Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE

Facility

$586.60

Service Code	NDC 00406831562
Hospital Charge Code	20920
Hospital Revenue Code	637
Min. Negotiated Rate	$369.56
Max. Negotiated Rate	$527.94
Rate for Payer: Aetna Commercial	$498.61
Rate for Payer: Aetna New Business (MI Preferred)	$381.29
Rate for Payer: Cash Price	$469.28
Rate for Payer: Cofinity Advantage	$410.62
Rate for Payer: Cofinity Commercial	$504.48
Rate for Payer: Encore Health Key Benefits Commercial	$469.28
Rate for Payer: Healthscope Commercial	$527.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$498.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$439.95
Rate for Payer: PHP Commercial	$498.61
Rate for Payer: Priority Health SBD	$369.56

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$895.30

Service Code	NDC 00406833062
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$564.04
Max. Negotiated Rate	$805.77
Rate for Payer: Aetna Commercial	$761.00
Rate for Payer: Aetna New Business (MI Preferred)	$581.95
Rate for Payer: Cash Price	$716.24
Rate for Payer: Cofinity Advantage	$626.71
Rate for Payer: Cofinity Commercial	$769.96
Rate for Payer: Encore Health Key Benefits Commercial	$716.24
Rate for Payer: Healthscope Commercial	$805.77
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$761.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$671.48
Rate for Payer: PHP Commercial	$761.00
Rate for Payer: Priority Health SBD	$564.04

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$813.40

Service Code	NDC 00904655861
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$319.67
Max. Negotiated Rate	$732.06
Rate for Payer: Aetna Commercial	$691.39
Rate for Payer: Aetna Medicare	$406.70
Rate for Payer: Aetna New Business (MI Preferred)	$528.71
Rate for Payer: BCBS Complete	$325.36
Rate for Payer: Cash Price	$650.72
Rate for Payer: Cofinity Advantage	$569.38
Rate for Payer: Cofinity Commercial	$699.52
Rate for Payer: Encore Health Key Benefits Commercial	$650.72
Rate for Payer: Healthscope Commercial	$732.06
Rate for Payer: MI Amish Medical Board Commercial	$650.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$691.39
Rate for Payer: Opus (Opus Packaging Group) HMA	$610.05
Rate for Payer: PHP Commercial	$691.39
Rate for Payer: Priority Health SBD	$512.44
Rate for Payer: UHC All Payor (Choice/PPO)	$528.71
Rate for Payer: UHC Core	$423.78
Rate for Payer: UHC Exchange	$319.67

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$8.96

Service Code	NDC 00406833023
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$8.06
Rate for Payer: Aetna Commercial	$7.62
Rate for Payer: Aetna Medicare	$4.48
Rate for Payer: Aetna New Business (MI Preferred)	$5.82
Rate for Payer: BCBS Complete	$3.58
Rate for Payer: Cash Price	$7.17
Rate for Payer: Cofinity Advantage	$6.27
Rate for Payer: Cofinity Commercial	$7.71
Rate for Payer: Encore Health Key Benefits Commercial	$7.17
Rate for Payer: Healthscope Commercial	$8.06
Rate for Payer: MI Amish Medical Board Commercial	$7.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$7.62
Rate for Payer: Opus (Opus Packaging Group) HMA	$6.72
Rate for Payer: PHP Commercial	$7.62
Rate for Payer: Priority Health SBD	$5.64
Rate for Payer: UHC All Payor (Choice/PPO)	$5.82
Rate for Payer: UHC Core	$4.67
Rate for Payer: UHC Exchange	$3.52

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$813.40

Service Code	NDC 00904655861
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$512.44
Max. Negotiated Rate	$732.06
Rate for Payer: Aetna Commercial	$691.39
Rate for Payer: Aetna New Business (MI Preferred)	$528.71
Rate for Payer: Cash Price	$650.72
Rate for Payer: Cofinity Advantage	$569.38
Rate for Payer: Cofinity Commercial	$699.52
Rate for Payer: Encore Health Key Benefits Commercial	$650.72
Rate for Payer: Healthscope Commercial	$732.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$691.39
Rate for Payer: Opus (Opus Packaging Group) HMA	$610.05
Rate for Payer: PHP Commercial	$691.39
Rate for Payer: Priority Health SBD	$512.44

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$8.96

Service Code	NDC 00406833023
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$8.06
Rate for Payer: Aetna Commercial	$7.62
Rate for Payer: Aetna New Business (MI Preferred)	$5.82
Rate for Payer: Cash Price	$7.17
Rate for Payer: Cofinity Advantage	$6.27
Rate for Payer: Cofinity Commercial	$7.71
Rate for Payer: Encore Health Key Benefits Commercial	$7.17
Rate for Payer: Healthscope Commercial	$8.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$7.62
Rate for Payer: Opus (Opus Packaging Group) HMA	$6.72
Rate for Payer: PHP Commercial	$7.62
Rate for Payer: Priority Health SBD	$5.64

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE

Facility

$895.30

Service Code	NDC 00406833062
Hospital Charge Code	20921
Hospital Revenue Code	637
Min. Negotiated Rate	$351.85
Max. Negotiated Rate	$805.77
Rate for Payer: Aetna Commercial	$761.00
Rate for Payer: Aetna Medicare	$447.65
Rate for Payer: Aetna New Business (MI Preferred)	$581.95
Rate for Payer: BCBS Complete	$358.12
Rate for Payer: Cash Price	$716.24
Rate for Payer: Cofinity Advantage	$626.71
Rate for Payer: Cofinity Commercial	$769.96
Rate for Payer: Encore Health Key Benefits Commercial	$716.24
Rate for Payer: Healthscope Commercial	$805.77
Rate for Payer: MI Amish Medical Board Commercial	$716.24
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$761.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$671.48
Rate for Payer: PHP Commercial	$761.00
Rate for Payer: Priority Health SBD	$564.04
Rate for Payer: UHC All Payor (Choice/PPO)	$581.95
Rate for Payer: UHC Core	$466.45
Rate for Payer: UHC Exchange	$351.85

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$1,127.88

Service Code	NDC 00406838062
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$710.56
Max. Negotiated Rate	$1,015.09
Rate for Payer: Aetna Commercial	$958.70
Rate for Payer: Aetna New Business (MI Preferred)	$733.12
Rate for Payer: Cash Price	$902.30
Rate for Payer: Cofinity Advantage	$789.52
Rate for Payer: Cofinity Commercial	$969.98
Rate for Payer: Encore Health Key Benefits Commercial	$902.30
Rate for Payer: Healthscope Commercial	$1,015.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$958.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$845.91
Rate for Payer: PHP Commercial	$958.70
Rate for Payer: Priority Health SBD	$710.56

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$11.28

Service Code	NDC 00406838023
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$10.15
Rate for Payer: Aetna Commercial	$9.59
Rate for Payer: Aetna Medicare	$5.64
Rate for Payer: Aetna New Business (MI Preferred)	$7.33
Rate for Payer: BCBS Complete	$4.51
Rate for Payer: Cash Price	$9.02
Rate for Payer: Cofinity Advantage	$7.90
Rate for Payer: Cofinity Commercial	$9.70
Rate for Payer: Encore Health Key Benefits Commercial	$9.02
Rate for Payer: Healthscope Commercial	$10.15
Rate for Payer: MI Amish Medical Board Commercial	$9.02
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$9.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.46
Rate for Payer: PHP Commercial	$9.59
Rate for Payer: Priority Health SBD	$7.11
Rate for Payer: UHC All Payor (Choice/PPO)	$7.33
Rate for Payer: UHC Core	$5.88
Rate for Payer: UHC Exchange	$4.43

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$1,025.31

Service Code	NDC 00904655961
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$645.95
Max. Negotiated Rate	$922.78
Rate for Payer: Aetna Commercial	$871.51
Rate for Payer: Aetna New Business (MI Preferred)	$666.45
Rate for Payer: Cash Price	$820.25
Rate for Payer: Cofinity Advantage	$717.72
Rate for Payer: Cofinity Commercial	$881.77
Rate for Payer: Encore Health Key Benefits Commercial	$820.25
Rate for Payer: Healthscope Commercial	$922.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$871.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$768.98
Rate for Payer: PHP Commercial	$871.51
Rate for Payer: Priority Health SBD	$645.95

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$901.29

Service Code	NDC 00228431111
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$567.81
Max. Negotiated Rate	$811.16
Rate for Payer: Aetna Commercial	$766.10
Rate for Payer: Aetna New Business (MI Preferred)	$585.84
Rate for Payer: Cash Price	$721.03
Rate for Payer: Cofinity Advantage	$630.90
Rate for Payer: Cofinity Commercial	$775.11
Rate for Payer: Encore Health Key Benefits Commercial	$721.03
Rate for Payer: Healthscope Commercial	$811.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$766.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$675.97
Rate for Payer: PHP Commercial	$766.10
Rate for Payer: Priority Health SBD	$567.81

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$1,025.31

Service Code	NDC 00904655961
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$402.95
Max. Negotiated Rate	$922.78
Rate for Payer: Aetna Commercial	$871.51
Rate for Payer: Aetna Medicare	$512.65
Rate for Payer: Aetna New Business (MI Preferred)	$666.45
Rate for Payer: BCBS Complete	$410.12
Rate for Payer: Cash Price	$820.25
Rate for Payer: Cofinity Advantage	$717.72
Rate for Payer: Cofinity Commercial	$881.77
Rate for Payer: Encore Health Key Benefits Commercial	$820.25
Rate for Payer: Healthscope Commercial	$922.78
Rate for Payer: MI Amish Medical Board Commercial	$820.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$871.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$768.98
Rate for Payer: PHP Commercial	$871.51
Rate for Payer: Priority Health SBD	$645.95
Rate for Payer: UHC All Payor (Choice/PPO)	$666.45
Rate for Payer: UHC Core	$534.19
Rate for Payer: UHC Exchange	$402.95

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$1,127.88

Service Code	NDC 00406838062
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$443.26
Max. Negotiated Rate	$1,015.09
Rate for Payer: Aetna Commercial	$958.70
Rate for Payer: Aetna Medicare	$563.94
Rate for Payer: Aetna New Business (MI Preferred)	$733.12
Rate for Payer: BCBS Complete	$451.15
Rate for Payer: Cash Price	$902.30
Rate for Payer: Cofinity Advantage	$789.52
Rate for Payer: Cofinity Commercial	$969.98
Rate for Payer: Encore Health Key Benefits Commercial	$902.30
Rate for Payer: Healthscope Commercial	$1,015.09
Rate for Payer: MI Amish Medical Board Commercial	$902.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$958.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$845.91
Rate for Payer: PHP Commercial	$958.70
Rate for Payer: Priority Health SBD	$710.56
Rate for Payer: UHC All Payor (Choice/PPO)	$733.12
Rate for Payer: UHC Core	$587.63
Rate for Payer: UHC Exchange	$443.26

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$11.28

Service Code	NDC 00406838023
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$10.15
Rate for Payer: Aetna Commercial	$9.59
Rate for Payer: Aetna New Business (MI Preferred)	$7.33
Rate for Payer: Cash Price	$9.02
Rate for Payer: Cofinity Advantage	$7.90
Rate for Payer: Cofinity Commercial	$9.70
Rate for Payer: Encore Health Key Benefits Commercial	$9.02
Rate for Payer: Healthscope Commercial	$10.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$9.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.46
Rate for Payer: PHP Commercial	$9.59
Rate for Payer: Priority Health SBD	$7.11

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE

Facility

$901.29

Service Code	NDC 00228431111
Hospital Charge Code	20922
Hospital Revenue Code	637
Min. Negotiated Rate	$354.21
Max. Negotiated Rate	$811.16
Rate for Payer: Aetna Commercial	$766.10
Rate for Payer: Aetna Medicare	$450.64
Rate for Payer: Aetna New Business (MI Preferred)	$585.84
Rate for Payer: BCBS Complete	$360.52
Rate for Payer: Cash Price	$721.03
Rate for Payer: Cofinity Advantage	$630.90
Rate for Payer: Cofinity Commercial	$775.11
Rate for Payer: Encore Health Key Benefits Commercial	$721.03
Rate for Payer: Healthscope Commercial	$811.16
Rate for Payer: MI Amish Medical Board Commercial	$721.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$766.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$675.97
Rate for Payer: PHP Commercial	$766.10
Rate for Payer: Priority Health SBD	$567.81
Rate for Payer: UHC All Payor (Choice/PPO)	$585.84
Rate for Payer: UHC Core	$469.57
Rate for Payer: UHC Exchange	$354.21

MORPHINE INHALATION (VARIABLE DOSE)

Facility

$11.68

Service Code	HCPCS J2270
Hospital Charge Code	300139
Hospital Revenue Code	636
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$10.51
Rate for Payer: Aetna Commercial	$9.93
Rate for Payer: Aetna Medicare	$5.84
Rate for Payer: Aetna New Business (MI Preferred)	$7.59
Rate for Payer: BCBS Complete	$4.67
Rate for Payer: BCBS Trust/PPO	$7.61
Rate for Payer: BCN Commercial	$7.61
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cofinity Advantage	$8.18
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Encore Health Key Benefits Commercial	$9.34
Rate for Payer: Healthscope Commercial	$10.51
Rate for Payer: MI Amish Medical Board Commercial	$9.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$9.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.76
Rate for Payer: PHP Commercial	$9.93
Rate for Payer: Priority Health SBD	$7.36
Rate for Payer: UHC All Payor (Choice/PPO)	$5.02
Rate for Payer: UHC Core	$5.02
Rate for Payer: UHC Exchange	$5.02

MORPHINE INHALATION (VARIABLE DOSE)

Facility

$11.68

Service Code	HCPCS J2270
Hospital Charge Code	300139
Hospital Revenue Code	636
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$10.51
Rate for Payer: Aetna Commercial	$9.93
Rate for Payer: Aetna New Business (MI Preferred)	$7.59
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cofinity Advantage	$8.18
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Encore Health Key Benefits Commercial	$9.34
Rate for Payer: Healthscope Commercial	$10.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$9.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.76
Rate for Payer: PHP Commercial	$9.93
Rate for Payer: Priority Health SBD	$7.36

MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION

Facility

$134.55

Service Code	HCPCS J2274
Hospital Charge Code	29464
Hospital Revenue Code	636
Min. Negotiated Rate	$84.77
Max. Negotiated Rate	$121.09
Rate for Payer: Aetna Commercial	$114.37
Rate for Payer: Aetna Commercial	$87.42
Rate for Payer: Aetna New Business (MI Preferred)	$66.85
Rate for Payer: Aetna New Business (MI Preferred)	$87.46
Rate for Payer: Cash Price	$82.28
Rate for Payer: Cash Price	$107.64
Rate for Payer: Cofinity Advantage	$72.00
Rate for Payer: Cofinity Advantage	$94.19
Rate for Payer: Cofinity Commercial	$115.71
Rate for Payer: Cofinity Commercial	$88.45
Rate for Payer: Encore Health Key Benefits Commercial	$107.64
Rate for Payer: Encore Health Key Benefits Commercial	$82.28
Rate for Payer: Healthscope Commercial	$121.09
Rate for Payer: Healthscope Commercial	$92.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$87.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$114.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$77.14
Rate for Payer: Opus (Opus Packaging Group) HMA	$100.91
Rate for Payer: PHP Commercial	$87.42
Rate for Payer: PHP Commercial	$114.37
Rate for Payer: Priority Health SBD	$84.77
Rate for Payer: Priority Health SBD	$64.80

MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION

Facility

$134.55

Service Code	HCPCS J2274
Hospital Charge Code	29464
Hospital Revenue Code	636
Min. Negotiated Rate	$22.28
Max. Negotiated Rate	$121.09
Rate for Payer: Aetna Commercial	$114.37
Rate for Payer: Aetna Commercial	$87.42
Rate for Payer: Aetna Medicare	$51.42
Rate for Payer: Aetna Medicare	$67.28
Rate for Payer: Aetna New Business (MI Preferred)	$87.46
Rate for Payer: Aetna New Business (MI Preferred)	$66.85
Rate for Payer: BCBS Complete	$41.14
Rate for Payer: BCBS Complete	$53.82
Rate for Payer: BCBS Trust/PPO	$33.83
Rate for Payer: BCBS Trust/PPO	$33.83
Rate for Payer: BCN Commercial	$33.83
Rate for Payer: BCN Commercial	$33.83
Rate for Payer: Cash Price	$107.64
Rate for Payer: Cash Price	$82.28
Rate for Payer: Cash Price	$107.64
Rate for Payer: Cash Price	$82.28
Rate for Payer: Cofinity Advantage	$94.19
Rate for Payer: Cofinity Advantage	$72.00
Rate for Payer: Cofinity Commercial	$115.71
Rate for Payer: Cofinity Commercial	$88.45
Rate for Payer: Encore Health Key Benefits Commercial	$82.28
Rate for Payer: Encore Health Key Benefits Commercial	$107.64
Rate for Payer: Healthscope Commercial	$92.56
Rate for Payer: Healthscope Commercial	$121.09
Rate for Payer: MI Amish Medical Board Commercial	$82.28
Rate for Payer: MI Amish Medical Board Commercial	$107.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$114.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$87.42
Rate for Payer: Opus (Opus Packaging Group) HMA	$100.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$77.14
Rate for Payer: PHP Commercial	$114.37
Rate for Payer: PHP Commercial	$87.42
Rate for Payer: Priority Health SBD	$84.77
Rate for Payer: Priority Health SBD	$64.80
Rate for Payer: UHC All Payor (Choice/PPO)	$22.28
Rate for Payer: UHC All Payor (Choice/PPO)	$22.28
Rate for Payer: UHC Core	$22.28
Rate for Payer: UHC Core	$22.28
Rate for Payer: UHC Exchange	$22.28
Rate for Payer: UHC Exchange	$22.28

MORPHINE (PF) 25 MG/ML INJECTION SOLUTION

Facility

$981.76

Service Code	NDC 66794016202
Hospital Charge Code	27392
Hospital Revenue Code	250
Min. Negotiated Rate	$385.83
Max. Negotiated Rate	$883.58
Rate for Payer: Aetna Commercial	$834.50
Rate for Payer: Aetna Medicare	$490.88
Rate for Payer: Aetna New Business (MI Preferred)	$638.14
Rate for Payer: BCBS Complete	$392.70
Rate for Payer: Cash Price	$785.41
Rate for Payer: Cofinity Advantage	$687.23
Rate for Payer: Cofinity Commercial	$844.31
Rate for Payer: Encore Health Key Benefits Commercial	$785.41
Rate for Payer: Healthscope Commercial	$883.58
Rate for Payer: MI Amish Medical Board Commercial	$785.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$834.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$736.32
Rate for Payer: PHP Commercial	$834.50
Rate for Payer: Priority Health SBD	$618.51
Rate for Payer: UHC All Payor (Choice/PPO)	$638.14
Rate for Payer: UHC Core	$511.50
Rate for Payer: UHC Exchange	$385.83

MORPHINE (PF) 25 MG/ML INJECTION SOLUTION

Facility

$1,041.92

Service Code	NDC 00641604001
Hospital Charge Code	27392
Hospital Revenue Code	250
Min. Negotiated Rate	$656.41
Max. Negotiated Rate	$937.73
Rate for Payer: Aetna Commercial	$885.63
Rate for Payer: Aetna New Business (MI Preferred)	$677.25
Rate for Payer: Cash Price	$833.54
Rate for Payer: Cofinity Advantage	$729.34
Rate for Payer: Cofinity Commercial	$896.05
Rate for Payer: Encore Health Key Benefits Commercial	$833.54
Rate for Payer: Healthscope Commercial	$937.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$885.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$781.44
Rate for Payer: PHP Commercial	$885.63
Rate for Payer: Priority Health SBD	$656.41

MORPHINE (PF) 25 MG/ML INJECTION SOLUTION

Facility

$1,041.92

Service Code	NDC 00641604001
Hospital Charge Code	27392
Hospital Revenue Code	250
Min. Negotiated Rate	$409.47
Max. Negotiated Rate	$937.73
Rate for Payer: Aetna Commercial	$885.63
Rate for Payer: Aetna Medicare	$520.96
Rate for Payer: Aetna New Business (MI Preferred)	$677.25
Rate for Payer: BCBS Complete	$416.77
Rate for Payer: Cash Price	$833.54
Rate for Payer: Cofinity Advantage	$729.34
Rate for Payer: Cofinity Commercial	$896.05
Rate for Payer: Encore Health Key Benefits Commercial	$833.54
Rate for Payer: Healthscope Commercial	$937.73
Rate for Payer: MI Amish Medical Board Commercial	$833.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$885.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$781.44
Rate for Payer: PHP Commercial	$885.63
Rate for Payer: Priority Health SBD	$656.41
Rate for Payer: UHC All Payor (Choice/PPO)	$677.25
Rate for Payer: UHC Core	$542.84
Rate for Payer: UHC Exchange	$409.47

MORPHINE (PF) 25 MG/ML INJECTION SOLUTION

Facility

$981.76

Service Code	NDC 66794016202
Hospital Charge Code	27392
Hospital Revenue Code	250
Min. Negotiated Rate	$618.51
Max. Negotiated Rate	$883.58
Rate for Payer: Aetna Commercial	$834.50
Rate for Payer: Aetna New Business (MI Preferred)	$638.14
Rate for Payer: Cash Price	$785.41
Rate for Payer: Cofinity Advantage	$687.23
Rate for Payer: Cofinity Commercial	$844.31
Rate for Payer: Encore Health Key Benefits Commercial	$785.41
Rate for Payer: Healthscope Commercial	$883.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$834.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$736.32
Rate for Payer: PHP Commercial	$834.50
Rate for Payer: Priority Health SBD	$618.51

MORPHINE VARIABLE DOSE

Facility

$11.68

Service Code	HCPCS J2270
Hospital Charge Code	150710
Hospital Revenue Code	636
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$10.51
Rate for Payer: Aetna Commercial	$9.93
Rate for Payer: Aetna Medicare	$5.84
Rate for Payer: Aetna New Business (MI Preferred)	$7.59
Rate for Payer: BCBS Complete	$4.67
Rate for Payer: BCBS Trust/PPO	$7.61
Rate for Payer: BCN Commercial	$7.61
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cofinity Advantage	$8.18
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Encore Health Key Benefits Commercial	$9.34
Rate for Payer: Healthscope Commercial	$10.51
Rate for Payer: MI Amish Medical Board Commercial	$9.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$9.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.76
Rate for Payer: PHP Commercial	$9.93
Rate for Payer: Priority Health SBD	$7.36
Rate for Payer: UHC All Payor (Choice/PPO)	$5.02
Rate for Payer: UHC Core	$5.02
Rate for Payer: UHC Exchange	$5.02

MORPHINE VARIABLE DOSE

Facility

$11.68

Service Code	HCPCS J2270
Hospital Charge Code	150710
Hospital Revenue Code	636
Min. Negotiated Rate	$7.36
Max. Negotiated Rate	$10.51
Rate for Payer: Aetna Commercial	$9.93
Rate for Payer: Aetna New Business (MI Preferred)	$7.59
Rate for Payer: Cash Price	$9.34
Rate for Payer: Cofinity Advantage	$8.18
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Encore Health Key Benefits Commercial	$9.34
Rate for Payer: Healthscope Commercial	$10.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$9.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.76
Rate for Payer: PHP Commercial	$9.93
Rate for Payer: Priority Health SBD	$7.36

Know your out-of-pocket cost for care.

All Charges