cigna Medicare Advantage	$26.79
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: Longevity Health Plan of New Jersey Medicare Advantage	$26.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.79
Rate for Payer: Wellcare Medicare Advantage	$26.79
Rate for Payer: Wellpoint Medicaid Managed Care	$19.31

CALCITONIN

Facility

$390.00

Service Code	HCPCS 82308
Hospital Charge Code	39900051
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$72.87
Rate for Payer: Aetna Medicare Advantage	$86.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.18
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	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.18
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$26.79
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: Longevity Health Plan of New Jersey Medicare Advantage	$26.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$21.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.79
Rate for Payer: Wellcare Medicare Advantage	$26.79
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

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	$102.00
Max. Negotiated Rate	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00

CALCITONIN INJ 200IU/ML

Facility

$7,422.26

Service Code	HCPCS J0630
Hospital Charge Code	6000830
Hospital Revenue Code	636
Min. Negotiated Rate	$210.79
Max. Negotiated Rate	$3,711.13
Rate for Payer: Aetna Commercial	$2,820.46
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
Rate for Payer: UnitedHealthcare Community & State	$234.54
Rate for Payer: Wellpoint Medicaid Managed Care	$210.79

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 NSL SPR 200U/0.09ML

Facility

$26.47

Service Code	NDC 60505082306
Hospital Charge Code	60628243
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.23
Rate for Payer: Aetna Commercial	$10.06
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	$6.88
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$5.29
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

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

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 0.25 MCG CAP

Facility

$10.45

Service Code	NDC 63304023901
Hospital Charge Code	60628491
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.97
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	$2.72
Rate for Payer: Oxford Commercial	$2.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.09
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

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	$2.27
Max. Negotiated Rate	$39.97
Rate for Payer: Aetna Commercial	$30.37
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
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

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

Facility

$390.00

Service Code	HCPCS 82310
Hospital Charge Code	39708034B
Hospital Revenue Code	306
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.04
Rate for Payer: Aetna Medicare Advantage	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.72
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	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.72
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.16
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: Longevity Health Plan of New Jersey Medicare Advantage	$5.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.16
Rate for Payer: Wellcare Medicare Advantage	$5.16
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

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	$4.82
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$16.40
Rate for Payer: Aetna Medicare Advantage	$19.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.87
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	$5.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.87
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$6.03
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: Longevity Health Plan of New Jersey Medicare Advantage	$6.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.03
Rate for Payer: Wellcare Medicare Advantage	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Know your out-of-pocket cost for care.

All Charges