Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

METOLAZONE 5 MG TABLET

Facility

$895.40

Service Code	NDC 00904713961
Hospital Charge Code	10588
Hospital Revenue Code	637
Min. Negotiated Rate	$564.10
Max. Negotiated Rate	$805.86
Rate for Payer: Aetna Commercial	$761.09
Rate for Payer: Aetna New Business (MI Preferred)	$582.01
Rate for Payer: Cash Price	$716.32
Rate for Payer: Cofinity Advantage	$626.78
Rate for Payer: Cofinity Commercial	$770.04
Rate for Payer: Encore Health Key Benefits Commercial	$716.32
Rate for Payer: Healthscope Commercial	$805.86
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$761.09
Rate for Payer: Opus (Opus Packaging Group) HMA	$671.55
Rate for Payer: PHP Commercial	$761.09
Rate for Payer: Priority Health SBD	$564.10

METOLAZONE 5 MG TABLET

Facility

$12.01

Service Code	NDC 51079002401
Hospital Charge Code	10588
Hospital Revenue Code	637
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$10.81
Rate for Payer: Aetna Commercial	$10.21
Rate for Payer: Aetna New Business (MI Preferred)	$7.81
Rate for Payer: Cash Price	$9.61
Rate for Payer: Cofinity Advantage	$8.41
Rate for Payer: Cofinity Commercial	$10.33
Rate for Payer: Encore Health Key Benefits Commercial	$9.61
Rate for Payer: Healthscope Commercial	$10.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$10.21
Rate for Payer: Opus (Opus Packaging Group) HMA	$9.01
Rate for Payer: PHP Commercial	$10.21
Rate for Payer: Priority Health SBD	$7.57

METOLAZONE 5 MG TABLET

Facility

$991.97

Service Code	NDC 00904732961
Hospital Charge Code	10588
Hospital Revenue Code	637
Min. Negotiated Rate	$624.94
Max. Negotiated Rate	$892.77
Rate for Payer: Aetna Commercial	$843.17
Rate for Payer: Aetna New Business (MI Preferred)	$644.78
Rate for Payer: Cash Price	$793.58
Rate for Payer: Cofinity Advantage	$694.38
Rate for Payer: Cofinity Commercial	$853.09
Rate for Payer: Encore Health Key Benefits Commercial	$793.58
Rate for Payer: Healthscope Commercial	$892.77
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$843.17
Rate for Payer: Opus (Opus Packaging Group) HMA	$743.98
Rate for Payer: PHP Commercial	$843.17
Rate for Payer: Priority Health SBD	$624.94

METOLAZONE 5 MG TABLET

Facility

$895.40

Service Code	NDC 00904713961
Hospital Charge Code	10588
Hospital Revenue Code	637
Min. Negotiated Rate	$351.89
Max. Negotiated Rate	$805.86
Rate for Payer: Aetna Commercial	$761.09
Rate for Payer: Aetna Medicare	$447.70
Rate for Payer: Aetna New Business (MI Preferred)	$582.01
Rate for Payer: BCBS Complete	$358.16
Rate for Payer: Cash Price	$716.32
Rate for Payer: Cofinity Advantage	$626.78
Rate for Payer: Cofinity Commercial	$770.04
Rate for Payer: Encore Health Key Benefits Commercial	$716.32
Rate for Payer: Healthscope Commercial	$805.86
Rate for Payer: MI Amish Medical Board Commercial	$716.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$761.09
Rate for Payer: Opus (Opus Packaging Group) HMA	$671.55
Rate for Payer: PHP Commercial	$761.09
Rate for Payer: Priority Health SBD	$564.10
Rate for Payer: UHC All Payor (Choice/PPO)	$582.01
Rate for Payer: UHC Core	$466.50
Rate for Payer: UHC Exchange	$351.89

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$202.10

Service Code	NDC 67877059201
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$79.43
Max. Negotiated Rate	$181.89
Rate for Payer: Aetna Commercial	$171.78
Rate for Payer: Aetna Medicare	$101.05
Rate for Payer: Aetna New Business (MI Preferred)	$131.37
Rate for Payer: BCBS Complete	$80.84
Rate for Payer: Cash Price	$161.68
Rate for Payer: Cofinity Advantage	$141.47
Rate for Payer: Cofinity Commercial	$173.81
Rate for Payer: Encore Health Key Benefits Commercial	$161.68
Rate for Payer: Healthscope Commercial	$181.89
Rate for Payer: MI Amish Medical Board Commercial	$161.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$171.78
Rate for Payer: Opus (Opus Packaging Group) HMA	$151.57
Rate for Payer: PHP Commercial	$171.78
Rate for Payer: Priority Health SBD	$127.32
Rate for Payer: UHC All Payor (Choice/PPO)	$131.37
Rate for Payer: UHC Core	$105.29
Rate for Payer: UHC Exchange	$79.43

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$183.84

Service Code	NDC 60687041365
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$115.82
Max. Negotiated Rate	$165.46
Rate for Payer: Aetna Commercial	$156.26
Rate for Payer: Aetna New Business (MI Preferred)	$119.50
Rate for Payer: Cash Price	$147.07
Rate for Payer: Cofinity Advantage	$128.69
Rate for Payer: Cofinity Commercial	$158.10
Rate for Payer: Encore Health Key Benefits Commercial	$147.07
Rate for Payer: Healthscope Commercial	$165.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$156.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$137.88
Rate for Payer: PHP Commercial	$156.26
Rate for Payer: Priority Health SBD	$115.82

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$183.84

Service Code	NDC 60687041365
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$72.25
Max. Negotiated Rate	$165.46
Rate for Payer: Aetna Commercial	$156.26
Rate for Payer: Aetna Medicare	$91.92
Rate for Payer: Aetna New Business (MI Preferred)	$119.50
Rate for Payer: BCBS Complete	$73.54
Rate for Payer: Cash Price	$147.07
Rate for Payer: Cofinity Advantage	$128.69
Rate for Payer: Cofinity Commercial	$158.10
Rate for Payer: Encore Health Key Benefits Commercial	$147.07
Rate for Payer: Healthscope Commercial	$165.46
Rate for Payer: MI Amish Medical Board Commercial	$147.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$156.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$137.88
Rate for Payer: PHP Commercial	$156.26
Rate for Payer: Priority Health SBD	$115.82
Rate for Payer: UHC All Payor (Choice/PPO)	$119.50
Rate for Payer: UHC Core	$95.78
Rate for Payer: UHC Exchange	$72.25

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$343.68

Service Code	NDC 00904632461
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$216.52
Max. Negotiated Rate	$309.31
Rate for Payer: Aetna Commercial	$292.13
Rate for Payer: Aetna New Business (MI Preferred)	$223.39
Rate for Payer: Cash Price	$274.94
Rate for Payer: Cofinity Advantage	$240.58
Rate for Payer: Cofinity Commercial	$295.56
Rate for Payer: Encore Health Key Benefits Commercial	$274.94
Rate for Payer: Healthscope Commercial	$309.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$292.13
Rate for Payer: Opus (Opus Packaging Group) HMA	$257.76
Rate for Payer: PHP Commercial	$292.13
Rate for Payer: Priority Health SBD	$216.52

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$3.78

Service Code	NDC 60687041311
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$3.40
Rate for Payer: Aetna Commercial	$3.21
Rate for Payer: Aetna New Business (MI Preferred)	$2.46
Rate for Payer: Cash Price	$3.02
Rate for Payer: Cofinity Advantage	$2.65
Rate for Payer: Cofinity Commercial	$3.25
Rate for Payer: Encore Health Key Benefits Commercial	$3.02
Rate for Payer: Healthscope Commercial	$3.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.21
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.83
Rate for Payer: PHP Commercial	$3.21
Rate for Payer: Priority Health SBD	$2.38

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$343.68

Service Code	NDC 00904632461
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$135.07
Max. Negotiated Rate	$309.31
Rate for Payer: Aetna Commercial	$292.13
Rate for Payer: Aetna Medicare	$171.84
Rate for Payer: Aetna New Business (MI Preferred)	$223.39
Rate for Payer: BCBS Complete	$137.47
Rate for Payer: Cash Price	$274.94
Rate for Payer: Cofinity Advantage	$240.58
Rate for Payer: Cofinity Commercial	$295.56
Rate for Payer: Encore Health Key Benefits Commercial	$274.94
Rate for Payer: Healthscope Commercial	$309.31
Rate for Payer: MI Amish Medical Board Commercial	$274.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$292.13
Rate for Payer: Opus (Opus Packaging Group) HMA	$257.76
Rate for Payer: PHP Commercial	$292.13
Rate for Payer: Priority Health SBD	$216.52
Rate for Payer: UHC All Payor (Choice/PPO)	$223.39
Rate for Payer: UHC Core	$179.06
Rate for Payer: UHC Exchange	$135.07

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$202.10

Service Code	NDC 67877059201
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$127.32
Max. Negotiated Rate	$181.89
Rate for Payer: Aetna Commercial	$171.78
Rate for Payer: Aetna New Business (MI Preferred)	$131.37
Rate for Payer: Cash Price	$161.68
Rate for Payer: Cofinity Advantage	$141.47
Rate for Payer: Cofinity Commercial	$173.81
Rate for Payer: Encore Health Key Benefits Commercial	$161.68
Rate for Payer: Healthscope Commercial	$181.89
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$171.78
Rate for Payer: Opus (Opus Packaging Group) HMA	$151.57
Rate for Payer: PHP Commercial	$171.78
Rate for Payer: Priority Health SBD	$127.32

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$3.78

Service Code	NDC 60687041311
Hospital Charge Code	30071
Hospital Revenue Code	637
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$3.40
Rate for Payer: Aetna Commercial	$3.21
Rate for Payer: Aetna Medicare	$1.89
Rate for Payer: Aetna New Business (MI Preferred)	$2.46
Rate for Payer: BCBS Complete	$1.51
Rate for Payer: Cash Price	$3.02
Rate for Payer: Cofinity Advantage	$2.65
Rate for Payer: Cofinity Commercial	$3.25
Rate for Payer: Encore Health Key Benefits Commercial	$3.02
Rate for Payer: Healthscope Commercial	$3.40
Rate for Payer: MI Amish Medical Board Commercial	$3.02
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.21
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.83
Rate for Payer: PHP Commercial	$3.21
Rate for Payer: Priority Health SBD	$2.38
Rate for Payer: UHC All Payor (Choice/PPO)	$2.46
Rate for Payer: UHC Core	$1.97
Rate for Payer: UHC Exchange	$1.49

METOPROLOL SUCCINATE ER 12.5 MG CUSTOM TAB

Facility

$245.28

Service Code	NDC 09999001501
Hospital Charge Code	150704
Hospital Revenue Code	637
Min. Negotiated Rate	$154.53
Max. Negotiated Rate	$220.75
Rate for Payer: Aetna Commercial	$208.49
Rate for Payer: Aetna New Business (MI Preferred)	$159.43
Rate for Payer: Cash Price	$196.22
Rate for Payer: Cofinity Advantage	$171.70
Rate for Payer: Cofinity Commercial	$210.94
Rate for Payer: Encore Health Key Benefits Commercial	$196.22
Rate for Payer: Healthscope Commercial	$220.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$208.49
Rate for Payer: Opus (Opus Packaging Group) HMA	$183.96
Rate for Payer: PHP Commercial	$208.49
Rate for Payer: Priority Health SBD	$154.53

METOPROLOL SUCCINATE ER 12.5 MG CUSTOM TAB

Facility

$245.28

Service Code	NDC 09999001501
Hospital Charge Code	150704
Hospital Revenue Code	637
Min. Negotiated Rate	$96.40
Max. Negotiated Rate	$220.75
Rate for Payer: Aetna Commercial	$208.49
Rate for Payer: Aetna Medicare	$122.64
Rate for Payer: Aetna New Business (MI Preferred)	$159.43
Rate for Payer: BCBS Complete	$98.11
Rate for Payer: Cash Price	$196.22
Rate for Payer: Cofinity Advantage	$171.70
Rate for Payer: Cofinity Commercial	$210.94
Rate for Payer: Encore Health Key Benefits Commercial	$196.22
Rate for Payer: Healthscope Commercial	$220.75
Rate for Payer: MI Amish Medical Board Commercial	$196.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$208.49
Rate for Payer: Opus (Opus Packaging Group) HMA	$183.96
Rate for Payer: PHP Commercial	$208.49
Rate for Payer: Priority Health SBD	$154.53
Rate for Payer: UHC All Payor (Choice/PPO)	$159.43
Rate for Payer: UHC Core	$127.79
Rate for Payer: UHC Exchange	$96.40

METOPROLOL SUCCINATE ER 12.5 MG CUSTOM TAB

Facility

$240.48

Service Code	NDC 09900000013
Hospital Charge Code	150704
Hospital Revenue Code	637
Min. Negotiated Rate	$94.51
Max. Negotiated Rate	$216.43
Rate for Payer: Aetna Commercial	$204.41
Rate for Payer: Aetna Medicare	$120.24
Rate for Payer: Aetna New Business (MI Preferred)	$156.31
Rate for Payer: BCBS Complete	$96.19
Rate for Payer: Cash Price	$192.38
Rate for Payer: Cofinity Advantage	$168.34
Rate for Payer: Cofinity Commercial	$206.81
Rate for Payer: Encore Health Key Benefits Commercial	$192.38
Rate for Payer: Healthscope Commercial	$216.43
Rate for Payer: MI Amish Medical Board Commercial	$192.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$204.41
Rate for Payer: Opus (Opus Packaging Group) HMA	$180.36
Rate for Payer: PHP Commercial	$204.41
Rate for Payer: Priority Health SBD	$151.50
Rate for Payer: UHC All Payor (Choice/PPO)	$156.31
Rate for Payer: UHC Core	$125.29
Rate for Payer: UHC Exchange	$94.51

METOPROLOL SUCCINATE ER 12.5 MG CUSTOM TAB

Facility

$240.48

Service Code	NDC 09900000013
Hospital Charge Code	150704
Hospital Revenue Code	637
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$216.43
Rate for Payer: Aetna Commercial	$204.41
Rate for Payer: Aetna New Business (MI Preferred)	$156.31
Rate for Payer: Cash Price	$192.38
Rate for Payer: Cofinity Advantage	$168.34
Rate for Payer: Cofinity Commercial	$206.81
Rate for Payer: Encore Health Key Benefits Commercial	$192.38
Rate for Payer: Healthscope Commercial	$216.43
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$204.41
Rate for Payer: Opus (Opus Packaging Group) HMA	$180.36
Rate for Payer: PHP Commercial	$204.41
Rate for Payer: Priority Health SBD	$151.50

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$152.75

Service Code	NDC 70436020201
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$96.23
Max. Negotiated Rate	$137.47
Rate for Payer: Aetna Commercial	$129.84
Rate for Payer: Aetna New Business (MI Preferred)	$99.29
Rate for Payer: Cash Price	$122.20
Rate for Payer: Cofinity Advantage	$106.92
Rate for Payer: Cofinity Commercial	$131.37
Rate for Payer: Encore Health Key Benefits Commercial	$122.20
Rate for Payer: Healthscope Commercial	$137.47
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$129.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$114.56
Rate for Payer: PHP Commercial	$129.84
Rate for Payer: Priority Health SBD	$96.23

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$221.35

Service Code	NDC 45963070911
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$86.99
Max. Negotiated Rate	$199.22
Rate for Payer: Aetna Commercial	$188.15
Rate for Payer: Aetna Medicare	$110.67
Rate for Payer: Aetna New Business (MI Preferred)	$143.88
Rate for Payer: BCBS Complete	$88.54
Rate for Payer: Cash Price	$177.08
Rate for Payer: Cofinity Advantage	$154.94
Rate for Payer: Cofinity Commercial	$190.36
Rate for Payer: Encore Health Key Benefits Commercial	$177.08
Rate for Payer: Healthscope Commercial	$199.22
Rate for Payer: MI Amish Medical Board Commercial	$177.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$188.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$166.01
Rate for Payer: PHP Commercial	$188.15
Rate for Payer: Priority Health SBD	$139.45
Rate for Payer: UHC All Payor (Choice/PPO)	$143.88
Rate for Payer: UHC Core	$115.32
Rate for Payer: UHC Exchange	$86.99

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$136.30

Service Code	NDC 72516003001
Hospital Charge Code	29858
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)	$88.59
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Advantage	$95.41
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Encore Health Key Benefits Commercial	$109.04
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$115.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$102.22
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health SBD	$85.87

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$239.70

Service Code	NDC 50742061501
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$151.01
Max. Negotiated Rate	$215.73
Rate for Payer: Aetna Commercial	$203.75
Rate for Payer: Aetna New Business (MI Preferred)	$155.81
Rate for Payer: Cash Price	$191.76
Rate for Payer: Cofinity Advantage	$167.79
Rate for Payer: Cofinity Commercial	$206.14
Rate for Payer: Encore Health Key Benefits Commercial	$191.76
Rate for Payer: Healthscope Commercial	$215.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$203.75
Rate for Payer: Opus (Opus Packaging Group) HMA	$179.78
Rate for Payer: PHP Commercial	$203.75
Rate for Payer: Priority Health SBD	$151.01

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$136.30

Service Code	NDC 72516003001
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$53.57
Max. Negotiated Rate	$122.67
Rate for Payer: Aetna Commercial	$115.86
Rate for Payer: Aetna Medicare	$68.15
Rate for Payer: Aetna New Business (MI Preferred)	$88.59
Rate for Payer: BCBS Complete	$54.52
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Advantage	$95.41
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Encore Health Key Benefits Commercial	$109.04
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: MI Amish Medical Board Commercial	$109.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$115.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$102.22
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health SBD	$85.87
Rate for Payer: UHC All Payor (Choice/PPO)	$88.59
Rate for Payer: UHC Core	$71.01
Rate for Payer: UHC Exchange	$53.57

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$152.75

Service Code	NDC 70436020201
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$60.03
Max. Negotiated Rate	$137.47
Rate for Payer: Aetna Commercial	$129.84
Rate for Payer: Aetna Medicare	$76.38
Rate for Payer: Aetna New Business (MI Preferred)	$99.29
Rate for Payer: BCBS Complete	$61.10
Rate for Payer: Cash Price	$122.20
Rate for Payer: Cofinity Advantage	$106.92
Rate for Payer: Cofinity Commercial	$131.37
Rate for Payer: Encore Health Key Benefits Commercial	$122.20
Rate for Payer: Healthscope Commercial	$137.47
Rate for Payer: MI Amish Medical Board Commercial	$122.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$129.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$114.56
Rate for Payer: PHP Commercial	$129.84
Rate for Payer: Priority Health SBD	$96.23
Rate for Payer: UHC All Payor (Choice/PPO)	$99.29
Rate for Payer: UHC Core	$79.58
Rate for Payer: UHC Exchange	$60.03

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$3.05

Service Code	NDC 60687039011
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$2.75
Rate for Payer: Aetna Commercial	$2.59
Rate for Payer: Aetna New Business (MI Preferred)	$1.98
Rate for Payer: Cash Price	$2.44
Rate for Payer: Cofinity Advantage	$2.13
Rate for Payer: Cofinity Commercial	$2.62
Rate for Payer: Encore Health Key Benefits Commercial	$2.44
Rate for Payer: Healthscope Commercial	$2.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.29
Rate for Payer: PHP Commercial	$2.59
Rate for Payer: Priority Health SBD	$1.92

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$304.32

Service Code	NDC 60687039001
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$191.72
Max. Negotiated Rate	$273.89
Rate for Payer: Aetna Commercial	$258.67
Rate for Payer: Aetna New Business (MI Preferred)	$197.81
Rate for Payer: Cash Price	$243.46
Rate for Payer: Cofinity Advantage	$213.02
Rate for Payer: Cofinity Commercial	$261.72
Rate for Payer: Encore Health Key Benefits Commercial	$243.46
Rate for Payer: Healthscope Commercial	$273.89
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$258.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$228.24
Rate for Payer: PHP Commercial	$258.67
Rate for Payer: Priority Health SBD	$191.72

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$304.32

Service Code	NDC 60687039001
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$273.89
Rate for Payer: Aetna Commercial	$258.67
Rate for Payer: Aetna Medicare	$152.16
Rate for Payer: Aetna New Business (MI Preferred)	$197.81
Rate for Payer: BCBS Complete	$121.73
Rate for Payer: Cash Price	$243.46
Rate for Payer: Cofinity Advantage	$213.02
Rate for Payer: Cofinity Commercial	$261.72
Rate for Payer: Encore Health Key Benefits Commercial	$243.46
Rate for Payer: Healthscope Commercial	$273.89
Rate for Payer: MI Amish Medical Board Commercial	$243.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$258.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$228.24
Rate for Payer: PHP Commercial	$258.67
Rate for Payer: Priority Health SBD	$191.72
Rate for Payer: UHC All Payor (Choice/PPO)	$197.81
Rate for Payer: UHC Core	$158.55
Rate for Payer: UHC Exchange	$119.60

Know your out-of-pocket cost for care.

All Charges