Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MELATONIN 3 MG TABLET

Facility

$28.20

Service Code	NDC 80681008600
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$17.77
Max. Negotiated Rate	$25.38
Rate for Payer: Aetna Commercial	$23.97
Rate for Payer: Aetna New Business (MI Preferred)	$18.33
Rate for Payer: Cash Price	$22.56
Rate for Payer: Cofinity Advantage	$19.74
Rate for Payer: Cofinity Commercial	$24.25
Rate for Payer: Encore Health Key Benefits Commercial	$22.56
Rate for Payer: Healthscope Commercial	$25.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$23.97
Rate for Payer: Opus (Opus Packaging Group) HMA	$21.15
Rate for Payer: PHP Commercial	$23.97
Rate for Payer: Priority Health SBD	$17.77

MELATONIN 3 MG TABLET

Facility

$270.25

Service Code	NDC 20555003601
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$170.26
Max. Negotiated Rate	$243.22
Rate for Payer: Aetna Commercial	$229.71
Rate for Payer: Aetna New Business (MI Preferred)	$175.66
Rate for Payer: Cash Price	$216.20
Rate for Payer: Cofinity Advantage	$189.18
Rate for Payer: Cofinity Commercial	$232.41
Rate for Payer: Encore Health Key Benefits Commercial	$216.20
Rate for Payer: Healthscope Commercial	$243.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$229.71
Rate for Payer: Opus (Opus Packaging Group) HMA	$202.69
Rate for Payer: PHP Commercial	$229.71
Rate for Payer: Priority Health SBD	$170.26

MELATONIN 3 MG TABLET

Facility

$3.76

Service Code	NDC 77333051625
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$3.38
Rate for Payer: Aetna Commercial	$3.20
Rate for Payer: Aetna Medicare	$1.88
Rate for Payer: Aetna New Business (MI Preferred)	$2.44
Rate for Payer: BCBS Complete	$1.50
Rate for Payer: Cash Price	$3.01
Rate for Payer: Cofinity Advantage	$2.63
Rate for Payer: Cofinity Commercial	$3.23
Rate for Payer: Encore Health Key Benefits Commercial	$3.01
Rate for Payer: Healthscope Commercial	$3.38
Rate for Payer: MI Amish Medical Board Commercial	$3.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.82
Rate for Payer: PHP Commercial	$3.20
Rate for Payer: Priority Health SBD	$2.37
Rate for Payer: UHC All Payor (Choice/PPO)	$2.44
Rate for Payer: UHC Core	$1.96
Rate for Payer: UHC Exchange	$1.48

MELATONIN 3 MG TABLET

Facility

$270.25

Service Code	NDC 20555003601
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$106.21
Max. Negotiated Rate	$243.22
Rate for Payer: Aetna Commercial	$229.71
Rate for Payer: Aetna Medicare	$135.12
Rate for Payer: Aetna New Business (MI Preferred)	$175.66
Rate for Payer: BCBS Complete	$108.10
Rate for Payer: Cash Price	$216.20
Rate for Payer: Cofinity Advantage	$189.18
Rate for Payer: Cofinity Commercial	$232.41
Rate for Payer: Encore Health Key Benefits Commercial	$216.20
Rate for Payer: Healthscope Commercial	$243.22
Rate for Payer: MI Amish Medical Board Commercial	$216.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$229.71
Rate for Payer: Opus (Opus Packaging Group) HMA	$202.69
Rate for Payer: PHP Commercial	$229.71
Rate for Payer: Priority Health SBD	$170.26
Rate for Payer: UHC All Payor (Choice/PPO)	$175.66
Rate for Payer: UHC Core	$140.80
Rate for Payer: UHC Exchange	$106.21

MELATONIN 3 MG TABLET

Facility

$131.60

Service Code	NDC 20555003600
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$82.91
Max. Negotiated Rate	$118.44
Rate for Payer: Aetna Commercial	$111.86
Rate for Payer: Aetna New Business (MI Preferred)	$85.54
Rate for Payer: Cash Price	$105.28
Rate for Payer: Cofinity Advantage	$92.12
Rate for Payer: Cofinity Commercial	$113.18
Rate for Payer: Encore Health Key Benefits Commercial	$105.28
Rate for Payer: Healthscope Commercial	$118.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$111.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$98.70
Rate for Payer: PHP Commercial	$111.86
Rate for Payer: Priority Health SBD	$82.91

MELATONIN 3 MG TABLET

Facility

$118.44

Service Code	NDC 96295013723
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$46.55
Max. Negotiated Rate	$106.60
Rate for Payer: Aetna Commercial	$100.67
Rate for Payer: Aetna Medicare	$59.22
Rate for Payer: Aetna New Business (MI Preferred)	$76.99
Rate for Payer: BCBS Complete	$47.38
Rate for Payer: Cash Price	$94.75
Rate for Payer: Cofinity Advantage	$82.91
Rate for Payer: Cofinity Commercial	$101.86
Rate for Payer: Encore Health Key Benefits Commercial	$94.75
Rate for Payer: Healthscope Commercial	$106.60
Rate for Payer: MI Amish Medical Board Commercial	$94.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$88.83
Rate for Payer: PHP Commercial	$100.67
Rate for Payer: Priority Health SBD	$74.62
Rate for Payer: UHC All Payor (Choice/PPO)	$76.99
Rate for Payer: UHC Core	$61.71
Rate for Payer: UHC Exchange	$46.55

MELATONIN 3 MG TABLET

Facility

$2.90

Service Code	NDC 50268052411
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$2.61
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna Medicare	$1.45
Rate for Payer: Aetna New Business (MI Preferred)	$1.89
Rate for Payer: BCBS Complete	$1.16
Rate for Payer: Cash Price	$2.32
Rate for Payer: Cofinity Advantage	$2.03
Rate for Payer: Cofinity Commercial	$2.49
Rate for Payer: Encore Health Key Benefits Commercial	$2.32
Rate for Payer: Healthscope Commercial	$2.61
Rate for Payer: MI Amish Medical Board Commercial	$2.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.46
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.17
Rate for Payer: PHP Commercial	$2.46
Rate for Payer: Priority Health SBD	$1.83
Rate for Payer: UHC All Payor (Choice/PPO)	$1.89
Rate for Payer: UHC Core	$1.51
Rate for Payer: UHC Exchange	$1.14

MELATONIN 3 MG TABLET

Facility

$376.00

Service Code	NDC 77333051610
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$236.88
Max. Negotiated Rate	$338.40
Rate for Payer: Aetna Commercial	$319.60
Rate for Payer: Aetna New Business (MI Preferred)	$244.40
Rate for Payer: Cash Price	$300.80
Rate for Payer: Cofinity Advantage	$263.20
Rate for Payer: Cofinity Commercial	$323.36
Rate for Payer: Encore Health Key Benefits Commercial	$300.80
Rate for Payer: Healthscope Commercial	$338.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$319.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$282.00
Rate for Payer: PHP Commercial	$319.60
Rate for Payer: Priority Health SBD	$236.88

MELATONIN 3 MG TABLET

Facility

$131.60

Service Code	NDC 20555003600
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$51.72
Max. Negotiated Rate	$118.44
Rate for Payer: Aetna Commercial	$111.86
Rate for Payer: Aetna Medicare	$65.80
Rate for Payer: Aetna New Business (MI Preferred)	$85.54
Rate for Payer: BCBS Complete	$52.64
Rate for Payer: Cash Price	$105.28
Rate for Payer: Cofinity Advantage	$92.12
Rate for Payer: Cofinity Commercial	$113.18
Rate for Payer: Encore Health Key Benefits Commercial	$105.28
Rate for Payer: Healthscope Commercial	$118.44
Rate for Payer: MI Amish Medical Board Commercial	$105.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$111.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$98.70
Rate for Payer: PHP Commercial	$111.86
Rate for Payer: Priority Health SBD	$82.91
Rate for Payer: UHC All Payor (Choice/PPO)	$85.54
Rate for Payer: UHC Core	$68.56
Rate for Payer: UHC Exchange	$51.72

MELATONIN 3 MG TABLET

Facility

$144.53

Service Code	NDC 50268052415
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$130.08
Rate for Payer: Aetna Commercial	$122.85
Rate for Payer: Aetna Medicare	$72.27
Rate for Payer: Aetna New Business (MI Preferred)	$93.94
Rate for Payer: BCBS Complete	$57.81
Rate for Payer: Cash Price	$115.62
Rate for Payer: Cofinity Advantage	$101.17
Rate for Payer: Cofinity Commercial	$124.30
Rate for Payer: Encore Health Key Benefits Commercial	$115.62
Rate for Payer: Healthscope Commercial	$130.08
Rate for Payer: MI Amish Medical Board Commercial	$115.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$122.85
Rate for Payer: Opus (Opus Packaging Group) HMA	$108.40
Rate for Payer: PHP Commercial	$122.85
Rate for Payer: Priority Health SBD	$91.05
Rate for Payer: UHC All Payor (Choice/PPO)	$93.94
Rate for Payer: UHC Core	$75.30
Rate for Payer: UHC Exchange	$56.80

MELATONIN 3 MG TABLET

Facility

$376.00

Service Code	NDC 77333051610
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$147.77
Max. Negotiated Rate	$338.40
Rate for Payer: Aetna Commercial	$319.60
Rate for Payer: Aetna Medicare	$188.00
Rate for Payer: Aetna New Business (MI Preferred)	$244.40
Rate for Payer: BCBS Complete	$150.40
Rate for Payer: Cash Price	$300.80
Rate for Payer: Cofinity Advantage	$263.20
Rate for Payer: Cofinity Commercial	$323.36
Rate for Payer: Encore Health Key Benefits Commercial	$300.80
Rate for Payer: Healthscope Commercial	$338.40
Rate for Payer: MI Amish Medical Board Commercial	$300.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$319.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$282.00
Rate for Payer: PHP Commercial	$319.60
Rate for Payer: Priority Health SBD	$236.88
Rate for Payer: UHC All Payor (Choice/PPO)	$244.40
Rate for Payer: UHC Core	$195.90
Rate for Payer: UHC Exchange	$147.77

MELATONIN 3 MG TABLET

Facility

$716.75

Service Code	NDC 80681014800
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$451.55
Max. Negotiated Rate	$645.08
Rate for Payer: Aetna Commercial	$609.24
Rate for Payer: Aetna New Business (MI Preferred)	$465.89
Rate for Payer: Cash Price	$573.40
Rate for Payer: Cofinity Advantage	$501.73
Rate for Payer: Cofinity Commercial	$616.40
Rate for Payer: Encore Health Key Benefits Commercial	$573.40
Rate for Payer: Healthscope Commercial	$645.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$609.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$537.56
Rate for Payer: PHP Commercial	$609.24
Rate for Payer: Priority Health SBD	$451.55

MELATONIN 3 MG TABLET

Facility

$3.76

Service Code	NDC 77333051625
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.38
Rate for Payer: Aetna Commercial	$3.20
Rate for Payer: Aetna New Business (MI Preferred)	$2.44
Rate for Payer: Cash Price	$3.01
Rate for Payer: Cofinity Advantage	$2.63
Rate for Payer: Cofinity Commercial	$3.23
Rate for Payer: Encore Health Key Benefits Commercial	$3.01
Rate for Payer: Healthscope Commercial	$3.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.82
Rate for Payer: PHP Commercial	$3.20
Rate for Payer: Priority Health SBD	$2.37

MELATONIN 3 MG TABLET

Facility

$28.20

Service Code	NDC 80681008600
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$25.38
Rate for Payer: Aetna Commercial	$23.97
Rate for Payer: Aetna Medicare	$14.10
Rate for Payer: Aetna New Business (MI Preferred)	$18.33
Rate for Payer: BCBS Complete	$11.28
Rate for Payer: Cash Price	$22.56
Rate for Payer: Cofinity Advantage	$19.74
Rate for Payer: Cofinity Commercial	$24.25
Rate for Payer: Encore Health Key Benefits Commercial	$22.56
Rate for Payer: Healthscope Commercial	$25.38
Rate for Payer: MI Amish Medical Board Commercial	$22.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$23.97
Rate for Payer: Opus (Opus Packaging Group) HMA	$21.15
Rate for Payer: PHP Commercial	$23.97
Rate for Payer: Priority Health SBD	$17.77
Rate for Payer: UHC All Payor (Choice/PPO)	$18.33
Rate for Payer: UHC Core	$14.69
Rate for Payer: UHC Exchange	$11.08

MELATONIN 3 MG TABLET

Facility

$716.75

Service Code	NDC 80681014800
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$281.68
Max. Negotiated Rate	$645.08
Rate for Payer: Aetna Commercial	$609.24
Rate for Payer: Aetna Medicare	$358.38
Rate for Payer: Aetna New Business (MI Preferred)	$465.89
Rate for Payer: BCBS Complete	$286.70
Rate for Payer: Cash Price	$573.40
Rate for Payer: Cofinity Advantage	$501.73
Rate for Payer: Cofinity Commercial	$616.40
Rate for Payer: Encore Health Key Benefits Commercial	$573.40
Rate for Payer: Healthscope Commercial	$645.08
Rate for Payer: MI Amish Medical Board Commercial	$573.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$609.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$537.56
Rate for Payer: PHP Commercial	$609.24
Rate for Payer: Priority Health SBD	$451.55
Rate for Payer: UHC All Payor (Choice/PPO)	$465.89
Rate for Payer: UHC Core	$373.43
Rate for Payer: UHC Exchange	$281.68

MELATONIN 3 MG TABLET

Facility

$118.44

Service Code	NDC 96295013723
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$106.60
Rate for Payer: Aetna Commercial	$100.67
Rate for Payer: Aetna New Business (MI Preferred)	$76.99
Rate for Payer: Cash Price	$94.75
Rate for Payer: Cofinity Advantage	$82.91
Rate for Payer: Cofinity Commercial	$101.86
Rate for Payer: Encore Health Key Benefits Commercial	$94.75
Rate for Payer: Healthscope Commercial	$106.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$88.83
Rate for Payer: PHP Commercial	$100.67
Rate for Payer: Priority Health SBD	$74.62

MELATONIN 3 MG TABLET

Facility

$2.90

Service Code	NDC 50268052411
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$2.61
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna New Business (MI Preferred)	$1.89
Rate for Payer: Cash Price	$2.32
Rate for Payer: Cofinity Advantage	$2.03
Rate for Payer: Cofinity Commercial	$2.49
Rate for Payer: Encore Health Key Benefits Commercial	$2.32
Rate for Payer: Healthscope Commercial	$2.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.46
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.17
Rate for Payer: PHP Commercial	$2.46
Rate for Payer: Priority Health SBD	$1.83

MELATONIN 3 MG TABLET

Facility

$144.53

Service Code	NDC 50268052415
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$91.05
Max. Negotiated Rate	$130.08
Rate for Payer: Aetna Commercial	$122.85
Rate for Payer: Aetna New Business (MI Preferred)	$93.94
Rate for Payer: Cash Price	$115.62
Rate for Payer: Cofinity Advantage	$101.17
Rate for Payer: Cofinity Commercial	$124.30
Rate for Payer: Encore Health Key Benefits Commercial	$115.62
Rate for Payer: Healthscope Commercial	$130.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$122.85
Rate for Payer: Opus (Opus Packaging Group) HMA	$108.40
Rate for Payer: PHP Commercial	$122.85
Rate for Payer: Priority Health SBD	$91.05

MELOXICAM 7.5 MG TABLET

Facility

$256.15

Service Code	NDC 00440684101
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$161.37
Max. Negotiated Rate	$230.53
Rate for Payer: Aetna Commercial	$217.73
Rate for Payer: Aetna New Business (MI Preferred)	$166.50
Rate for Payer: Cash Price	$204.92
Rate for Payer: Cofinity Advantage	$179.31
Rate for Payer: Cofinity Commercial	$220.29
Rate for Payer: Encore Health Key Benefits Commercial	$204.92
Rate for Payer: Healthscope Commercial	$230.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$217.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$192.11
Rate for Payer: PHP Commercial	$217.73
Rate for Payer: Priority Health SBD	$161.37

MELOXICAM 7.5 MG TABLET

Facility

$3.22

Service Code	NDC 50268052511
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$2.90
Rate for Payer: Aetna Commercial	$2.74
Rate for Payer: Aetna Medicare	$1.61
Rate for Payer: Aetna New Business (MI Preferred)	$2.09
Rate for Payer: BCBS Complete	$1.29
Rate for Payer: Cash Price	$2.58
Rate for Payer: Cofinity Advantage	$2.25
Rate for Payer: Cofinity Commercial	$2.77
Rate for Payer: Encore Health Key Benefits Commercial	$2.58
Rate for Payer: Healthscope Commercial	$2.90
Rate for Payer: MI Amish Medical Board Commercial	$2.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.74
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.42
Rate for Payer: PHP Commercial	$2.74
Rate for Payer: Priority Health SBD	$2.03
Rate for Payer: UHC All Payor (Choice/PPO)	$2.09
Rate for Payer: UHC Core	$1.68
Rate for Payer: UHC Exchange	$1.27

MELOXICAM 7.5 MG TABLET

Facility

$3.22

Service Code	NDC 50268052511
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.90
Rate for Payer: Aetna Commercial	$2.74
Rate for Payer: Aetna New Business (MI Preferred)	$2.09
Rate for Payer: Cash Price	$2.58
Rate for Payer: Cofinity Advantage	$2.25
Rate for Payer: Cofinity Commercial	$2.77
Rate for Payer: Encore Health Key Benefits Commercial	$2.58
Rate for Payer: Healthscope Commercial	$2.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.74
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.42
Rate for Payer: PHP Commercial	$2.74
Rate for Payer: Priority Health SBD	$2.03

MELOXICAM 7.5 MG TABLET

Facility

$160.98

Service Code	NDC 50268052515
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$101.42
Max. Negotiated Rate	$144.88
Rate for Payer: Aetna Commercial	$136.83
Rate for Payer: Aetna New Business (MI Preferred)	$104.64
Rate for Payer: Cash Price	$128.78
Rate for Payer: Cofinity Advantage	$112.69
Rate for Payer: Cofinity Commercial	$138.44
Rate for Payer: Encore Health Key Benefits Commercial	$128.78
Rate for Payer: Healthscope Commercial	$144.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$136.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$120.73
Rate for Payer: PHP Commercial	$136.83
Rate for Payer: Priority Health SBD	$101.42

MELOXICAM 7.5 MG TABLET

Facility

$49.35

Service Code	NDC 69097015807
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$44.41
Rate for Payer: Aetna Commercial	$41.95
Rate for Payer: Aetna New Business (MI Preferred)	$32.08
Rate for Payer: Cash Price	$39.48
Rate for Payer: Cofinity Advantage	$34.55
Rate for Payer: Cofinity Commercial	$42.44
Rate for Payer: Encore Health Key Benefits Commercial	$39.48
Rate for Payer: Healthscope Commercial	$44.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$41.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$37.01
Rate for Payer: PHP Commercial	$41.95
Rate for Payer: Priority Health SBD	$31.09

MELOXICAM 7.5 MG TABLET

Facility

$49.35

Service Code	NDC 69097015807
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$19.39
Max. Negotiated Rate	$44.41
Rate for Payer: Aetna Commercial	$41.95
Rate for Payer: Aetna Medicare	$24.68
Rate for Payer: Aetna New Business (MI Preferred)	$32.08
Rate for Payer: BCBS Complete	$19.74
Rate for Payer: Cash Price	$39.48
Rate for Payer: Cofinity Advantage	$34.55
Rate for Payer: Cofinity Commercial	$42.44
Rate for Payer: Encore Health Key Benefits Commercial	$39.48
Rate for Payer: Healthscope Commercial	$44.41
Rate for Payer: MI Amish Medical Board Commercial	$39.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$41.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$37.01
Rate for Payer: PHP Commercial	$41.95
Rate for Payer: Priority Health SBD	$31.09
Rate for Payer: UHC All Payor (Choice/PPO)	$32.08
Rate for Payer: UHC Core	$25.71
Rate for Payer: UHC Exchange	$19.39

MELOXICAM 7.5 MG TABLET

Facility

$256.15

Service Code	NDC 00440684101
Hospital Charge Code	20566
Hospital Revenue Code	637
Min. Negotiated Rate	$100.67
Max. Negotiated Rate	$230.53
Rate for Payer: Aetna Commercial	$217.73
Rate for Payer: Aetna Medicare	$128.07
Rate for Payer: Aetna New Business (MI Preferred)	$166.50
Rate for Payer: BCBS Complete	$102.46
Rate for Payer: Cash Price	$204.92
Rate for Payer: Cofinity Advantage	$179.31
Rate for Payer: Cofinity Commercial	$220.29
Rate for Payer: Encore Health Key Benefits Commercial	$204.92
Rate for Payer: Healthscope Commercial	$230.53
Rate for Payer: MI Amish Medical Board Commercial	$204.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$217.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$192.11
Rate for Payer: PHP Commercial	$217.73
Rate for Payer: Priority Health SBD	$161.37
Rate for Payer: UHC All Payor (Choice/PPO)	$166.50
Rate for Payer: UHC Core	$133.45
Rate for Payer: UHC Exchange	$100.67

Know your out-of-pocket cost for care.

All Charges