Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$276.48

Service Code	NDC 00904632261
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$108.66
Max. Negotiated Rate	$248.83
Rate for Payer: Aetna Commercial	$235.01
Rate for Payer: Aetna Medicare	$138.24
Rate for Payer: Aetna New Business (MI Preferred)	$179.71
Rate for Payer: BCBS Complete	$110.59
Rate for Payer: Cash Price	$221.18
Rate for Payer: Cofinity Advantage	$193.54
Rate for Payer: Cofinity Commercial	$237.77
Rate for Payer: Encore Health Key Benefits Commercial	$221.18
Rate for Payer: Healthscope Commercial	$248.83
Rate for Payer: MI Amish Medical Board Commercial	$221.18
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$235.01
Rate for Payer: Opus (Opus Packaging Group) HMA	$207.36
Rate for Payer: PHP Commercial	$235.01
Rate for Payer: Priority Health SBD	$174.18
Rate for Payer: UHC All Payor (Choice/PPO)	$179.71
Rate for Payer: UHC Core	$144.05
Rate for Payer: UHC Exchange	$108.66

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$136.30

Service Code	NDC 67877059001
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	$94.20
Max. Negotiated Rate	$215.73
Rate for Payer: Aetna Commercial	$203.75
Rate for Payer: Aetna Medicare	$119.85
Rate for Payer: Aetna New Business (MI Preferred)	$155.81
Rate for Payer: BCBS Complete	$95.88
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: MI Amish Medical Board Commercial	$191.76
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
Rate for Payer: UHC All Payor (Choice/PPO)	$155.81
Rate for Payer: UHC Core	$124.88
Rate for Payer: UHC Exchange	$94.20

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	$1.20
Max. Negotiated Rate	$2.75
Rate for Payer: Aetna Commercial	$2.59
Rate for Payer: Aetna Medicare	$1.52
Rate for Payer: Aetna New Business (MI Preferred)	$1.98
Rate for Payer: BCBS Complete	$1.22
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: MI Amish Medical Board Commercial	$2.44
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
Rate for Payer: UHC All Payor (Choice/PPO)	$1.98
Rate for Payer: UHC Core	$1.59
Rate for Payer: UHC Exchange	$1.20

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$276.48

Service Code	NDC 00904632261
Hospital Charge Code	29858
Hospital Revenue Code	637
Min. Negotiated Rate	$174.18
Max. Negotiated Rate	$248.83
Rate for Payer: Aetna Commercial	$235.01
Rate for Payer: Aetna New Business (MI Preferred)	$179.71
Rate for Payer: Cash Price	$221.18
Rate for Payer: Cofinity Advantage	$193.54
Rate for Payer: Cofinity Commercial	$237.77
Rate for Payer: Encore Health Key Benefits Commercial	$221.18
Rate for Payer: Healthscope Commercial	$248.83
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$235.01
Rate for Payer: Opus (Opus Packaging Group) HMA	$207.36
Rate for Payer: PHP Commercial	$235.01
Rate for Payer: Priority Health SBD	$174.18

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	$139.45
Max. Negotiated Rate	$199.22
Rate for Payer: Aetna Commercial	$188.15
Rate for Payer: Aetna New Business (MI Preferred)	$143.88
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: 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

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$136.30

Service Code	NDC 67877059001
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 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	$423.75
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 Advantage	$754.77
Rate for Payer: Cofinity Commercial	$927.29
Rate for Payer: Encore Health Key Benefits Commercial	$862.60
Rate for Payer: Healthscope Commercial	$970.42
Rate for Payer: MI Amish Medical Board Commercial	$862.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$916.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$808.69
Rate for Payer: PHP Commercial	$916.51
Rate for Payer: Priority Health SBD	$679.30
Rate for Payer: UHC All Payor (Choice/PPO)	$700.86
Rate for Payer: UHC Core	$561.77
Rate for Payer: UHC Exchange	$423.75

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$180.98

Service Code	NDC 60687040265
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$114.02
Max. Negotiated Rate	$162.88
Rate for Payer: Aetna Commercial	$153.83
Rate for Payer: Aetna New Business (MI Preferred)	$117.64
Rate for Payer: Cash Price	$144.78
Rate for Payer: Cofinity Advantage	$126.69
Rate for Payer: Cofinity Commercial	$155.64
Rate for Payer: Encore Health Key Benefits Commercial	$144.78
Rate for Payer: Healthscope Commercial	$162.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$153.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$135.74
Rate for Payer: PHP Commercial	$153.83
Rate for Payer: Priority Health SBD	$114.02

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.53

Service Code	NDC 51079017001
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$4.08
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare	$2.27
Rate for Payer: Aetna New Business (MI Preferred)	$2.94
Rate for Payer: BCBS Complete	$1.81
Rate for Payer: Cash Price	$3.62
Rate for Payer: Cofinity Advantage	$3.17
Rate for Payer: Cofinity Commercial	$3.90
Rate for Payer: Encore Health Key Benefits Commercial	$3.62
Rate for Payer: Healthscope Commercial	$4.08
Rate for Payer: MI Amish Medical Board Commercial	$3.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.85
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.40
Rate for Payer: PHP Commercial	$3.85
Rate for Payer: Priority Health SBD	$2.85
Rate for Payer: UHC All Payor (Choice/PPO)	$2.94
Rate for Payer: UHC Core	$2.36
Rate for Payer: UHC Exchange	$1.78

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$452.20

Service Code	NDC 51079017020
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$177.71
Max. Negotiated Rate	$406.98
Rate for Payer: Aetna Commercial	$384.37
Rate for Payer: Aetna Medicare	$226.10
Rate for Payer: Aetna New Business (MI Preferred)	$293.93
Rate for Payer: BCBS Complete	$180.88
Rate for Payer: Cash Price	$361.76
Rate for Payer: Cofinity Advantage	$316.54
Rate for Payer: Cofinity Commercial	$388.89
Rate for Payer: Encore Health Key Benefits Commercial	$361.76
Rate for Payer: Healthscope Commercial	$406.98
Rate for Payer: MI Amish Medical Board Commercial	$361.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$384.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$339.15
Rate for Payer: PHP Commercial	$384.37
Rate for Payer: Priority Health SBD	$284.89
Rate for Payer: UHC All Payor (Choice/PPO)	$293.93
Rate for Payer: UHC Core	$235.60
Rate for Payer: UHC Exchange	$177.71

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$180.98

Service Code	NDC 60687040265
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$71.13
Max. Negotiated Rate	$162.88
Rate for Payer: Aetna Commercial	$153.83
Rate for Payer: Aetna Medicare	$90.49
Rate for Payer: Aetna New Business (MI Preferred)	$117.64
Rate for Payer: BCBS Complete	$72.39
Rate for Payer: Cash Price	$144.78
Rate for Payer: Cofinity Advantage	$126.69
Rate for Payer: Cofinity Commercial	$155.64
Rate for Payer: Encore Health Key Benefits Commercial	$144.78
Rate for Payer: Healthscope Commercial	$162.88
Rate for Payer: MI Amish Medical Board Commercial	$144.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$153.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$135.74
Rate for Payer: PHP Commercial	$153.83
Rate for Payer: Priority Health SBD	$114.02
Rate for Payer: UHC All Payor (Choice/PPO)	$117.64
Rate for Payer: UHC Core	$94.29
Rate for Payer: UHC Exchange	$71.13

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.53

Service Code	NDC 51079017001
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$4.08
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna New Business (MI Preferred)	$2.94
Rate for Payer: Cash Price	$3.62
Rate for Payer: Cofinity Advantage	$3.17
Rate for Payer: Cofinity Commercial	$3.90
Rate for Payer: Encore Health Key Benefits Commercial	$3.62
Rate for Payer: Healthscope Commercial	$4.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.85
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.40
Rate for Payer: PHP Commercial	$3.85
Rate for Payer: Priority Health SBD	$2.85

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$452.20

Service Code	NDC 51079017020
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$284.89
Max. Negotiated Rate	$406.98
Rate for Payer: Aetna Commercial	$384.37
Rate for Payer: Aetna New Business (MI Preferred)	$293.93
Rate for Payer: Cash Price	$361.76
Rate for Payer: Cofinity Advantage	$316.54
Rate for Payer: Cofinity Commercial	$388.89
Rate for Payer: Encore Health Key Benefits Commercial	$361.76
Rate for Payer: Healthscope Commercial	$406.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$384.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$339.15
Rate for Payer: PHP Commercial	$384.37
Rate for Payer: Priority Health SBD	$284.89

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$259.68

Service Code	NDC 00904632361
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$102.05
Max. Negotiated Rate	$233.71
Rate for Payer: Aetna Commercial	$220.73
Rate for Payer: Aetna Medicare	$129.84
Rate for Payer: Aetna New Business (MI Preferred)	$168.79
Rate for Payer: BCBS Complete	$103.87
Rate for Payer: Cash Price	$207.74
Rate for Payer: Cofinity Advantage	$181.78
Rate for Payer: Cofinity Commercial	$223.32
Rate for Payer: Encore Health Key Benefits Commercial	$207.74
Rate for Payer: Healthscope Commercial	$233.71
Rate for Payer: MI Amish Medical Board Commercial	$207.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$220.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$194.76
Rate for Payer: PHP Commercial	$220.73
Rate for Payer: Priority Health SBD	$163.60
Rate for Payer: UHC All Payor (Choice/PPO)	$168.79
Rate for Payer: UHC Core	$135.29
Rate for Payer: UHC Exchange	$102.05

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$2.86

Service Code	NDC 60687040211
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$2.57
Rate for Payer: Aetna Commercial	$2.43
Rate for Payer: Aetna New Business (MI Preferred)	$1.86
Rate for Payer: Cash Price	$2.29
Rate for Payer: Cofinity Advantage	$2.00
Rate for Payer: Cofinity Commercial	$2.46
Rate for Payer: Encore Health Key Benefits Commercial	$2.29
Rate for Payer: Healthscope Commercial	$2.57
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.15
Rate for Payer: PHP Commercial	$2.43
Rate for Payer: Priority Health SBD	$1.80

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$259.68

Service Code	NDC 00904632361
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$163.60
Max. Negotiated Rate	$233.71
Rate for Payer: Aetna Commercial	$220.73
Rate for Payer: Aetna New Business (MI Preferred)	$168.79
Rate for Payer: Cash Price	$207.74
Rate for Payer: Cofinity Advantage	$181.78
Rate for Payer: Cofinity Commercial	$223.32
Rate for Payer: Encore Health Key Benefits Commercial	$207.74
Rate for Payer: Healthscope Commercial	$233.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$220.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$194.76
Rate for Payer: PHP Commercial	$220.73
Rate for Payer: Priority Health SBD	$163.60

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$2.86

Service Code	NDC 60687040211
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$2.57
Rate for Payer: Aetna Commercial	$2.43
Rate for Payer: Aetna Medicare	$1.43
Rate for Payer: Aetna New Business (MI Preferred)	$1.86
Rate for Payer: BCBS Complete	$1.14
Rate for Payer: Cash Price	$2.29
Rate for Payer: Cofinity Advantage	$2.00
Rate for Payer: Cofinity Commercial	$2.46
Rate for Payer: Encore Health Key Benefits Commercial	$2.29
Rate for Payer: Healthscope Commercial	$2.57
Rate for Payer: MI Amish Medical Board Commercial	$2.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.15
Rate for Payer: PHP Commercial	$2.43
Rate for Payer: Priority Health SBD	$1.80
Rate for Payer: UHC All Payor (Choice/PPO)	$1.86
Rate for Payer: UHC Core	$1.49
Rate for Payer: UHC Exchange	$1.12

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	$679.30
Max. Negotiated Rate	$970.42
Rate for Payer: Aetna Commercial	$916.51
Rate for Payer: Aetna New Business (MI Preferred)	$700.86
Rate for Payer: Cash Price	$862.60
Rate for Payer: Cofinity Advantage	$754.77
Rate for Payer: Cofinity Commercial	$927.29
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: Opus (Opus Packaging Group) HMA	$808.69
Rate for Payer: PHP Commercial	$916.51
Rate for Payer: Priority Health SBD	$679.30

METOPROLOL TARTRATE 100 MG TABLET

Facility

$214.70

Service Code	NDC 62584026701
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$84.38
Max. Negotiated Rate	$193.23
Rate for Payer: Aetna Commercial	$182.50
Rate for Payer: Aetna Medicare	$107.35
Rate for Payer: Aetna New Business (MI Preferred)	$139.56
Rate for Payer: BCBS Complete	$85.88
Rate for Payer: Cash Price	$171.76
Rate for Payer: Cofinity Advantage	$150.29
Rate for Payer: Cofinity Commercial	$184.64
Rate for Payer: Encore Health Key Benefits Commercial	$171.76
Rate for Payer: Healthscope Commercial	$193.23
Rate for Payer: MI Amish Medical Board Commercial	$171.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$182.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$161.03
Rate for Payer: PHP Commercial	$182.50
Rate for Payer: Priority Health SBD	$135.26
Rate for Payer: UHC All Payor (Choice/PPO)	$139.56
Rate for Payer: UHC Core	$111.86
Rate for Payer: UHC Exchange	$84.38

METOPROLOL TARTRATE 100 MG TABLET

Facility

$214.70

Service Code	NDC 62584026701
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$135.26
Max. Negotiated Rate	$193.23
Rate for Payer: Aetna Commercial	$182.50
Rate for Payer: Aetna New Business (MI Preferred)	$139.56
Rate for Payer: Cash Price	$171.76
Rate for Payer: Cofinity Advantage	$150.29
Rate for Payer: Cofinity Commercial	$184.64
Rate for Payer: Encore Health Key Benefits Commercial	$171.76
Rate for Payer: Healthscope Commercial	$193.23
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$182.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$161.03
Rate for Payer: PHP Commercial	$182.50
Rate for Payer: Priority Health SBD	$135.26

METOPROLOL TARTRATE 100 MG TABLET

Facility

$86.95

Service Code	NDC 62332011431
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$34.17
Max. Negotiated Rate	$78.25
Rate for Payer: Aetna Commercial	$73.91
Rate for Payer: Aetna Medicare	$43.48
Rate for Payer: Aetna New Business (MI Preferred)	$56.52
Rate for Payer: BCBS Complete	$34.78
Rate for Payer: Cash Price	$69.56
Rate for Payer: Cofinity Advantage	$60.87
Rate for Payer: Cofinity Commercial	$74.78
Rate for Payer: Encore Health Key Benefits Commercial	$69.56
Rate for Payer: Healthscope Commercial	$78.25
Rate for Payer: MI Amish Medical Board Commercial	$69.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$73.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$65.21
Rate for Payer: PHP Commercial	$73.91
Rate for Payer: Priority Health SBD	$54.78
Rate for Payer: UHC All Payor (Choice/PPO)	$56.52
Rate for Payer: UHC Core	$45.30
Rate for Payer: UHC Exchange	$34.17

METOPROLOL TARTRATE 100 MG TABLET

Facility

$86.95

Service Code	NDC 62332011431
Hospital Charge Code	5008
Hospital Revenue Code	637
Min. Negotiated Rate	$54.78
Max. Negotiated Rate	$78.25
Rate for Payer: Aetna Commercial	$73.91
Rate for Payer: Aetna New Business (MI Preferred)	$56.52
Rate for Payer: Cash Price	$69.56
Rate for Payer: Cofinity Advantage	$60.87
Rate for Payer: Cofinity Commercial	$74.78
Rate for Payer: Encore Health Key Benefits Commercial	$69.56
Rate for Payer: Healthscope Commercial	$78.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$73.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$65.21
Rate for Payer: PHP Commercial	$73.91
Rate for Payer: Priority Health SBD	$54.78

METOPROLOL TARTRATE 12.5 MG CUSTOM TAB

Facility

$101.05

Service Code	NDC 00000000088
Hospital Charge Code	500250
Hospital Revenue Code	637
Min. Negotiated Rate	$63.66
Max. Negotiated Rate	$90.94
Rate for Payer: Aetna Commercial	$85.89
Rate for Payer: Aetna New Business (MI Preferred)	$65.68
Rate for Payer: Cash Price	$80.84
Rate for Payer: Cofinity Advantage	$70.73
Rate for Payer: Cofinity Commercial	$86.90
Rate for Payer: Encore Health Key Benefits Commercial	$80.84
Rate for Payer: Healthscope Commercial	$90.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$85.89
Rate for Payer: Opus (Opus Packaging Group) HMA	$75.79
Rate for Payer: PHP Commercial	$85.89
Rate for Payer: Priority Health SBD	$63.66

METOPROLOL TARTRATE 12.5 MG CUSTOM TAB

Facility

$101.05

Service Code	NDC 00000000088
Hospital Charge Code	500250
Hospital Revenue Code	637
Min. Negotiated Rate	$39.71
Max. Negotiated Rate	$90.94
Rate for Payer: Aetna Commercial	$85.89
Rate for Payer: Aetna Medicare	$50.52
Rate for Payer: Aetna New Business (MI Preferred)	$65.68
Rate for Payer: BCBS Complete	$40.42
Rate for Payer: Cash Price	$80.84
Rate for Payer: Cofinity Advantage	$70.73
Rate for Payer: Cofinity Commercial	$86.90
Rate for Payer: Encore Health Key Benefits Commercial	$80.84
Rate for Payer: Healthscope Commercial	$90.94
Rate for Payer: MI Amish Medical Board Commercial	$80.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$85.89
Rate for Payer: Opus (Opus Packaging Group) HMA	$75.79
Rate for Payer: PHP Commercial	$85.89
Rate for Payer: Priority Health SBD	$63.66
Rate for Payer: UHC All Payor (Choice/PPO)	$65.68
Rate for Payer: UHC Core	$52.65
Rate for Payer: UHC Exchange	$39.71

Know your out-of-pocket cost for care.

All Charges