Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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,24 URINE

Facility

$517.00

Service Code	HCPCS 82340
Hospital Charge Code	38479030
Hospital Revenue Code	301
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$258.50
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	$258.50
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	$134.42
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.55
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	$14.68

CALCIUM ACETATE 667 MG TAB

Facility

$4.00

Service Code	NDC 574011302
Hospital Charge Code	60628582
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

CALCIUM ACETATE 667 MG TAB

Facility

$4.00

Service Code	NDC 574011302
Hospital Charge Code	60628582
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCIUM CARBONATE 500 MG TAB

Facility

$4.00

Service Code	NDC 904188361
Hospital Charge Code	60627894
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

CALCIUM CARBONATE 500 MG TAB

Facility

$4.00

Service Code	NDC 904188361
Hospital Charge Code	60627894
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCIUM CARB SUSP 1.25G/5ML

Facility

$4.00

Service Code	NDC 54311763
Hospital Charge Code	60628915
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CALCIUM CARB SUSP 1.25G/5ML

Facility

$4.00

Service Code	NDC 54311763
Hospital Charge Code	60628915
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

CALCIUM CHLORIDE 100 MG/ML INJ

Facility

$26.26

Service Code	NDC 409492834
Hospital Charge Code	6000848
Hospital Revenue Code	250
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CALCIUM CHLORIDE 100 MG/ML INJ

Facility

$26.26

Service Code	NDC 409492834
Hospital Charge Code	6000848
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$13.13
Rate for Payer: Aetna Commercial	$9.98
Rate for Payer: Aetna Medicare Advantage	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.70
Rate for Payer: Cigna Commercial	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$5.25
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

CALCIUM DISOD EDETATE 200MG/ML

Facility

$622.10

Service Code	HCPCS J0600
Hospital Charge Code	60632312
Hospital Revenue Code	636
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$22,138.16
Rate for Payer: Aetna Commercial	$16,599.81
Rate for Payer: Aetna Medicare Advantage	$19,773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,138.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,138.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,102.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,469.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,138.16
Rate for Payer: Cigna Medicare Advantage	$6,102.87
Rate for Payer: Clover Medicare Advantage	$5,797.73
Rate for Payer: EmblemHealth Commercial	$18,308.61
Rate for Payer: Humana Medicare Advantage	$6,285.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,102.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.55
Rate for Payer: Qualcare PPO/HMO/WC	$93.31
Rate for Payer: UnitedHealthcare Community & State	$19.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,102.87
Rate for Payer: Wellcare Medicare Advantage	$6,102.87
Rate for Payer: Wellpoint Medicaid Managed Care	$17.67

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 GLUCONATE 500 MG TAB

Facility

$4.00

Service Code	NDC 54026225
Hospital Charge Code	60627897
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

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 INJ 1G/50ML

Facility

$10.85

Service Code	HCPCS J0612
Hospital Charge Code	60627898
Hospital Revenue Code	636
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$5.42
Rate for Payer: Aetna Commercial	$4.12
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	$5.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.63
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

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

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	$10.94
Max. Negotiated Rate	$304.50
Rate for Payer: Aetna Commercial	$37.21
Rate for Payer: Aetna Medicare Advantage	$44.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.62
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	$24.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.62
Rate for Payer: Cigna Commercial	$304.50
Rate for Payer: Cigna Medicare Advantage	$13.68
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: Longevity Health Plan of New Jersey Medicare Advantage	$13.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.68
Rate for Payer: Wellcare Medicare Advantage	$13.68
Rate for Payer: Wellpoint Medicaid Managed Care	$17.30

CALCIUM,IONIZED,SERUM

Facility

$667.59

Service Code	HCPCS 82330
Hospital Charge Code	39900052
Hospital Revenue Code	301
Min. Negotiated Rate	$10.94
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$37.21
Rate for Payer: Aetna Medicare Advantage	$44.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.62
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	$24.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.62
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$13.68
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: Longevity Health Plan of New Jersey Medicare Advantage	$13.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$10.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.68
Rate for Payer: Wellcare Medicare Advantage	$13.68
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

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, 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	$1.55
Max. Negotiated Rate	$156.00
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	$27.23
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	$14.16
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
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	$1.55

CALCIUM SULPHATE RPD CURE 5CC

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270668725
Hospital Revenue Code	278
Min. Negotiated Rate	$198.80
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,660.00
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
Rate for Payer: UnitedHealthcare Community & State	$221.20
Rate for Payer: Wellpoint Medicaid Managed Care	$198.80

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	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

Know your out-of-pocket cost for care.

All Charges