St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CALCITRIOL 0.5 MCG PO CAPS [9351]

Facility

$1.93

Service Code	NDC 64380072406
Hospital Charge Code	64380072406
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$1.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.97
Rate for Payer: Aetna Government	$0.97
Rate for Payer: Brighton Health Commercial	$1.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.32
Rate for Payer: Group Health Inc Commercial	$0.97
Rate for Payer: Group Health Inc Medicare	$0.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.97
Rate for Payer: Hamaspik Choice Inc Medicare	$0.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.26

CALCITRIOL 1 MCG/ML INJ

Facility

$8.00

Service Code	HCPCS J0636
Hospital Charge Code	41644212
Hospital Revenue Code	636
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$4.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00

CALCITRIOL 1 MCG/ML INJ

Facility

$8.00

Service Code	HCPCS J0636
Hospital Charge Code	41654212
Hospital Revenue Code	636
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$5.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.72
Rate for Payer: Aetna Government	$0.72
Rate for Payer: Brighton Health Commercial	$4.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.60
Rate for Payer: Group Health Inc Commercial	$4.00
Rate for Payer: Group Health Inc Medicare	$2.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.20

CALCITRIOL 1 MCG/ML INJ

Facility

$8.00

Service Code	HCPCS J0636
Hospital Charge Code	41654212
Hospital Revenue Code	636
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$4.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00

CALCITRIOL 1 MCG/ML INJ

Facility

$8.00

Service Code	HCPCS J0636
Hospital Charge Code	41644212
Hospital Revenue Code	636
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$5.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.72
Rate for Payer: Aetna Government	$0.72
Rate for Payer: Brighton Health Commercial	$4.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.60
Rate for Payer: Group Health Inc Commercial	$4.00
Rate for Payer: Group Health Inc Medicare	$2.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.20

CALCITRIOL 1 MCG/ML IV SOLN [9348]

Facility

$11.94

Service Code	HCPCS J0636
Hospital Charge Code	72266025110
Hospital Revenue Code	278
Min. Negotiated Rate	$5.97
Max. Negotiated Rate	$5.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.97
Rate for Payer: Hamaspik Choice Inc Medicare	$5.97

CALCITRIOL 1 MCG/ML IV SOLN [9348]

Facility

$11.94

Service Code	HCPCS J0636
Hospital Charge Code	72266025110
Hospital Revenue Code	278
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$12.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.72
Rate for Payer: Aetna Government	$0.72
Rate for Payer: Brighton Health Commercial	$7.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.87
Rate for Payer: EmblemHealth Commercial	$5.97
Rate for Payer: Fidelis Medicare Advantage	$12.54
Rate for Payer: Group Health Inc Commercial	$5.97
Rate for Payer: Group Health Inc Medicare	$4.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.97
Rate for Payer: Hamaspik Choice Inc Medicare	$5.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.76

CALCIUM

Facility

$12.90

Service Code	HCPCS 82310
Hospital Charge Code	40602100
Hospital Revenue Code	301
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$9.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.16
Rate for Payer: Aetna Government	$5.16
Rate for Payer: Affinity Essential Plan 1&2	$3.61
Rate for Payer: Affinity Essential Plan 3&4	$3.61
Rate for Payer: Affinity Medicaid/CHP/HARP	$3.61
Rate for Payer: Brighton Health Commercial	$9.68
Rate for Payer: Cash Price	$5.16
Rate for Payer: Cash Price	$5.16
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.93
Rate for Payer: Elderplan Medicare Advantage	$5.16
Rate for Payer: EmblemHealth Commercial	$5.16
Rate for Payer: Fidelis Essential Plan Aliesa	$4.39
Rate for Payer: Fidelis Essential Plan QHP	$4.59
Rate for Payer: Fidelis Medicare Advantage	$5.16
Rate for Payer: Fidelis Qualified Health Plan	$4.59
Rate for Payer: Group Health Inc Commercial	$5.16
Rate for Payer: Group Health Inc Medicare	$5.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.45
Rate for Payer: Hamaspik Choice Inc Medicare	$5.16
Rate for Payer: Healthfirst Medicare Advantage	$5.16
Rate for Payer: Healthfirst QHP	$5.16
Rate for Payer: Humana Medicare	$5.26
Rate for Payer: Senior Whole Health Medicare Advantage	$5.16
Rate for Payer: United Healthcare Commercial	$6.53
Rate for Payer: United Healthcare Medicare Advantage	$5.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.16
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.13
Rate for Payer: Wellcare Medicare	$4.64

CALCIUM

Facility

$12.90

Service Code	HCPCS 82310
Hospital Charge Code	40602100
Hospital Revenue Code	301
Rate for Payer: Cash Price	$5.16

CALCIUM 24 HOUR URINE

Facility

$15.08

Service Code	HCPCS 82340
Hospital Charge Code	40602635
Hospital Revenue Code	301
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$11.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.03
Rate for Payer: Aetna Government	$6.03
Rate for Payer: Affinity Essential Plan 1&2	$4.22
Rate for Payer: Affinity Essential Plan 3&4	$4.22
Rate for Payer: Affinity Medicaid/CHP/HARP	$4.22
Rate for Payer: Brighton Health Commercial	$11.31
Rate for Payer: Cash Price	$6.03
Rate for Payer: Cash Price	$6.03
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.11
Rate for Payer: Elderplan Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$6.03
Rate for Payer: Fidelis Essential Plan Aliesa	$5.13
Rate for Payer: Fidelis Essential Plan QHP	$5.37
Rate for Payer: Fidelis Medicare Advantage	$6.03
Rate for Payer: Fidelis Qualified Health Plan	$5.37
Rate for Payer: Group Health Inc Commercial	$6.03
Rate for Payer: Group Health Inc Medicare	$6.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.54
Rate for Payer: Hamaspik Choice Inc Medicare	$6.03
Rate for Payer: Healthfirst Medicare Advantage	$6.03
Rate for Payer: Healthfirst QHP	$6.03
Rate for Payer: Humana Medicare	$6.15
Rate for Payer: Senior Whole Health Medicare Advantage	$6.03
Rate for Payer: United Healthcare Commercial	$7.64
Rate for Payer: United Healthcare Medicare Advantage	$6.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.03
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.82
Rate for Payer: Wellcare Medicare	$5.43

CALCIUM 24 HOUR URINE

Facility

$15.08

Service Code	HCPCS 82340
Hospital Charge Code	40602635
Hospital Revenue Code	301
Rate for Payer: Cash Price	$6.03

CALCIUM ACETATE 667 MG CAP

Facility

$1.15

Hospital Charge Code	41643143
Hospital Revenue Code	250
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.58
Rate for Payer: Aetna Government	$0.58
Rate for Payer: Brighton Health Commercial	$0.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.78
Rate for Payer: Group Health Inc Commercial	$0.58
Rate for Payer: Group Health Inc Medicare	$0.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.58
Rate for Payer: Hamaspik Choice Inc Medicare	$0.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.75

CALCIUM ACETATE 667 MG CAP

Facility

$1.15

Hospital Charge Code	41653143
Hospital Revenue Code	250
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.58
Rate for Payer: Aetna Government	$0.58
Rate for Payer: Brighton Health Commercial	$0.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.78
Rate for Payer: Group Health Inc Commercial	$0.58
Rate for Payer: Group Health Inc Medicare	$0.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.58
Rate for Payer: Hamaspik Choice Inc Medicare	$0.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.75

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.26

Service Code	NDC 68094004461
Hospital Charge Code	68094004461
Hospital Revenue Code	250
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$1.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.63
Rate for Payer: Aetna Government	$0.63
Rate for Payer: Brighton Health Commercial	$0.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.86
Rate for Payer: Group Health Inc Commercial	$0.63
Rate for Payer: Group Health Inc Medicare	$0.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.63
Rate for Payer: Hamaspik Choice Inc Medicare	$0.63
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.82

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$0.79

Service Code	NDC 00781208102
Hospital Charge Code	00781208102
Hospital Revenue Code	250
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.40
Rate for Payer: Aetna Government	$0.40
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.54
Rate for Payer: Group Health Inc Commercial	$0.40
Rate for Payer: Group Health Inc Medicare	$0.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.40
Rate for Payer: Hamaspik Choice Inc Medicare	$0.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.51

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.03

Service Code	NDC 23155053102
Hospital Charge Code	23155053102
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.51
Rate for Payer: Aetna Government	$0.51
Rate for Payer: Brighton Health Commercial	$0.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.70
Rate for Payer: Group Health Inc Commercial	$0.51
Rate for Payer: Group Health Inc Medicare	$0.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.51
Rate for Payer: Hamaspik Choice Inc Medicare	$0.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.67

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.72

Service Code	NDC 00904711961
Hospital Charge Code	00904711961
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$1.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.86
Rate for Payer: Aetna Government	$0.86
Rate for Payer: Brighton Health Commercial	$1.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.17
Rate for Payer: Group Health Inc Commercial	$0.86
Rate for Payer: Group Health Inc Medicare	$0.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.86
Rate for Payer: Hamaspik Choice Inc Medicare	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.12

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.68

Service Code	NDC 68084047901
Hospital Charge Code	68084047901
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$1.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.84
Rate for Payer: Aetna Government	$0.84
Rate for Payer: Brighton Health Commercial	$1.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.14
Rate for Payer: Group Health Inc Commercial	$0.84
Rate for Payer: Group Health Inc Medicare	$0.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84
Rate for Payer: Hamaspik Choice Inc Medicare	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.09

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.03

Service Code	NDC 69097086283
Hospital Charge Code	69097086283
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.51
Rate for Payer: Aetna Government	$0.51
Rate for Payer: Brighton Health Commercial	$0.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.70
Rate for Payer: Group Health Inc Commercial	$0.51
Rate for Payer: Group Health Inc Medicare	$0.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.51
Rate for Payer: Hamaspik Choice Inc Medicare	$0.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.67

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.03

Service Code	NDC 00054008826
Hospital Charge Code	00054008826
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.51
Rate for Payer: Aetna Government	$0.51
Rate for Payer: Brighton Health Commercial	$0.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.70
Rate for Payer: Group Health Inc Commercial	$0.51
Rate for Payer: Group Health Inc Medicare	$0.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.51
Rate for Payer: Hamaspik Choice Inc Medicare	$0.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.67

CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS [130458]

Facility

$1.22

Service Code	NDC 00904711906
Hospital Charge Code	00904711906
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.61
Rate for Payer: Aetna Government	$0.61
Rate for Payer: Brighton Health Commercial	$0.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.83
Rate for Payer: Group Health Inc Commercial	$0.61
Rate for Payer: Group Health Inc Medicare	$0.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61
Rate for Payer: Hamaspik Choice Inc Medicare	$0.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.79

Calcium Alginate Dressing

Facility

$20.56

Hospital Charge Code	40200865
Hospital Revenue Code	270
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$16.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.28
Rate for Payer: Aetna Government	$10.28
Rate for Payer: Brighton Health Commercial	$15.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.98
Rate for Payer: Group Health Inc Commercial	$10.28
Rate for Payer: Group Health Inc Medicare	$7.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.28
Rate for Payer: Hamaspik Choice Inc Medicare	$10.28

CALCIUM CARBONATE 1250 MG/5 ML SUSP

Facility

$1.00

Hospital Charge Code	41655400
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

CALCIUM CARBONATE 1250 MG/5 ML SUSP

Facility

$1.00

Hospital Charge Code	41645400
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

CALCIUM CARBONATE 1250 MG TAB

Facility

$0.02

Hospital Charge Code	41652228
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

Know your out-of-pocket cost for care.

All Charges