Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MORPHINE 4 MG/ML INJECTION SYRINGE

Facility

$14.72

Service Code	HCPCS J2272
Hospital Charge Code	5172
Hospital Revenue Code	636
Min. Negotiated Rate	$9.27
Max. Negotiated Rate	$13.25
Rate for Payer: Aetna Commercial	$12.51
Rate for Payer: Aetna Commercial	$21.94
Rate for Payer: Aetna New Business (MI Preferred)	$16.78
Rate for Payer: Aetna New Business (MI Preferred)	$9.57
Rate for Payer: Cash Price	$11.78
Rate for Payer: Cash Price	$20.65
Rate for Payer: Cofinity Commercial	$12.66
Rate for Payer: Cofinity Commercial	$10.30
Rate for Payer: Cofinity Commercial	$18.07
Rate for Payer: Cofinity Commercial	$22.20
Rate for Payer: Healthscope Commercial	$23.23
Rate for Payer: Healthscope Commercial	$13.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12.51
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.94
Rate for Payer: PHP Commercial	$21.94
Rate for Payer: PHP Commercial	$12.51
Rate for Payer: Priority Health Cigna Priority Health	$10.30
Rate for Payer: Priority Health Cigna Priority Health	$18.07
Rate for Payer: Priority Health SBD	$9.27
Rate for Payer: Priority Health SBD	$16.26

MORPHINE 4 MG/ML INJECTION SYRINGE

Facility

$24.78

Service Code	HCPCS J2270
Hospital Charge Code	5172
Hospital Revenue Code	636
Min. Negotiated Rate	$15.61
Max. Negotiated Rate	$22.30
Rate for Payer: Aetna Commercial	$21.06
Rate for Payer: Aetna Commercial	$17.65
Rate for Payer: Aetna New Business (MI Preferred)	$16.11
Rate for Payer: Aetna New Business (MI Preferred)	$13.50
Rate for Payer: Cash Price	$19.82
Rate for Payer: Cash Price	$16.62
Rate for Payer: Cofinity Commercial	$21.31
Rate for Payer: Cofinity Commercial	$14.54
Rate for Payer: Cofinity Commercial	$17.86
Rate for Payer: Cofinity Commercial	$17.35
Rate for Payer: Healthscope Commercial	$18.69
Rate for Payer: Healthscope Commercial	$22.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$17.65
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.06
Rate for Payer: PHP Commercial	$21.06
Rate for Payer: PHP Commercial	$17.65
Rate for Payer: Priority Health Cigna Priority Health	$17.35
Rate for Payer: Priority Health Cigna Priority Health	$14.54
Rate for Payer: Priority Health SBD	$15.61
Rate for Payer: Priority Health SBD	$13.09

MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION

Facility

$135.98

Service Code	NDC 0054-0517-44
Hospital Charge Code	10655
Hospital Revenue Code	637
Min. Negotiated Rate	$85.67
Max. Negotiated Rate	$122.38
Rate for Payer: Aetna Commercial	$115.58
Rate for Payer: Aetna New Business (MI Preferred)	$88.39
Rate for Payer: Cash Price	$108.78
Rate for Payer: Cofinity Commercial	$116.94
Rate for Payer: Cofinity Commercial	$95.19
Rate for Payer: Healthscope Commercial	$122.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$115.58
Rate for Payer: PHP Commercial	$115.58
Rate for Payer: Priority Health Cigna Priority Health	$95.19
Rate for Payer: Priority Health SBD	$85.67

MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION

Facility

$2.07

Service Code	NDC 9900-0004-10
Hospital Charge Code	10655
Hospital Revenue Code	637
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.86
Rate for Payer: Aetna Commercial	$1.76
Rate for Payer: Aetna New Business (MI Preferred)	$1.35
Rate for Payer: Cash Price	$1.66
Rate for Payer: Cofinity Commercial	$1.45
Rate for Payer: Cofinity Commercial	$1.78
Rate for Payer: Healthscope Commercial	$1.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1.76
Rate for Payer: PHP Commercial	$1.76
Rate for Payer: Priority Health Cigna Priority Health	$1.45
Rate for Payer: Priority Health SBD	$1.30

MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)

Facility

$10.74

Service Code	NDC 68094-045-01
Hospital Charge Code	189674
Hospital Revenue Code	637
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$9.67
Rate for Payer: Aetna Commercial	$9.13
Rate for Payer: Aetna New Business (MI Preferred)	$6.98
Rate for Payer: Cash Price	$8.59
Rate for Payer: Cofinity Commercial	$7.52
Rate for Payer: Cofinity Commercial	$9.24
Rate for Payer: Healthscope Commercial	$9.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.13
Rate for Payer: PHP Commercial	$9.13
Rate for Payer: Priority Health Cigna Priority Health	$7.52
Rate for Payer: Priority Health SBD	$6.77

MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)

Facility

$10.74

Service Code	NDC 68094-045-58
Hospital Charge Code	189674
Hospital Revenue Code	637
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$9.67
Rate for Payer: Aetna Commercial	$9.13
Rate for Payer: Aetna New Business (MI Preferred)	$6.98
Rate for Payer: Cash Price	$8.59
Rate for Payer: Cofinity Commercial	$7.52
Rate for Payer: Cofinity Commercial	$9.24
Rate for Payer: Healthscope Commercial	$9.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.13
Rate for Payer: PHP Commercial	$9.13
Rate for Payer: Priority Health Cigna Priority Health	$7.52
Rate for Payer: Priority Health SBD	$6.77

MORPHINE ER 100 MG TABLET,EXTENDED RELEASE

Facility

$15.88

Service Code	NDC 0406-8390-23
Hospital Charge Code	20919
Hospital Revenue Code	637
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$14.29
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna New Business (MI Preferred)	$10.32
Rate for Payer: Cash Price	$12.70
Rate for Payer: Cofinity Commercial	$11.12
Rate for Payer: Cofinity Commercial	$13.66
Rate for Payer: Healthscope Commercial	$14.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.50
Rate for Payer: PHP Commercial	$13.50
Rate for Payer: Priority Health Cigna Priority Health	$11.12
Rate for Payer: Priority Health SBD	$10.00

MORPHINE ER 100 MG TABLET,EXTENDED RELEASE

Facility

$1,155.57

Service Code	NDC 0904-6560-61
Hospital Charge Code	20919
Hospital Revenue Code	637
Min. Negotiated Rate	$728.01
Max. Negotiated Rate	$1,040.01
Rate for Payer: Aetna Commercial	$982.23
Rate for Payer: Aetna New Business (MI Preferred)	$751.12
Rate for Payer: Cash Price	$924.46
Rate for Payer: Cofinity Commercial	$808.90
Rate for Payer: Cofinity Commercial	$993.79
Rate for Payer: Healthscope Commercial	$1,040.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$982.23
Rate for Payer: PHP Commercial	$982.23
Rate for Payer: Priority Health Cigna Priority Health	$808.90
Rate for Payer: Priority Health SBD	$728.01

MORPHINE ER 100 MG TABLET,EXTENDED RELEASE

Facility

$1,587.69

Service Code	NDC 0406-8390-62
Hospital Charge Code	20919
Hospital Revenue Code	637
Min. Negotiated Rate	$1,000.24
Max. Negotiated Rate	$1,428.92
Rate for Payer: Aetna Commercial	$1,349.54
Rate for Payer: Aetna New Business (MI Preferred)	$1,032.00
Rate for Payer: Cash Price	$1,270.15
Rate for Payer: Cofinity Commercial	$1,111.38
Rate for Payer: Cofinity Commercial	$1,365.41
Rate for Payer: Healthscope Commercial	$1,428.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,349.54
Rate for Payer: PHP Commercial	$1,349.54
Rate for Payer: Priority Health Cigna Priority Health	$1,111.38
Rate for Payer: Priority Health SBD	$1,000.24

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$545.30

Service Code	NDC 0406-8315-62
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$343.54
Max. Negotiated Rate	$490.77
Rate for Payer: Aetna Commercial	$463.50
Rate for Payer: Aetna New Business (MI Preferred)	$354.44
Rate for Payer: Cash Price	$436.24
Rate for Payer: Cofinity Commercial	$381.71
Rate for Payer: Cofinity Commercial	$468.96
Rate for Payer: Healthscope Commercial	$490.77
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$463.50
Rate for Payer: PHP Commercial	$463.50
Rate for Payer: Priority Health Cigna Priority Health	$381.71
Rate for Payer: Priority Health SBD	$343.54

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$5.46

Service Code	NDC 0406-8315-23
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$4.91
Rate for Payer: Aetna Commercial	$4.64
Rate for Payer: Aetna New Business (MI Preferred)	$3.55
Rate for Payer: Cash Price	$4.37
Rate for Payer: Cofinity Commercial	$3.82
Rate for Payer: Cofinity Commercial	$4.70
Rate for Payer: Healthscope Commercial	$4.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4.64
Rate for Payer: PHP Commercial	$4.64
Rate for Payer: Priority Health Cigna Priority Health	$3.82
Rate for Payer: Priority Health SBD	$3.44

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$911.75

Service Code	NDC 0904-6557-61
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$574.40
Max. Negotiated Rate	$820.58
Rate for Payer: Aetna Commercial	$774.99
Rate for Payer: Aetna New Business (MI Preferred)	$592.64
Rate for Payer: Cash Price	$729.40
Rate for Payer: Cofinity Commercial	$638.22
Rate for Payer: Cofinity Commercial	$784.10
Rate for Payer: Healthscope Commercial	$820.58
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$774.99
Rate for Payer: PHP Commercial	$774.99
Rate for Payer: Priority Health Cigna Priority Health	$638.22
Rate for Payer: Priority Health SBD	$574.40

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$4.25

Service Code	NDC 68084-403-11
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$3.82
Rate for Payer: Aetna Commercial	$3.61
Rate for Payer: Aetna New Business (MI Preferred)	$2.76
Rate for Payer: Cash Price	$3.40
Rate for Payer: Cofinity Commercial	$2.98
Rate for Payer: Cofinity Commercial	$3.66
Rate for Payer: Healthscope Commercial	$3.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.61
Rate for Payer: PHP Commercial	$3.61
Rate for Payer: Priority Health Cigna Priority Health	$2.98
Rate for Payer: Priority Health SBD	$2.68

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$346.50

Service Code	NDC 42858-801-01
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$218.30
Max. Negotiated Rate	$311.85
Rate for Payer: Aetna Commercial	$294.52
Rate for Payer: Aetna New Business (MI Preferred)	$225.22
Rate for Payer: Cash Price	$277.20
Rate for Payer: Cofinity Commercial	$242.55
Rate for Payer: Cofinity Commercial	$297.99
Rate for Payer: Healthscope Commercial	$311.85
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$294.52
Rate for Payer: PHP Commercial	$294.52
Rate for Payer: Priority Health Cigna Priority Health	$242.55
Rate for Payer: Priority Health SBD	$218.30

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$424.20

Service Code	NDC 68084-403-01
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$267.25
Max. Negotiated Rate	$381.78
Rate for Payer: Aetna Commercial	$360.57
Rate for Payer: Aetna New Business (MI Preferred)	$275.73
Rate for Payer: Cash Price	$339.36
Rate for Payer: Cofinity Commercial	$296.94
Rate for Payer: Cofinity Commercial	$364.81
Rate for Payer: Healthscope Commercial	$381.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$360.57
Rate for Payer: PHP Commercial	$360.57
Rate for Payer: Priority Health Cigna Priority Health	$296.94
Rate for Payer: Priority Health SBD	$267.25

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$10.37

Service Code	NDC 0406-8330-23
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$9.33
Rate for Payer: Aetna Commercial	$8.81
Rate for Payer: Aetna New Business (MI Preferred)	$6.74
Rate for Payer: Cash Price	$8.30
Rate for Payer: Cofinity Commercial	$7.26
Rate for Payer: Cofinity Commercial	$8.92
Rate for Payer: Healthscope Commercial	$9.33
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$8.81
Rate for Payer: PHP Commercial	$8.81
Rate for Payer: Priority Health Cigna Priority Health	$7.26
Rate for Payer: Priority Health SBD	$6.53

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$707.00

Service Code	NDC 0904-6558-61
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$445.41
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$600.95
Rate for Payer: Aetna New Business (MI Preferred)	$459.55
Rate for Payer: Cash Price	$565.60
Rate for Payer: Cofinity Commercial	$494.90
Rate for Payer: Cofinity Commercial	$608.02
Rate for Payer: Healthscope Commercial	$636.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$600.95
Rate for Payer: PHP Commercial	$600.95
Rate for Payer: Priority Health Cigna Priority Health	$494.90
Rate for Payer: Priority Health SBD	$445.41

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$1,036.70

Service Code	NDC 0406-8330-62
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$653.12
Max. Negotiated Rate	$933.03
Rate for Payer: Aetna Commercial	$881.20
Rate for Payer: Aetna New Business (MI Preferred)	$673.86
Rate for Payer: Cash Price	$829.36
Rate for Payer: Cofinity Commercial	$725.69
Rate for Payer: Cofinity Commercial	$891.56
Rate for Payer: Healthscope Commercial	$933.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$881.20
Rate for Payer: PHP Commercial	$881.20
Rate for Payer: Priority Health Cigna Priority Health	$725.69
Rate for Payer: Priority Health SBD	$653.12

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$1,072.50

Service Code	NDC 0406-8380-62
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$675.68
Max. Negotiated Rate	$965.25
Rate for Payer: Aetna Commercial	$911.62
Rate for Payer: Aetna New Business (MI Preferred)	$697.12
Rate for Payer: Cash Price	$858.00
Rate for Payer: Cofinity Commercial	$750.75
Rate for Payer: Cofinity Commercial	$922.35
Rate for Payer: Healthscope Commercial	$965.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$911.62
Rate for Payer: PHP Commercial	$911.62
Rate for Payer: Priority Health Cigna Priority Health	$750.75
Rate for Payer: Priority Health SBD	$675.68

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$10.73

Service Code	NDC 0406-8380-23
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$9.66
Rate for Payer: Aetna Commercial	$9.12
Rate for Payer: Aetna New Business (MI Preferred)	$6.97
Rate for Payer: Cash Price	$8.58
Rate for Payer: Cofinity Commercial	$7.51
Rate for Payer: Cofinity Commercial	$9.23
Rate for Payer: Healthscope Commercial	$9.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.12
Rate for Payer: PHP Commercial	$9.12
Rate for Payer: Priority Health Cigna Priority Health	$7.51
Rate for Payer: Priority Health SBD	$6.76

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$901.29

Service Code	NDC 0228-4311-11
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$567.81
Max. Negotiated Rate	$811.16
Rate for Payer: Aetna Commercial	$766.10
Rate for Payer: Aetna New Business (MI Preferred)	$585.84
Rate for Payer: Cash Price	$721.03
Rate for Payer: Cofinity Commercial	$630.90
Rate for Payer: Cofinity Commercial	$775.11
Rate for Payer: Healthscope Commercial	$811.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$766.10
Rate for Payer: PHP Commercial	$766.10
Rate for Payer: Priority Health Cigna Priority Health	$630.90
Rate for Payer: Priority Health SBD	$567.81

MORPHINE INHALATION (VARIABLE DOSE)

Facility

$11.68

Service Code	HCPCS J2270
Hospital Charge Code	300139
Hospital Revenue Code	636
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$10.51
Rate for Payer: Aetna Commercial	$9.93
Rate for Payer: Aetna New Business (MI Preferred)	$7.59
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Cofinity Commercial	$8.18
Rate for Payer: Healthscope Commercial	$10.51
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.93
Rate for Payer: PHP Commercial	$9.93
Rate for Payer: Priority Health Cigna Priority Health	$8.18
Rate for Payer: Priority Health SBD	$7.36

MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION

Facility

$36.35

Service Code	HCPCS J2274
Hospital Charge Code	29464
Hospital Revenue Code	636
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$32.72
Rate for Payer: Aetna Commercial	$30.90
Rate for Payer: Aetna Commercial	$108.76
Rate for Payer: Aetna New Business (MI Preferred)	$23.63
Rate for Payer: Aetna New Business (MI Preferred)	$83.17
Rate for Payer: Cash Price	$29.08
Rate for Payer: Cash Price	$102.36
Rate for Payer: Cofinity Commercial	$89.56
Rate for Payer: Cofinity Commercial	$110.04
Rate for Payer: Cofinity Commercial	$31.26
Rate for Payer: Cofinity Commercial	$25.44
Rate for Payer: Healthscope Commercial	$115.16
Rate for Payer: Healthscope Commercial	$32.72
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$108.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$30.90
Rate for Payer: PHP Commercial	$108.76
Rate for Payer: PHP Commercial	$30.90
Rate for Payer: Priority Health Cigna Priority Health	$89.56
Rate for Payer: Priority Health Cigna Priority Health	$25.44
Rate for Payer: Priority Health SBD	$22.90
Rate for Payer: Priority Health SBD	$80.61

MORPHINE (PF) 25 MG/ML INJECTION SOLUTION

Facility

$1,057.41

Service Code	NDC 66794-162-02
Hospital Charge Code	27392
Hospital Revenue Code	250
Min. Negotiated Rate	$666.17
Max. Negotiated Rate	$951.67
Rate for Payer: Aetna Commercial	$898.80
Rate for Payer: Aetna New Business (MI Preferred)	$687.32
Rate for Payer: Cash Price	$845.93
Rate for Payer: Cofinity Commercial	$740.19
Rate for Payer: Cofinity Commercial	$909.37
Rate for Payer: Healthscope Commercial	$951.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$898.80
Rate for Payer: PHP Commercial	$898.80
Rate for Payer: Priority Health Cigna Priority Health	$740.19
Rate for Payer: Priority Health SBD	$666.17

MORPHINE (PF) 25 MG/ML INJECTION SOLUTION

Facility

$1,041.92

Service Code	NDC 0641-6040-01
Hospital Charge Code	27392
Hospital Revenue Code	250
Min. Negotiated Rate	$656.41
Max. Negotiated Rate	$937.73
Rate for Payer: Aetna Commercial	$885.63
Rate for Payer: Aetna New Business (MI Preferred)	$677.25
Rate for Payer: Cash Price	$833.54
Rate for Payer: Cofinity Commercial	$729.34
Rate for Payer: Cofinity Commercial	$896.05
Rate for Payer: Healthscope Commercial	$937.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$885.63
Rate for Payer: PHP Commercial	$885.63
Rate for Payer: Priority Health Cigna Priority Health	$729.34
Rate for Payer: Priority Health SBD	$656.41

Know your out-of-pocket cost for care.

All Charges