Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584026601
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$90.24
Max. Negotiated Rate	$203.04
Rate for Payer: Aetna Commercial	$191.76
Rate for Payer: Aetna Medicare	$112.80
Rate for Payer: Aetna New Business (MI Preferred)	$146.64
Rate for Payer: BCBS Complete	$90.24
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

$225.60

Service Code	NDC 62584026601
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	$1.12
Max. Negotiated Rate	$1.59
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna New Business (MI Preferred)	$1.15
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

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584026611
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$90.24
Max. Negotiated Rate	$203.04
Rate for Payer: Aetna Commercial	$191.76
Rate for Payer: Aetna Medicare	$112.80
Rate for Payer: Aetna New Business (MI Preferred)	$146.64
Rate for Payer: BCBS Complete	$90.24
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

$176.25

Service Code	NDC 51079080120
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$111.04
Max. Negotiated Rate	$158.62
Rate for Payer: Aetna Commercial	$149.81
Rate for Payer: Aetna New Business (MI Preferred)	$114.56
Rate for Payer: Cash Price	$141.00
Rate for Payer: Cofinity Commercial	$123.38
Rate for Payer: Cofinity Commercial	$151.57
Rate for Payer: Cofinity Medicare Advantage	$123.38
Rate for Payer: Encore Health Key Benefits Commercial	$141.00
Rate for Payer: Healthscope Commercial	$158.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$149.81
Rate for Payer: PHP Commercial	$149.81
Rate for Payer: Priority Health Cigna Priority Health	$114.56
Rate for Payer: Priority Health SBD	$111.04

METOPROLOL TARTRATE 50 MG TABLET

Facility

$164.50

Service Code	NDC 00904711861
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$65.80
Max. Negotiated Rate	$148.05
Rate for Payer: Aetna Commercial	$139.82
Rate for Payer: Aetna Medicare	$82.25
Rate for Payer: Aetna New Business (MI Preferred)	$106.92
Rate for Payer: BCBS Complete	$65.80
Rate for Payer: Cash Price	$131.60
Rate for Payer: Cofinity Commercial	$115.15
Rate for Payer: Cofinity Commercial	$141.47
Rate for Payer: Cofinity Medicare Advantage	$115.15
Rate for Payer: Encore Health Key Benefits Commercial	$131.60
Rate for Payer: Healthscope Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.82
Rate for Payer: PHP Commercial	$139.82
Rate for Payer: Priority Health Cigna Priority Health	$106.92
Rate for Payer: Priority Health SBD	$103.64

METOPROLOL TARTRATE 50 MG TABLET

Facility

$176.25

Service Code	NDC 51079080120
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$158.62
Rate for Payer: Aetna Commercial	$149.81
Rate for Payer: Aetna Medicare	$88.12
Rate for Payer: Aetna New Business (MI Preferred)	$114.56
Rate for Payer: BCBS Complete	$70.50
Rate for Payer: Cash Price	$141.00
Rate for Payer: Cofinity Commercial	$123.38
Rate for Payer: Cofinity Commercial	$151.57
Rate for Payer: Cofinity Medicare Advantage	$123.38
Rate for Payer: Encore Health Key Benefits Commercial	$141.00
Rate for Payer: Healthscope Commercial	$158.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$149.81
Rate for Payer: PHP Commercial	$149.81
Rate for Payer: Priority Health Cigna Priority Health	$114.56
Rate for Payer: Priority Health SBD	$111.04

METOPROLOL TARTRATE 50 MG TABLET

Facility

$65.80

Service Code	NDC 52817036110
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: Cofinity Medicare Advantage	$46.06
Rate for Payer: Encore Health Key Benefits Commercial	$52.64
Rate for Payer: Healthscope Commercial	$59.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$55.93
Rate for Payer: PHP Commercial	$55.93
Rate for Payer: Priority Health Cigna Priority Health	$42.77
Rate for Payer: Priority Health SBD	$41.45

METOPROLOL TARTRATE 50 MG TABLET

Facility

$108.10

Service Code	NDC 00378003201
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$43.24
Max. Negotiated Rate	$97.29
Rate for Payer: Aetna Commercial	$91.89
Rate for Payer: Aetna Medicare	$54.05
Rate for Payer: Aetna New Business (MI Preferred)	$70.27
Rate for Payer: BCBS Complete	$43.24
Rate for Payer: Cash Price	$86.48
Rate for Payer: Cofinity Commercial	$75.67
Rate for Payer: Cofinity Commercial	$92.97
Rate for Payer: Cofinity Medicare Advantage	$75.67
Rate for Payer: Encore Health Key Benefits Commercial	$86.48
Rate for Payer: Healthscope Commercial	$97.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$91.89
Rate for Payer: PHP Commercial	$91.89
Rate for Payer: Priority Health Cigna Priority Health	$70.27
Rate for Payer: Priority Health SBD	$68.10

METOPROLOL TARTRATE 50 MG TABLET

Facility

$65.80

Service Code	NDC 52817036110
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$59.22
Rate for Payer: Aetna Commercial	$55.93
Rate for Payer: Aetna Medicare	$32.90
Rate for Payer: Aetna New Business (MI Preferred)	$42.77
Rate for Payer: BCBS Complete	$26.32
Rate for Payer: Cash Price	$52.64
Rate for Payer: Cofinity Commercial	$46.06
Rate for Payer: Cofinity Commercial	$56.59
Rate for Payer: Cofinity Medicare Advantage	$46.06
Rate for Payer: Encore Health Key Benefits Commercial	$52.64
Rate for Payer: Healthscope Commercial	$59.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$55.93
Rate for Payer: PHP Commercial	$55.93
Rate for Payer: Priority Health Cigna Priority Health	$42.77
Rate for Payer: Priority Health SBD	$41.45

METOPROLOL TARTRATE 50 MG TABLET

Facility

$164.50

Service Code	NDC 00904711861
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: Cofinity Medicare Advantage	$115.15
Rate for Payer: Encore Health Key Benefits Commercial	$131.60
Rate for Payer: Healthscope Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.82
Rate for Payer: PHP Commercial	$139.82
Rate for Payer: Priority Health Cigna Priority Health	$106.92
Rate for Payer: Priority Health SBD	$103.64

METOPROLOL TARTRATE 50 MG TABLET

Facility

$108.10

Service Code	NDC 00378003201
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$68.10
Max. Negotiated Rate	$97.29
Rate for Payer: Aetna Commercial	$91.89
Rate for Payer: Aetna New Business (MI Preferred)	$70.27
Rate for Payer: Cash Price	$86.48
Rate for Payer: Cofinity Commercial	$75.67
Rate for Payer: Cofinity Commercial	$92.97
Rate for Payer: Cofinity Medicare Advantage	$75.67
Rate for Payer: Encore Health Key Benefits Commercial	$86.48
Rate for Payer: Healthscope Commercial	$97.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$91.89
Rate for Payer: PHP Commercial	$91.89
Rate for Payer: Priority Health Cigna Priority Health	$70.27
Rate for Payer: Priority Health SBD	$68.10

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.05

Service Code	NDC 72266012201
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$11.74
Rate for Payer: Aetna Commercial	$11.09
Rate for Payer: Aetna New Business (MI Preferred)	$8.48
Rate for Payer: Cash Price	$10.44
Rate for Payer: Cofinity Commercial	$11.22
Rate for Payer: Cofinity Commercial	$9.13
Rate for Payer: Cofinity Medicare Advantage	$9.13
Rate for Payer: Encore Health Key Benefits Commercial	$10.44
Rate for Payer: Healthscope Commercial	$11.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.09
Rate for Payer: PHP Commercial	$11.09
Rate for Payer: Priority Health Cigna Priority Health	$8.48
Rate for Payer: Priority Health SBD	$8.22

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$14.13

Service Code	NDC 00409177805
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.90
Max. Negotiated Rate	$12.72
Rate for Payer: Aetna Commercial	$12.01
Rate for Payer: Aetna New Business (MI Preferred)	$9.18
Rate for Payer: Cash Price	$11.30
Rate for Payer: Cofinity Commercial	$12.15
Rate for Payer: Cofinity Commercial	$9.89
Rate for Payer: Cofinity Medicare Advantage	$9.89
Rate for Payer: Encore Health Key Benefits Commercial	$11.30
Rate for Payer: Healthscope Commercial	$12.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.01
Rate for Payer: PHP Commercial	$12.01
Rate for Payer: Priority Health Cigna Priority Health	$9.18
Rate for Payer: Priority Health SBD	$8.90

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$24.29

Service Code	NDC 70860030005
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: Cofinity Medicare Advantage	$17.00
Rate for Payer: Encore Health Key Benefits Commercial	$19.43
Rate for Payer: Healthscope Commercial	$21.86
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20.65
Rate for Payer: PHP Commercial	$20.65
Rate for Payer: Priority Health Cigna Priority Health	$15.79
Rate for Payer: Priority Health SBD	$15.30

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.00

Service Code	NDC 47781058720
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: Cofinity Medicare Advantage	$9.10
Rate for Payer: Encore Health Key Benefits Commercial	$10.40
Rate for Payer: Healthscope Commercial	$11.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.05
Rate for Payer: PHP Commercial	$11.05
Rate for Payer: Priority Health Cigna Priority Health	$8.45
Rate for Payer: Priority Health SBD	$8.19

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.00

Service Code	NDC 47781058717
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$11.70
Rate for Payer: Aetna Commercial	$11.05
Rate for Payer: Aetna Medicare	$6.50
Rate for Payer: Aetna New Business (MI Preferred)	$8.45
Rate for Payer: BCBS Complete	$5.20
Rate for Payer: Cash Price	$10.40
Rate for Payer: Cofinity Commercial	$11.18
Rate for Payer: Cofinity Commercial	$9.10
Rate for Payer: Cofinity Medicare Advantage	$9.10
Rate for Payer: Encore Health Key Benefits Commercial	$10.40
Rate for Payer: Healthscope Commercial	$11.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.05
Rate for Payer: PHP Commercial	$11.05
Rate for Payer: Priority Health Cigna Priority Health	$8.45
Rate for Payer: Priority Health SBD	$8.19

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$16.13

Service Code	NDC 72611074010
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$14.52
Rate for Payer: Aetna Commercial	$13.71
Rate for Payer: Aetna New Business (MI Preferred)	$10.48
Rate for Payer: Cash Price	$12.90
Rate for Payer: Cofinity Commercial	$11.29
Rate for Payer: Cofinity Commercial	$13.87
Rate for Payer: Cofinity Medicare Advantage	$11.29
Rate for Payer: Encore Health Key Benefits Commercial	$12.90
Rate for Payer: Healthscope Commercial	$14.52
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.71
Rate for Payer: PHP Commercial	$13.71
Rate for Payer: Priority Health Cigna Priority Health	$10.48
Rate for Payer: Priority Health SBD	$10.16

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$16.13

Service Code	NDC 72611074001
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$14.52
Rate for Payer: Aetna Commercial	$13.71
Rate for Payer: Aetna Medicare	$8.06
Rate for Payer: Aetna New Business (MI Preferred)	$10.48
Rate for Payer: BCBS Complete	$6.45
Rate for Payer: Cash Price	$12.90
Rate for Payer: Cofinity Commercial	$11.29
Rate for Payer: Cofinity Commercial	$13.87
Rate for Payer: Cofinity Medicare Advantage	$11.29
Rate for Payer: Encore Health Key Benefits Commercial	$12.90
Rate for Payer: Healthscope Commercial	$14.52
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.71
Rate for Payer: PHP Commercial	$13.71
Rate for Payer: Priority Health Cigna Priority Health	$10.48
Rate for Payer: Priority Health SBD	$10.16

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$19.94

Service Code	NDC 63323066005
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$12.56
Max. Negotiated Rate	$17.95
Rate for Payer: Aetna Commercial	$16.95
Rate for Payer: Aetna New Business (MI Preferred)	$12.96
Rate for Payer: Cash Price	$15.95
Rate for Payer: Cofinity Commercial	$13.96
Rate for Payer: Cofinity Commercial	$17.15
Rate for Payer: Cofinity Medicare Advantage	$13.96
Rate for Payer: Encore Health Key Benefits Commercial	$15.95
Rate for Payer: Healthscope Commercial	$17.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$16.95
Rate for Payer: PHP Commercial	$16.95
Rate for Payer: Priority Health Cigna Priority Health	$12.96
Rate for Payer: Priority Health SBD	$12.56

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$16.75

Service Code	NDC 36000003310
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$15.07
Rate for Payer: Aetna Commercial	$14.24
Rate for Payer: Aetna New Business (MI Preferred)	$10.89
Rate for Payer: Cash Price	$13.40
Rate for Payer: Cofinity Commercial	$11.72
Rate for Payer: Cofinity Commercial	$14.40
Rate for Payer: Cofinity Medicare Advantage	$11.72
Rate for Payer: Encore Health Key Benefits Commercial	$13.40
Rate for Payer: Healthscope Commercial	$15.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.24
Rate for Payer: PHP Commercial	$14.24
Rate for Payer: Priority Health Cigna Priority Health	$10.89
Rate for Payer: Priority Health SBD	$10.55

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$14.13

Service Code	NDC 00409177815
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$12.72
Rate for Payer: Aetna Commercial	$12.01
Rate for Payer: Aetna Medicare	$7.07
Rate for Payer: Aetna New Business (MI Preferred)	$9.18
Rate for Payer: BCBS Complete	$5.65
Rate for Payer: Cash Price	$11.30
Rate for Payer: Cofinity Commercial	$12.15
Rate for Payer: Cofinity Commercial	$9.89
Rate for Payer: Cofinity Medicare Advantage	$9.89
Rate for Payer: Encore Health Key Benefits Commercial	$11.30
Rate for Payer: Healthscope Commercial	$12.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.01
Rate for Payer: PHP Commercial	$12.01
Rate for Payer: Priority Health Cigna Priority Health	$9.18
Rate for Payer: Priority Health SBD	$8.90

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$14.13

Service Code	NDC 00409177815
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.90
Max. Negotiated Rate	$12.72
Rate for Payer: Aetna Commercial	$12.01
Rate for Payer: Aetna New Business (MI Preferred)	$9.18
Rate for Payer: Cash Price	$11.30
Rate for Payer: Cofinity Commercial	$12.15
Rate for Payer: Cofinity Commercial	$9.89
Rate for Payer: Cofinity Medicare Advantage	$9.89
Rate for Payer: Encore Health Key Benefits Commercial	$11.30
Rate for Payer: Healthscope Commercial	$12.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.01
Rate for Payer: PHP Commercial	$12.01
Rate for Payer: Priority Health Cigna Priority Health	$9.18
Rate for Payer: Priority Health SBD	$8.90

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$14.13

Service Code	NDC 00409177805
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$12.72
Rate for Payer: Aetna Commercial	$12.01
Rate for Payer: Aetna Medicare	$7.07
Rate for Payer: Aetna New Business (MI Preferred)	$9.18
Rate for Payer: BCBS Complete	$5.65
Rate for Payer: Cash Price	$11.30
Rate for Payer: Cofinity Commercial	$12.15
Rate for Payer: Cofinity Commercial	$9.89
Rate for Payer: Cofinity Medicare Advantage	$9.89
Rate for Payer: Encore Health Key Benefits Commercial	$11.30
Rate for Payer: Healthscope Commercial	$12.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.01
Rate for Payer: PHP Commercial	$12.01
Rate for Payer: Priority Health Cigna Priority Health	$9.18
Rate for Payer: Priority Health SBD	$8.90

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$14.00

Service Code	NDC 00143966010
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$12.60
Rate for Payer: Aetna Commercial	$11.90
Rate for Payer: Aetna Medicare	$7.00
Rate for Payer: Aetna New Business (MI Preferred)	$9.10
Rate for Payer: BCBS Complete	$5.60
Rate for Payer: Cash Price	$11.20
Rate for Payer: Cofinity Commercial	$12.04
Rate for Payer: Cofinity Commercial	$9.80
Rate for Payer: Cofinity Medicare Advantage	$9.80
Rate for Payer: Encore Health Key Benefits Commercial	$11.20
Rate for Payer: Healthscope Commercial	$12.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.90
Rate for Payer: PHP Commercial	$11.90
Rate for Payer: Priority Health Cigna Priority Health	$9.10
Rate for Payer: Priority Health SBD	$8.82

Know your out-of-pocket cost for care.

All Charges