Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$367.65

Service Code	NDC 0904-6322-61
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$231.62
Max. Negotiated Rate	$330.88
Rate for Payer: Aetna Commercial	$312.50
Rate for Payer: Aetna New Business (MI Preferred)	$238.97
Rate for Payer: Cash Price	$294.12
Rate for Payer: Cofinity Commercial	$316.18
Rate for Payer: Cofinity Commercial	$257.36
Rate for Payer: Healthscope Commercial	$330.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$312.50
Rate for Payer: PHP Commercial	$312.50
Rate for Payer: Priority Health Cigna Priority Health	$257.36
Rate for Payer: Priority Health SBD	$231.62

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$1,078.25

Service Code	NDC 55111-467-05
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$679.30
Max. Negotiated Rate	$970.42
Rate for Payer: Aetna Commercial	$916.51
Rate for Payer: Aetna New Business (MI Preferred)	$700.86
Rate for Payer: Cash Price	$862.60
Rate for Payer: Cofinity Commercial	$754.78
Rate for Payer: Cofinity Commercial	$927.30
Rate for Payer: Healthscope Commercial	$970.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$916.51
Rate for Payer: PHP Commercial	$916.51
Rate for Payer: Priority Health Cigna Priority Health	$754.78
Rate for Payer: Priority Health SBD	$679.30

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$361.00

Service Code	NDC 0904-6323-61
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$227.43
Max. Negotiated Rate	$324.90
Rate for Payer: Aetna Commercial	$306.85
Rate for Payer: Aetna New Business (MI Preferred)	$234.65
Rate for Payer: Cash Price	$288.80
Rate for Payer: Cofinity Commercial	$252.70
Rate for Payer: Cofinity Commercial	$310.46
Rate for Payer: Healthscope Commercial	$324.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$306.85
Rate for Payer: PHP Commercial	$306.85
Rate for Payer: Priority Health Cigna Priority Health	$252.70
Rate for Payer: Priority Health SBD	$227.43

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$2.44

Service Code	NDC 60687-402-11
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$2.20
Rate for Payer: Aetna Commercial	$2.07
Rate for Payer: Aetna New Business (MI Preferred)	$1.59
Rate for Payer: Cash Price	$1.95
Rate for Payer: Cofinity Commercial	$1.71
Rate for Payer: Cofinity Commercial	$2.10
Rate for Payer: Healthscope Commercial	$2.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2.07
Rate for Payer: PHP Commercial	$2.07
Rate for Payer: Priority Health Cigna Priority Health	$1.71
Rate for Payer: Priority Health SBD	$1.54

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$402.80

Service Code	NDC 51079-170-20
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$253.76
Max. Negotiated Rate	$362.52
Rate for Payer: Aetna Commercial	$342.38
Rate for Payer: Aetna New Business (MI Preferred)	$261.82
Rate for Payer: Cash Price	$322.24
Rate for Payer: Cofinity Commercial	$281.96
Rate for Payer: Cofinity Commercial	$346.41
Rate for Payer: Healthscope Commercial	$362.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$342.38
Rate for Payer: PHP Commercial	$342.38
Rate for Payer: Priority Health Cigna Priority Health	$281.96
Rate for Payer: Priority Health SBD	$253.76

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$406.55

Service Code	NDC 62037-831-01
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$256.13
Max. Negotiated Rate	$365.90
Rate for Payer: Aetna Commercial	$345.57
Rate for Payer: Aetna New Business (MI Preferred)	$264.26
Rate for Payer: Cash Price	$325.24
Rate for Payer: Cofinity Commercial	$284.58
Rate for Payer: Cofinity Commercial	$349.63
Rate for Payer: Healthscope Commercial	$365.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$345.57
Rate for Payer: PHP Commercial	$345.57
Rate for Payer: Priority Health Cigna Priority Health	$284.58
Rate for Payer: Priority Health SBD	$256.13

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.03

Service Code	NDC 51079-170-01
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$3.63
Rate for Payer: Aetna Commercial	$3.43
Rate for Payer: Aetna New Business (MI Preferred)	$2.62
Rate for Payer: Cash Price	$3.22
Rate for Payer: Cofinity Commercial	$3.47
Rate for Payer: Cofinity Commercial	$2.82
Rate for Payer: Healthscope Commercial	$3.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.43
Rate for Payer: PHP Commercial	$3.43
Rate for Payer: Priority Health Cigna Priority Health	$2.82
Rate for Payer: Priority Health SBD	$2.54

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$156.24

Service Code	NDC 60687-402-65
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$98.43
Max. Negotiated Rate	$140.62
Rate for Payer: Aetna Commercial	$132.80
Rate for Payer: Aetna New Business (MI Preferred)	$101.56
Rate for Payer: Cash Price	$124.99
Rate for Payer: Cofinity Commercial	$109.37
Rate for Payer: Cofinity Commercial	$134.37
Rate for Payer: Healthscope Commercial	$140.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$132.80
Rate for Payer: PHP Commercial	$132.80
Rate for Payer: Priority Health Cigna Priority Health	$109.37
Rate for Payer: Priority Health SBD	$98.43

METOPROLOL TARTRATE 100 MG TABLET

Facility

$373.65

Service Code	NDC 62584-267-01
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$235.40
Max. Negotiated Rate	$336.28
Rate for Payer: Aetna Commercial	$317.60
Rate for Payer: Aetna New Business (MI Preferred)	$242.87
Rate for Payer: Cash Price	$298.92
Rate for Payer: Cofinity Commercial	$261.56
Rate for Payer: Cofinity Commercial	$321.34
Rate for Payer: Healthscope Commercial	$336.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$317.60
Rate for Payer: PHP Commercial	$317.60
Rate for Payer: Priority Health Cigna Priority Health	$261.56
Rate for Payer: Priority Health SBD	$235.40

METOPROLOL TARTRATE 12.5 MG CUSTOM TAB

Facility

$136.30

Service Code	NDC 0000-0000-88
Hospital Charge Code	500250
Hospital Revenue Code	637
Min. Negotiated Rate	$85.87
Max. Negotiated Rate	$122.67
Rate for Payer: Aetna Commercial	$115.86
Rate for Payer: Aetna New Business (MI Preferred)	$88.60
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Commercial	$95.41
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$115.86
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health Cigna Priority Health	$95.41
Rate for Payer: Priority Health SBD	$85.87

METOPROLOL TARTRATE 25 MG TABLET

Facility

$136.30

Service Code	NDC 51079-255-20
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$85.87
Max. Negotiated Rate	$122.67
Rate for Payer: Aetna Commercial	$115.86
Rate for Payer: Aetna New Business (MI Preferred)	$88.60
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Cofinity Commercial	$95.41
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$115.86
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health Cigna Priority Health	$95.41
Rate for Payer: Priority Health SBD	$85.87

METOPROLOL TARTRATE 25 MG TABLET

Facility

$105.75

Service Code	NDC 0378-0018-01
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$66.62
Max. Negotiated Rate	$95.18
Rate for Payer: Aetna Commercial	$89.89
Rate for Payer: Aetna New Business (MI Preferred)	$68.74
Rate for Payer: Cash Price	$84.60
Rate for Payer: Cofinity Commercial	$74.02
Rate for Payer: Cofinity Commercial	$90.94
Rate for Payer: Healthscope Commercial	$95.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$89.89
Rate for Payer: PHP Commercial	$89.89
Rate for Payer: Priority Health Cigna Priority Health	$74.02
Rate for Payer: Priority Health SBD	$66.62

METOPROLOL TARTRATE 25 MG TABLET

Facility

$1.37

Service Code	NDC 51079-255-01
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna New Business (MI Preferred)	$0.89
Rate for Payer: Cash Price	$1.10
Rate for Payer: Cofinity Commercial	$0.96
Rate for Payer: Cofinity Commercial	$1.18
Rate for Payer: Healthscope Commercial	$1.23
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1.16
Rate for Payer: PHP Commercial	$1.16
Rate for Payer: Priority Health Cigna Priority Health	$0.96
Rate for Payer: Priority Health SBD	$0.86

METOPROLOL TARTRATE 25 MG TABLET

Facility

$51.70

Service Code	NDC 52817-360-10
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$32.57
Max. Negotiated Rate	$46.53
Rate for Payer: Aetna Commercial	$43.94
Rate for Payer: Aetna New Business (MI Preferred)	$33.60
Rate for Payer: Cash Price	$41.36
Rate for Payer: Cofinity Commercial	$36.19
Rate for Payer: Cofinity Commercial	$44.46
Rate for Payer: Healthscope Commercial	$46.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$43.94
Rate for Payer: PHP Commercial	$43.94
Rate for Payer: Priority Health Cigna Priority Health	$36.19
Rate for Payer: Priority Health SBD	$32.57

METOPROLOL TARTRATE 50 MG TABLET

Facility

$1.70

Service Code	NDC 51079-801-01
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.53
Rate for Payer: Aetna Commercial	$1.44
Rate for Payer: Aetna New Business (MI Preferred)	$1.10
Rate for Payer: Cash Price	$1.36
Rate for Payer: Cofinity Commercial	$1.19
Rate for Payer: Cofinity Commercial	$1.46
Rate for Payer: Healthscope Commercial	$1.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1.44
Rate for Payer: PHP Commercial	$1.44
Rate for Payer: Priority Health Cigna Priority Health	$1.19
Rate for Payer: Priority Health SBD	$1.07

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584-266-11
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$142.13
Max. Negotiated Rate	$203.04
Rate for Payer: Aetna Commercial	$191.76
Rate for Payer: Aetna New Business (MI Preferred)	$146.64
Rate for Payer: Cash Price	$180.48
Rate for Payer: Cofinity Commercial	$157.92
Rate for Payer: Cofinity Commercial	$194.02
Rate for Payer: Healthscope Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$191.76
Rate for Payer: PHP Commercial	$191.76
Rate for Payer: Priority Health Cigna Priority Health	$157.92
Rate for Payer: Priority Health SBD	$142.13

METOPROLOL TARTRATE 50 MG TABLET

Facility

$65.80

Service Code	NDC 52817-361-10
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$41.45
Max. Negotiated Rate	$59.22
Rate for Payer: Aetna Commercial	$55.93
Rate for Payer: Aetna New Business (MI Preferred)	$42.77
Rate for Payer: Cash Price	$52.64
Rate for Payer: Cofinity Commercial	$46.06
Rate for Payer: Cofinity Commercial	$56.59
Rate for Payer: Healthscope Commercial	$59.22
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$55.93
Rate for Payer: PHP Commercial	$55.93
Rate for Payer: Priority Health Cigna Priority Health	$46.06
Rate for Payer: Priority Health SBD	$41.45

METOPROLOL TARTRATE 50 MG TABLET

Facility

$169.20

Service Code	NDC 51079-801-20
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$106.60
Max. Negotiated Rate	$152.28
Rate for Payer: Aetna Commercial	$143.82
Rate for Payer: Aetna New Business (MI Preferred)	$109.98
Rate for Payer: Cash Price	$135.36
Rate for Payer: Cofinity Commercial	$118.44
Rate for Payer: Cofinity Commercial	$145.51
Rate for Payer: Healthscope Commercial	$152.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$143.82
Rate for Payer: PHP Commercial	$143.82
Rate for Payer: Priority Health Cigna Priority Health	$118.44
Rate for Payer: Priority Health SBD	$106.60

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584-266-01
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$142.13
Max. Negotiated Rate	$203.04
Rate for Payer: Aetna Commercial	$191.76
Rate for Payer: Aetna New Business (MI Preferred)	$146.64
Rate for Payer: Cash Price	$180.48
Rate for Payer: Cofinity Commercial	$157.92
Rate for Payer: Cofinity Commercial	$194.02
Rate for Payer: Healthscope Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$191.76
Rate for Payer: PHP Commercial	$191.76
Rate for Payer: Priority Health Cigna Priority Health	$157.92
Rate for Payer: Priority Health SBD	$142.13

METOPROLOL TARTRATE 50 MG TABLET

Facility

$164.50

Service Code	NDC 0904-7118-61
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$103.64
Max. Negotiated Rate	$148.05
Rate for Payer: Aetna Commercial	$139.82
Rate for Payer: Aetna New Business (MI Preferred)	$106.92
Rate for Payer: Cash Price	$131.60
Rate for Payer: Cofinity Commercial	$115.15
Rate for Payer: Cofinity Commercial	$141.47
Rate for Payer: Healthscope Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$139.82
Rate for Payer: PHP Commercial	$139.82
Rate for Payer: Priority Health Cigna Priority Health	$115.15
Rate for Payer: Priority Health SBD	$103.64

METOPROLOL TARTRATE 50 MG TABLET

Facility

$108.10

Service Code	NDC 0378-0032-01
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$68.10
Max. Negotiated Rate	$97.29
Rate for Payer: Aetna Commercial	$91.88
Rate for Payer: Aetna New Business (MI Preferred)	$70.26
Rate for Payer: Cash Price	$86.48
Rate for Payer: Cofinity Commercial	$75.67
Rate for Payer: Cofinity Commercial	$92.97
Rate for Payer: Healthscope Commercial	$97.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$91.88
Rate for Payer: PHP Commercial	$91.88
Rate for Payer: Priority Health Cigna Priority Health	$75.67
Rate for Payer: Priority Health SBD	$68.10

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$24.29

Service Code	NDC 70860-300-05
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$21.86
Rate for Payer: Aetna Commercial	$20.65
Rate for Payer: Aetna New Business (MI Preferred)	$15.79
Rate for Payer: Cash Price	$19.43
Rate for Payer: Cofinity Commercial	$17.00
Rate for Payer: Cofinity Commercial	$20.89
Rate for Payer: Healthscope Commercial	$21.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$20.65
Rate for Payer: PHP Commercial	$20.65
Rate for Payer: Priority Health Cigna Priority Health	$17.00
Rate for Payer: Priority Health SBD	$15.30

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.38

Service Code	NDC 0409-1778-05
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$12.04
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna New Business (MI Preferred)	$8.70
Rate for Payer: Cash Price	$10.70
Rate for Payer: Cofinity Commercial	$11.51
Rate for Payer: Cofinity Commercial	$9.37
Rate for Payer: Healthscope Commercial	$12.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11.37
Rate for Payer: PHP Commercial	$11.37
Rate for Payer: Priority Health Cigna Priority Health	$9.37
Rate for Payer: Priority Health SBD	$8.43

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.00

Service Code	NDC 47781-587-20
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$11.70
Rate for Payer: Aetna Commercial	$11.05
Rate for Payer: Aetna New Business (MI Preferred)	$8.45
Rate for Payer: Cash Price	$10.40
Rate for Payer: Cofinity Commercial	$11.18
Rate for Payer: Cofinity Commercial	$9.10
Rate for Payer: Healthscope Commercial	$11.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11.05
Rate for Payer: PHP Commercial	$11.05
Rate for Payer: Priority Health Cigna Priority Health	$9.10
Rate for Payer: Priority Health SBD	$8.19

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.38

Service Code	NDC 0409-1778-15
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$12.04
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna New Business (MI Preferred)	$8.70
Rate for Payer: Cash Price	$10.70
Rate for Payer: Cofinity Commercial	$11.51
Rate for Payer: Cofinity Commercial	$9.37
Rate for Payer: Healthscope Commercial	$12.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11.37
Rate for Payer: PHP Commercial	$11.37
Rate for Payer: Priority Health Cigna Priority Health	$9.37
Rate for Payer: Priority Health SBD	$8.43

Know your out-of-pocket cost for care.

All Charges