Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$372.40

Service Code	NDC 00904632361
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$148.96
Max. Negotiated Rate	$335.16
Rate for Payer: Aetna Commercial	$316.54
Rate for Payer: Aetna Medicare	$186.20
Rate for Payer: Aetna New Business (MI Preferred)	$242.06
Rate for Payer: BCBS Complete	$148.96
Rate for Payer: Cash Price	$297.92
Rate for Payer: Cofinity Commercial	$260.68
Rate for Payer: Cofinity Commercial	$320.26
Rate for Payer: Cofinity Medicare Advantage	$260.68
Rate for Payer: Encore Health Key Benefits Commercial	$297.92
Rate for Payer: Healthscope Commercial	$335.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$316.54
Rate for Payer: PHP Commercial	$316.54
Rate for Payer: Priority Health Cigna Priority Health	$242.06
Rate for Payer: Priority Health SBD	$234.61

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$132.96

Service Code	NDC 60687040265
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$53.18
Max. Negotiated Rate	$119.66
Rate for Payer: Aetna Commercial	$113.02
Rate for Payer: Aetna Medicare	$66.48
Rate for Payer: Aetna New Business (MI Preferred)	$86.42
Rate for Payer: BCBS Complete	$53.18
Rate for Payer: Cash Price	$106.37
Rate for Payer: Cofinity Commercial	$114.35
Rate for Payer: Cofinity Commercial	$93.07
Rate for Payer: Cofinity Medicare Advantage	$93.07
Rate for Payer: Encore Health Key Benefits Commercial	$106.37
Rate for Payer: Healthscope Commercial	$119.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$113.02
Rate for Payer: PHP Commercial	$113.02
Rate for Payer: Priority Health Cigna Priority Health	$86.42
Rate for Payer: Priority Health SBD	$83.76

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.12

Service Code	NDC 51079017001
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$3.71
Rate for Payer: Aetna Commercial	$3.50
Rate for Payer: Aetna New Business (MI Preferred)	$2.68
Rate for Payer: Cash Price	$3.30
Rate for Payer: Cofinity Commercial	$2.88
Rate for Payer: Cofinity Commercial	$3.54
Rate for Payer: Cofinity Medicare Advantage	$2.88
Rate for Payer: Encore Health Key Benefits Commercial	$3.30
Rate for Payer: Healthscope Commercial	$3.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.50
Rate for Payer: PHP Commercial	$3.50
Rate for Payer: Priority Health Cigna Priority Health	$2.68
Rate for Payer: Priority Health SBD	$2.60

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$132.96

Service Code	NDC 60687040265
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$83.76
Max. Negotiated Rate	$119.66
Rate for Payer: Aetna Commercial	$113.02
Rate for Payer: Aetna New Business (MI Preferred)	$86.42
Rate for Payer: Cash Price	$106.37
Rate for Payer: Cofinity Commercial	$114.35
Rate for Payer: Cofinity Commercial	$93.07
Rate for Payer: Cofinity Medicare Advantage	$93.07
Rate for Payer: Encore Health Key Benefits Commercial	$106.37
Rate for Payer: Healthscope Commercial	$119.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$113.02
Rate for Payer: PHP Commercial	$113.02
Rate for Payer: Priority Health Cigna Priority Health	$86.42
Rate for Payer: Priority Health SBD	$83.76

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.12

Service Code	NDC 51079017001
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$3.71
Rate for Payer: Aetna Commercial	$3.50
Rate for Payer: Aetna Medicare	$2.06
Rate for Payer: Aetna New Business (MI Preferred)	$2.68
Rate for Payer: BCBS Complete	$1.65
Rate for Payer: Cash Price	$3.30
Rate for Payer: Cofinity Commercial	$2.88
Rate for Payer: Cofinity Commercial	$3.54
Rate for Payer: Cofinity Medicare Advantage	$2.88
Rate for Payer: Encore Health Key Benefits Commercial	$3.30
Rate for Payer: Healthscope Commercial	$3.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.50
Rate for Payer: PHP Commercial	$3.50
Rate for Payer: Priority Health Cigna Priority Health	$2.68
Rate for Payer: Priority Health SBD	$2.60

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$2.60

Service Code	NDC 60687040211
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$2.34
Rate for Payer: Aetna Commercial	$2.21
Rate for Payer: Aetna New Business (MI Preferred)	$1.69
Rate for Payer: Cash Price	$2.08
Rate for Payer: Cofinity Commercial	$1.82
Rate for Payer: Cofinity Commercial	$2.24
Rate for Payer: Cofinity Medicare Advantage	$1.82
Rate for Payer: Encore Health Key Benefits Commercial	$2.08
Rate for Payer: Healthscope Commercial	$2.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.21
Rate for Payer: PHP Commercial	$2.21
Rate for Payer: Priority Health Cigna Priority Health	$1.69
Rate for Payer: Priority Health SBD	$1.64

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$1,078.25

Service Code	NDC 55111046705
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$431.30
Max. Negotiated Rate	$970.42
Rate for Payer: Aetna Commercial	$916.51
Rate for Payer: Aetna Medicare	$539.12
Rate for Payer: Aetna New Business (MI Preferred)	$700.86
Rate for Payer: BCBS Complete	$431.30
Rate for Payer: Cash Price	$862.60
Rate for Payer: Cofinity Commercial	$754.77
Rate for Payer: Cofinity Commercial	$927.29
Rate for Payer: Cofinity Medicare Advantage	$754.77
Rate for Payer: Encore Health Key Benefits Commercial	$862.60
Rate for Payer: Healthscope Commercial	$970.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$916.51
Rate for Payer: PHP Commercial	$916.51
Rate for Payer: Priority Health Cigna Priority Health	$700.86
Rate for Payer: Priority Health SBD	$679.30

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$2.60

Service Code	NDC 60687040211
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$2.34
Rate for Payer: Aetna Commercial	$2.21
Rate for Payer: Aetna Medicare	$1.30
Rate for Payer: Aetna New Business (MI Preferred)	$1.69
Rate for Payer: BCBS Complete	$1.04
Rate for Payer: Cash Price	$2.08
Rate for Payer: Cofinity Commercial	$1.82
Rate for Payer: Cofinity Commercial	$2.24
Rate for Payer: Cofinity Medicare Advantage	$1.82
Rate for Payer: Encore Health Key Benefits Commercial	$2.08
Rate for Payer: Healthscope Commercial	$2.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.21
Rate for Payer: PHP Commercial	$2.21
Rate for Payer: Priority Health Cigna Priority Health	$1.69
Rate for Payer: Priority Health SBD	$1.64

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$411.35

Service Code	NDC 51079017020
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$164.54
Max. Negotiated Rate	$370.21
Rate for Payer: Aetna Commercial	$349.65
Rate for Payer: Aetna Medicare	$205.68
Rate for Payer: Aetna New Business (MI Preferred)	$267.38
Rate for Payer: BCBS Complete	$164.54
Rate for Payer: Cash Price	$329.08
Rate for Payer: Cofinity Commercial	$287.94
Rate for Payer: Cofinity Commercial	$353.76
Rate for Payer: Cofinity Medicare Advantage	$287.94
Rate for Payer: Encore Health Key Benefits Commercial	$329.08
Rate for Payer: Healthscope Commercial	$370.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$349.65
Rate for Payer: PHP Commercial	$349.65
Rate for Payer: Priority Health Cigna Priority Health	$267.38
Rate for Payer: Priority Health SBD	$259.15

METOPROLOL TARTRATE 100 MG TABLET

Facility

$399.50

Service Code	NDC 62584026701
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$159.80
Max. Negotiated Rate	$359.55
Rate for Payer: Aetna Commercial	$339.57
Rate for Payer: Aetna Medicare	$199.75
Rate for Payer: Aetna New Business (MI Preferred)	$259.68
Rate for Payer: BCBS Complete	$159.80
Rate for Payer: Cash Price	$319.60
Rate for Payer: Cofinity Commercial	$279.65
Rate for Payer: Cofinity Commercial	$343.57
Rate for Payer: Cofinity Medicare Advantage	$279.65
Rate for Payer: Encore Health Key Benefits Commercial	$319.60
Rate for Payer: Healthscope Commercial	$359.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$339.57
Rate for Payer: PHP Commercial	$339.57
Rate for Payer: Priority Health Cigna Priority Health	$259.68
Rate for Payer: Priority Health SBD	$251.69

METOPROLOL TARTRATE 100 MG TABLET

Facility

$399.50

Service Code	NDC 62584026701
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$251.69
Max. Negotiated Rate	$359.55
Rate for Payer: Aetna Commercial	$339.57
Rate for Payer: Aetna New Business (MI Preferred)	$259.68
Rate for Payer: Cash Price	$319.60
Rate for Payer: Cofinity Commercial	$279.65
Rate for Payer: Cofinity Commercial	$343.57
Rate for Payer: Cofinity Medicare Advantage	$279.65
Rate for Payer: Encore Health Key Benefits Commercial	$319.60
Rate for Payer: Healthscope Commercial	$359.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$339.57
Rate for Payer: PHP Commercial	$339.57
Rate for Payer: Priority Health Cigna Priority Health	$259.68
Rate for Payer: Priority Health SBD	$251.69

METOPROLOL TARTRATE 100 MG TABLET

Facility

$77.55

Service Code	NDC 62332011431
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$48.86
Max. Negotiated Rate	$69.80
Rate for Payer: Aetna Commercial	$65.92
Rate for Payer: Aetna New Business (MI Preferred)	$50.41
Rate for Payer: Cash Price	$62.04
Rate for Payer: Cofinity Commercial	$54.28
Rate for Payer: Cofinity Commercial	$66.69
Rate for Payer: Cofinity Medicare Advantage	$54.28
Rate for Payer: Encore Health Key Benefits Commercial	$62.04
Rate for Payer: Healthscope Commercial	$69.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.92
Rate for Payer: PHP Commercial	$65.92
Rate for Payer: Priority Health Cigna Priority Health	$50.41
Rate for Payer: Priority Health SBD	$48.86

METOPROLOL TARTRATE 100 MG TABLET

Facility

$77.55

Service Code	NDC 62332011431
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$31.02
Max. Negotiated Rate	$69.80
Rate for Payer: Aetna Commercial	$65.92
Rate for Payer: Aetna Medicare	$38.77
Rate for Payer: Aetna New Business (MI Preferred)	$50.41
Rate for Payer: BCBS Complete	$31.02
Rate for Payer: Cash Price	$62.04
Rate for Payer: Cofinity Commercial	$54.28
Rate for Payer: Cofinity Commercial	$66.69
Rate for Payer: Cofinity Medicare Advantage	$54.28
Rate for Payer: Encore Health Key Benefits Commercial	$62.04
Rate for Payer: Healthscope Commercial	$69.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.92
Rate for Payer: PHP Commercial	$65.92
Rate for Payer: Priority Health Cigna Priority Health	$50.41
Rate for Payer: Priority Health SBD	$48.86

METOPROLOL TARTRATE 12.5 MG CUSTOM TAB

Facility

$171.55

Service Code	NDC 00000000088
Hospital Charge Code	500250
Hospital Revenue Code	637
Min. Negotiated Rate	$108.08
Max. Negotiated Rate	$154.40
Rate for Payer: Aetna Commercial	$145.82
Rate for Payer: Aetna New Business (MI Preferred)	$111.51
Rate for Payer: Cash Price	$137.24
Rate for Payer: Cofinity Commercial	$120.08
Rate for Payer: Cofinity Commercial	$147.53
Rate for Payer: Cofinity Medicare Advantage	$120.08
Rate for Payer: Encore Health Key Benefits Commercial	$137.24
Rate for Payer: Healthscope Commercial	$154.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$145.82
Rate for Payer: PHP Commercial	$145.82
Rate for Payer: Priority Health Cigna Priority Health	$111.51
Rate for Payer: Priority Health SBD	$108.08

METOPROLOL TARTRATE 12.5 MG CUSTOM TAB

Facility

$171.55

Service Code	NDC 00000000088
Hospital Charge Code	500250
Hospital Revenue Code	637
Min. Negotiated Rate	$68.62
Max. Negotiated Rate	$154.40
Rate for Payer: Aetna Commercial	$145.82
Rate for Payer: Aetna Medicare	$85.78
Rate for Payer: Aetna New Business (MI Preferred)	$111.51
Rate for Payer: BCBS Complete	$68.62
Rate for Payer: Cash Price	$137.24
Rate for Payer: Cofinity Commercial	$120.08
Rate for Payer: Cofinity Commercial	$147.53
Rate for Payer: Cofinity Medicare Advantage	$120.08
Rate for Payer: Encore Health Key Benefits Commercial	$137.24
Rate for Payer: Healthscope Commercial	$154.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$145.82
Rate for Payer: PHP Commercial	$145.82
Rate for Payer: Priority Health Cigna Priority Health	$111.51
Rate for Payer: Priority Health SBD	$108.08

METOPROLOL TARTRATE 25 MG TABLET

Facility

$1.72

Service Code	NDC 51079025501
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.55
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna New Business (MI Preferred)	$1.12
Rate for Payer: Cash Price	$1.38
Rate for Payer: Cofinity Commercial	$1.20
Rate for Payer: Cofinity Commercial	$1.48
Rate for Payer: Cofinity Medicare Advantage	$1.20
Rate for Payer: Encore Health Key Benefits Commercial	$1.38
Rate for Payer: Healthscope Commercial	$1.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.46
Rate for Payer: PHP Commercial	$1.46
Rate for Payer: Priority Health Cigna Priority Health	$1.12
Rate for Payer: Priority Health SBD	$1.08

METOPROLOL TARTRATE 25 MG TABLET

Facility

$51.70

Service Code	NDC 52817036010
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$32.57
Max. Negotiated Rate	$46.53
Rate for Payer: Aetna Commercial	$43.95
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: Cofinity Medicare Advantage	$36.19
Rate for Payer: Encore Health Key Benefits Commercial	$41.36
Rate for Payer: Healthscope Commercial	$46.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$43.95
Rate for Payer: PHP Commercial	$43.95
Rate for Payer: Priority Health Cigna Priority Health	$33.60
Rate for Payer: Priority Health SBD	$32.57

METOPROLOL TARTRATE 25 MG TABLET

Facility

$105.75

Service Code	NDC 00378001801
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$95.17
Rate for Payer: Aetna Commercial	$89.89
Rate for Payer: Aetna Medicare	$52.88
Rate for Payer: Aetna New Business (MI Preferred)	$68.74
Rate for Payer: BCBS Complete	$42.30
Rate for Payer: Cash Price	$84.60
Rate for Payer: Cofinity Commercial	$74.03
Rate for Payer: Cofinity Commercial	$90.94
Rate for Payer: Cofinity Medicare Advantage	$74.03
Rate for Payer: Encore Health Key Benefits Commercial	$84.60
Rate for Payer: Healthscope Commercial	$95.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$89.89
Rate for Payer: PHP Commercial	$89.89
Rate for Payer: Priority Health Cigna Priority Health	$68.74
Rate for Payer: Priority Health SBD	$66.62

METOPROLOL TARTRATE 25 MG TABLET

Facility

$1.72

Service Code	NDC 51079025501
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$1.55
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare	$0.86
Rate for Payer: Aetna New Business (MI Preferred)	$1.12
Rate for Payer: BCBS Complete	$0.69
Rate for Payer: Cash Price	$1.38
Rate for Payer: Cofinity Commercial	$1.20
Rate for Payer: Cofinity Commercial	$1.48
Rate for Payer: Cofinity Medicare Advantage	$1.20
Rate for Payer: Encore Health Key Benefits Commercial	$1.38
Rate for Payer: Healthscope Commercial	$1.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.46
Rate for Payer: PHP Commercial	$1.46
Rate for Payer: Priority Health Cigna Priority Health	$1.12
Rate for Payer: Priority Health SBD	$1.08

METOPROLOL TARTRATE 25 MG TABLET

Facility

$171.55

Service Code	NDC 51079025520
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$108.08
Max. Negotiated Rate	$154.40
Rate for Payer: Aetna Commercial	$145.82
Rate for Payer: Aetna New Business (MI Preferred)	$111.51
Rate for Payer: Cash Price	$137.24
Rate for Payer: Cofinity Commercial	$120.08
Rate for Payer: Cofinity Commercial	$147.53
Rate for Payer: Cofinity Medicare Advantage	$120.08
Rate for Payer: Encore Health Key Benefits Commercial	$137.24
Rate for Payer: Healthscope Commercial	$154.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$145.82
Rate for Payer: PHP Commercial	$145.82
Rate for Payer: Priority Health Cigna Priority Health	$111.51
Rate for Payer: Priority Health SBD	$108.08

METOPROLOL TARTRATE 25 MG TABLET

Facility

$51.70

Service Code	NDC 52817036010
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$46.53
Rate for Payer: Aetna Commercial	$43.95
Rate for Payer: Aetna Medicare	$25.85
Rate for Payer: Aetna New Business (MI Preferred)	$33.60
Rate for Payer: BCBS Complete	$20.68
Rate for Payer: Cash Price	$41.36
Rate for Payer: Cofinity Commercial	$36.19
Rate for Payer: Cofinity Commercial	$44.46
Rate for Payer: Cofinity Medicare Advantage	$36.19
Rate for Payer: Encore Health Key Benefits Commercial	$41.36
Rate for Payer: Healthscope Commercial	$46.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$43.95
Rate for Payer: PHP Commercial	$43.95
Rate for Payer: Priority Health Cigna Priority Health	$33.60
Rate for Payer: Priority Health SBD	$32.57

METOPROLOL TARTRATE 25 MG TABLET

Facility

$105.75

Service Code	NDC 00378001801
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$66.62
Max. Negotiated Rate	$95.17
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	$74.03
Rate for Payer: Cofinity Commercial	$90.94
Rate for Payer: Cofinity Medicare Advantage	$74.03
Rate for Payer: Encore Health Key Benefits Commercial	$84.60
Rate for Payer: Healthscope Commercial	$95.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$89.89
Rate for Payer: PHP Commercial	$89.89
Rate for Payer: Priority Health Cigna Priority Health	$68.74
Rate for Payer: Priority Health SBD	$66.62

METOPROLOL TARTRATE 25 MG TABLET

Facility

$171.55

Service Code	NDC 51079025520
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$68.62
Max. Negotiated Rate	$154.40
Rate for Payer: Aetna Commercial	$145.82
Rate for Payer: Aetna Medicare	$85.78
Rate for Payer: Aetna New Business (MI Preferred)	$111.51
Rate for Payer: BCBS Complete	$68.62
Rate for Payer: Cash Price	$137.24
Rate for Payer: Cofinity Commercial	$120.08
Rate for Payer: Cofinity Commercial	$147.53
Rate for Payer: Cofinity Medicare Advantage	$120.08
Rate for Payer: Encore Health Key Benefits Commercial	$137.24
Rate for Payer: Healthscope Commercial	$154.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$145.82
Rate for Payer: PHP Commercial	$145.82
Rate for Payer: Priority Health Cigna Priority Health	$111.51
Rate for Payer: Priority Health SBD	$108.08

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584026611
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: Cofinity Medicare Advantage	$157.92
Rate for Payer: Encore Health Key Benefits Commercial	$180.48
Rate for Payer: Healthscope Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$191.76
Rate for Payer: PHP Commercial	$191.76
Rate for Payer: Priority Health Cigna Priority Health	$146.64
Rate for Payer: Priority Health SBD	$142.13

METOPROLOL TARTRATE 50 MG TABLET

Facility

$1.77

Service Code	NDC 51079080101
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$1.59
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare	$0.89
Rate for Payer: Aetna New Business (MI Preferred)	$1.15
Rate for Payer: BCBS Complete	$0.71
Rate for Payer: Cash Price	$1.42
Rate for Payer: Cofinity Commercial	$1.24
Rate for Payer: Cofinity Commercial	$1.52
Rate for Payer: Cofinity Medicare Advantage	$1.24
Rate for Payer: Encore Health Key Benefits Commercial	$1.42
Rate for Payer: Healthscope Commercial	$1.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.50
Rate for Payer: PHP Commercial	$1.50
Rate for Payer: Priority Health Cigna Priority Health	$1.15
Rate for Payer: Priority Health SBD	$1.12

Know your out-of-pocket cost for care.

All Charges