Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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	$411.35
Rate for Payer: Aetna Commercial	$370.21
Rate for Payer: Aetna Medicare	$205.68
Rate for Payer: ASR ASR	$399.01
Rate for Payer: ASR Commercial	$399.01
Rate for Payer: BCBS Complete	$164.54
Rate for Payer: BCBS Trust/PPO	$336.85
Rate for Payer: BCN Commercial	$318.92
Rate for Payer: Cash Price	$329.08
Rate for Payer: Cofinity Commercial	$386.67
Rate for Payer: Encore Health Key Benefits Commercial	$329.08
Rate for Payer: Healthscope Commercial	$411.35
Rate for Payer: Healthscope Whirlpool	$399.01
Rate for Payer: Mclaren Commercial	$370.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$349.65
Rate for Payer: Nomi Health Commercial	$337.31
Rate for Payer: Priority Health Cigna Priority Health	$267.38
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$360.42
Rate for Payer: Priority Health Narrow Network	$288.36
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$361.99

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	$372.40
Rate for Payer: Aetna Commercial	$335.16
Rate for Payer: Aetna Medicare	$186.20
Rate for Payer: ASR ASR	$361.23
Rate for Payer: ASR Commercial	$361.23
Rate for Payer: BCBS Complete	$148.96
Rate for Payer: BCBS Trust/PPO	$304.96
Rate for Payer: BCN Commercial	$288.72
Rate for Payer: Cash Price	$297.92
Rate for Payer: Cofinity Commercial	$350.06
Rate for Payer: Encore Health Key Benefits Commercial	$297.92
Rate for Payer: Healthscope Commercial	$372.40
Rate for Payer: Healthscope Whirlpool	$361.23
Rate for Payer: Mclaren Commercial	$335.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$316.54
Rate for Payer: Nomi Health Commercial	$305.37
Rate for Payer: Priority Health Cigna Priority Health	$242.06
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$326.30
Rate for Payer: Priority Health Narrow Network	$261.05
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$327.71

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.11

Service Code	NDC 51079017001
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$4.11
Rate for Payer: Aetna Commercial	$3.70
Rate for Payer: Aetna Medicare	$2.06
Rate for Payer: ASR ASR	$3.99
Rate for Payer: ASR Commercial	$3.99
Rate for Payer: BCBS Complete	$1.64
Rate for Payer: BCBS Trust/PPO	$3.37
Rate for Payer: BCN Commercial	$3.19
Rate for Payer: Cash Price	$3.29
Rate for Payer: Cofinity Commercial	$3.86
Rate for Payer: Encore Health Key Benefits Commercial	$3.29
Rate for Payer: Healthscope Commercial	$4.11
Rate for Payer: Healthscope Whirlpool	$3.99
Rate for Payer: Mclaren Commercial	$3.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.49
Rate for Payer: Nomi Health Commercial	$3.37
Rate for Payer: Priority Health Cigna Priority Health	$2.67
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3.60
Rate for Payer: Priority Health Narrow Network	$2.88
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$3.62

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR

Facility

$4.11

Service Code	NDC 51079017001
Hospital Charge Code	30070
Hospital Revenue Code	637
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$4.11
Rate for Payer: Aetna Commercial	$3.70
Rate for Payer: ASR ASR	$3.99
Rate for Payer: ASR Commercial	$3.99
Rate for Payer: BCBS Trust/PPO	$3.35
Rate for Payer: BCN Commercial	$3.19
Rate for Payer: Cash Price	$3.29
Rate for Payer: Cofinity Commercial	$3.86
Rate for Payer: Encore Health Key Benefits Commercial	$3.29
Rate for Payer: Healthscope Commercial	$4.11
Rate for Payer: Healthscope Whirlpool	$3.99
Rate for Payer: Mclaren Commercial	$3.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.49
Rate for Payer: Nomi Health Commercial	$3.37
Rate for Payer: Priority Health Cigna Priority Health	$2.67
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$3.62

METOPROLOL TARTRATE 25 MG TABLET

Facility

$190.35

Service Code	NDC 62584026511
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$76.14
Max. Negotiated Rate	$190.35
Rate for Payer: Aetna Commercial	$171.31
Rate for Payer: Aetna Medicare	$95.17
Rate for Payer: ASR ASR	$184.64
Rate for Payer: ASR Commercial	$184.64
Rate for Payer: BCBS Complete	$76.14
Rate for Payer: BCBS Trust/PPO	$155.88
Rate for Payer: BCN Commercial	$147.58
Rate for Payer: Cash Price	$152.28
Rate for Payer: Cofinity Commercial	$178.93
Rate for Payer: Encore Health Key Benefits Commercial	$152.28
Rate for Payer: Healthscope Commercial	$190.35
Rate for Payer: Healthscope Whirlpool	$184.64
Rate for Payer: Mclaren Commercial	$171.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$161.80
Rate for Payer: Nomi Health Commercial	$156.09
Rate for Payer: Priority Health Cigna Priority Health	$123.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$166.78
Rate for Payer: Priority Health Narrow Network	$133.44
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$167.51

METOPROLOL TARTRATE 25 MG TABLET

Facility

$190.35

Service Code	NDC 62584026511
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$123.73
Max. Negotiated Rate	$190.35
Rate for Payer: Aetna Commercial	$171.31
Rate for Payer: ASR ASR	$184.64
Rate for Payer: ASR Commercial	$184.64
Rate for Payer: BCBS Trust/PPO	$155.12
Rate for Payer: BCN Commercial	$147.58
Rate for Payer: Cash Price	$152.28
Rate for Payer: Cofinity Commercial	$178.93
Rate for Payer: Encore Health Key Benefits Commercial	$152.28
Rate for Payer: Healthscope Commercial	$190.35
Rate for Payer: Healthscope Whirlpool	$184.64
Rate for Payer: Mclaren Commercial	$171.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$161.80
Rate for Payer: Nomi Health Commercial	$156.09
Rate for Payer: Priority Health Cigna Priority Health	$123.73
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$167.51

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	$1.72
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: Aetna Medicare	$0.86
Rate for Payer: ASR ASR	$1.67
Rate for Payer: ASR Commercial	$1.67
Rate for Payer: BCBS Complete	$0.69
Rate for Payer: BCBS Trust/PPO	$1.41
Rate for Payer: BCN Commercial	$1.33
Rate for Payer: Cash Price	$1.37
Rate for Payer: Cofinity Commercial	$1.62
Rate for Payer: Encore Health Key Benefits Commercial	$1.38
Rate for Payer: Healthscope Commercial	$1.72
Rate for Payer: Healthscope Whirlpool	$1.67
Rate for Payer: Mclaren Commercial	$1.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.46
Rate for Payer: Nomi Health Commercial	$1.41
Rate for Payer: Priority Health Cigna Priority Health	$1.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1.51
Rate for Payer: Priority Health Narrow Network	$1.21
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1.51

METOPROLOL TARTRATE 25 MG TABLET

Facility

$190.35

Service Code	NDC 62584026501
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$123.73
Max. Negotiated Rate	$190.35
Rate for Payer: Aetna Commercial	$171.31
Rate for Payer: ASR ASR	$184.64
Rate for Payer: ASR Commercial	$184.64
Rate for Payer: BCBS Trust/PPO	$155.12
Rate for Payer: BCN Commercial	$147.58
Rate for Payer: Cash Price	$152.28
Rate for Payer: Cofinity Commercial	$178.93
Rate for Payer: Encore Health Key Benefits Commercial	$152.28
Rate for Payer: Healthscope Commercial	$190.35
Rate for Payer: Healthscope Whirlpool	$184.64
Rate for Payer: Mclaren Commercial	$171.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$161.80
Rate for Payer: Nomi Health Commercial	$156.09
Rate for Payer: Priority Health Cigna Priority Health	$123.73
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$167.51

METOPROLOL TARTRATE 25 MG TABLET

Facility

$190.35

Service Code	NDC 62584026501
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$76.14
Max. Negotiated Rate	$190.35
Rate for Payer: Aetna Commercial	$171.31
Rate for Payer: Aetna Medicare	$95.17
Rate for Payer: ASR ASR	$184.64
Rate for Payer: ASR Commercial	$184.64
Rate for Payer: BCBS Complete	$76.14
Rate for Payer: BCBS Trust/PPO	$155.88
Rate for Payer: BCN Commercial	$147.58
Rate for Payer: Cash Price	$152.28
Rate for Payer: Cofinity Commercial	$178.93
Rate for Payer: Encore Health Key Benefits Commercial	$152.28
Rate for Payer: Healthscope Commercial	$190.35
Rate for Payer: Healthscope Whirlpool	$184.64
Rate for Payer: Mclaren Commercial	$171.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$161.80
Rate for Payer: Nomi Health Commercial	$156.09
Rate for Payer: Priority Health Cigna Priority Health	$123.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$166.78
Rate for Payer: Priority Health Narrow Network	$133.44
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$167.51

METOPROLOL TARTRATE 25 MG TABLET

Facility

$171.55

Service Code	NDC 51079025520
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$111.51
Max. Negotiated Rate	$171.55
Rate for Payer: Aetna Commercial	$154.40
Rate for Payer: ASR ASR	$166.40
Rate for Payer: ASR Commercial	$166.40
Rate for Payer: BCBS Trust/PPO	$139.80
Rate for Payer: BCN Commercial	$133.00
Rate for Payer: Cash Price	$137.24
Rate for Payer: Cofinity Commercial	$161.26
Rate for Payer: Encore Health Key Benefits Commercial	$137.24
Rate for Payer: Healthscope Commercial	$171.55
Rate for Payer: Healthscope Whirlpool	$166.40
Rate for Payer: Mclaren Commercial	$154.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$145.82
Rate for Payer: Nomi Health Commercial	$140.67
Rate for Payer: Priority Health Cigna Priority Health	$111.51
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$150.96

METOPROLOL TARTRATE 25 MG TABLET

Facility

$1.72

Service Code	NDC 51079025501
Hospital Charge Code	37637
Hospital Revenue Code	637
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.72
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: ASR ASR	$1.67
Rate for Payer: ASR Commercial	$1.67
Rate for Payer: BCBS Trust/PPO	$1.40
Rate for Payer: BCN Commercial	$1.33
Rate for Payer: Cash Price	$1.37
Rate for Payer: Cofinity Commercial	$1.62
Rate for Payer: Encore Health Key Benefits Commercial	$1.38
Rate for Payer: Healthscope Commercial	$1.72
Rate for Payer: Healthscope Whirlpool	$1.67
Rate for Payer: Mclaren Commercial	$1.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.46
Rate for Payer: Nomi Health Commercial	$1.41
Rate for Payer: Priority Health Cigna Priority Health	$1.12
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1.51

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	$171.55
Rate for Payer: Aetna Commercial	$154.40
Rate for Payer: Aetna Medicare	$85.78
Rate for Payer: ASR ASR	$166.40
Rate for Payer: ASR Commercial	$166.40
Rate for Payer: BCBS Complete	$68.62
Rate for Payer: BCBS Trust/PPO	$140.48
Rate for Payer: BCN Commercial	$133.00
Rate for Payer: Cash Price	$137.24
Rate for Payer: Cofinity Commercial	$161.26
Rate for Payer: Encore Health Key Benefits Commercial	$137.24
Rate for Payer: Healthscope Commercial	$171.55
Rate for Payer: Healthscope Whirlpool	$166.40
Rate for Payer: Mclaren Commercial	$154.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$145.82
Rate for Payer: Nomi Health Commercial	$140.67
Rate for Payer: Priority Health Cigna Priority Health	$111.51
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$150.31
Rate for Payer: Priority Health Narrow Network	$120.26
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$150.96

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	$164.50
Rate for Payer: Aetna Commercial	$148.05
Rate for Payer: Aetna Medicare	$82.25
Rate for Payer: ASR ASR	$159.56
Rate for Payer: ASR Commercial	$159.56
Rate for Payer: BCBS Complete	$65.80
Rate for Payer: BCBS Trust/PPO	$134.71
Rate for Payer: BCN Commercial	$127.54
Rate for Payer: Cash Price	$131.60
Rate for Payer: Cofinity Commercial	$154.63
Rate for Payer: Encore Health Key Benefits Commercial	$131.60
Rate for Payer: Healthscope Commercial	$164.50
Rate for Payer: Healthscope Whirlpool	$159.56
Rate for Payer: Mclaren Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.82
Rate for Payer: Nomi Health Commercial	$134.89
Rate for Payer: Priority Health Cigna Priority Health	$106.92
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$144.13
Rate for Payer: Priority Health Narrow Network	$115.31
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$144.76

METOPROLOL TARTRATE 50 MG TABLET

Facility

$56.40

Service Code	NDC 62332011331
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$22.56
Max. Negotiated Rate	$56.40
Rate for Payer: Aetna Commercial	$50.76
Rate for Payer: Aetna Medicare	$28.20
Rate for Payer: ASR ASR	$54.71
Rate for Payer: ASR Commercial	$54.71
Rate for Payer: BCBS Complete	$22.56
Rate for Payer: BCBS Trust/PPO	$46.19
Rate for Payer: BCN Commercial	$43.73
Rate for Payer: Cash Price	$45.12
Rate for Payer: Cofinity Commercial	$53.02
Rate for Payer: Encore Health Key Benefits Commercial	$45.12
Rate for Payer: Healthscope Commercial	$56.40
Rate for Payer: Healthscope Whirlpool	$54.71
Rate for Payer: Mclaren Commercial	$50.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$47.94
Rate for Payer: Nomi Health Commercial	$46.25
Rate for Payer: Priority Health Cigna Priority Health	$36.66
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$49.42
Rate for Payer: Priority Health Narrow Network	$39.54
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$49.63

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	$225.60
Rate for Payer: Aetna Commercial	$203.04
Rate for Payer: Aetna Medicare	$112.80
Rate for Payer: ASR ASR	$218.83
Rate for Payer: ASR Commercial	$218.83
Rate for Payer: BCBS Complete	$90.24
Rate for Payer: BCBS Trust/PPO	$184.74
Rate for Payer: BCN Commercial	$174.91
Rate for Payer: Cash Price	$180.48
Rate for Payer: Cofinity Commercial	$212.06
Rate for Payer: Encore Health Key Benefits Commercial	$180.48
Rate for Payer: Healthscope Commercial	$225.60
Rate for Payer: Healthscope Whirlpool	$218.83
Rate for Payer: Mclaren Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$191.76
Rate for Payer: Nomi Health Commercial	$184.99
Rate for Payer: Priority Health Cigna Priority Health	$146.64
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$197.67
Rate for Payer: Priority Health Narrow Network	$158.15
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$198.53

METOPROLOL TARTRATE 50 MG TABLET

Facility

$56.40

Service Code	NDC 62332011331
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$36.66
Max. Negotiated Rate	$56.40
Rate for Payer: Aetna Commercial	$50.76
Rate for Payer: ASR ASR	$54.71
Rate for Payer: ASR Commercial	$54.71
Rate for Payer: BCBS Trust/PPO	$45.96
Rate for Payer: BCN Commercial	$43.73
Rate for Payer: Cash Price	$45.12
Rate for Payer: Cofinity Commercial	$53.02
Rate for Payer: Encore Health Key Benefits Commercial	$45.12
Rate for Payer: Healthscope Commercial	$56.40
Rate for Payer: Healthscope Whirlpool	$54.71
Rate for Payer: Mclaren Commercial	$50.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$47.94
Rate for Payer: Nomi Health Commercial	$46.25
Rate for Payer: Priority Health Cigna Priority Health	$36.66
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$49.63

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	$225.60
Rate for Payer: Aetna Commercial	$203.04
Rate for Payer: Aetna Medicare	$112.80
Rate for Payer: ASR ASR	$218.83
Rate for Payer: ASR Commercial	$218.83
Rate for Payer: BCBS Complete	$90.24
Rate for Payer: BCBS Trust/PPO	$184.74
Rate for Payer: BCN Commercial	$174.91
Rate for Payer: Cash Price	$180.48
Rate for Payer: Cofinity Commercial	$212.06
Rate for Payer: Encore Health Key Benefits Commercial	$180.48
Rate for Payer: Healthscope Commercial	$225.60
Rate for Payer: Healthscope Whirlpool	$218.83
Rate for Payer: Mclaren Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$191.76
Rate for Payer: Nomi Health Commercial	$184.99
Rate for Payer: Priority Health Cigna Priority Health	$146.64
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$197.67
Rate for Payer: Priority Health Narrow Network	$158.15
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$198.53

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	$108.10
Rate for Payer: Aetna Commercial	$97.29
Rate for Payer: Aetna Medicare	$54.05
Rate for Payer: ASR ASR	$104.86
Rate for Payer: ASR Commercial	$104.86
Rate for Payer: BCBS Complete	$43.24
Rate for Payer: BCBS Trust/PPO	$88.52
Rate for Payer: BCN Commercial	$83.81
Rate for Payer: Cash Price	$86.48
Rate for Payer: Cofinity Commercial	$101.61
Rate for Payer: Encore Health Key Benefits Commercial	$86.48
Rate for Payer: Healthscope Commercial	$108.10
Rate for Payer: Healthscope Whirlpool	$104.86
Rate for Payer: Mclaren Commercial	$97.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$91.89
Rate for Payer: Nomi Health Commercial	$88.64
Rate for Payer: Priority Health Cigna Priority Health	$70.27
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$94.72
Rate for Payer: Priority Health Narrow Network	$75.78
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$95.13

METOPROLOL TARTRATE 50 MG TABLET

Facility

$164.50

Service Code	NDC 00904711861
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$106.92
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$148.05
Rate for Payer: ASR ASR	$159.56
Rate for Payer: ASR Commercial	$159.56
Rate for Payer: BCBS Trust/PPO	$134.05
Rate for Payer: BCN Commercial	$127.54
Rate for Payer: Cash Price	$131.60
Rate for Payer: Cofinity Commercial	$154.63
Rate for Payer: Encore Health Key Benefits Commercial	$131.60
Rate for Payer: Healthscope Commercial	$164.50
Rate for Payer: Healthscope Whirlpool	$159.56
Rate for Payer: Mclaren Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.82
Rate for Payer: Nomi Health Commercial	$134.89
Rate for Payer: Priority Health Cigna Priority Health	$106.92
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$144.76

METOPROLOL TARTRATE 50 MG TABLET

Facility

$1.76

Service Code	NDC 51079080101
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.76
Rate for Payer: Aetna Commercial	$1.58
Rate for Payer: ASR ASR	$1.71
Rate for Payer: ASR Commercial	$1.71
Rate for Payer: BCBS Trust/PPO	$1.43
Rate for Payer: BCN Commercial	$1.36
Rate for Payer: Cash Price	$1.41
Rate for Payer: Cofinity Commercial	$1.65
Rate for Payer: Encore Health Key Benefits Commercial	$1.41
Rate for Payer: Healthscope Commercial	$1.76
Rate for Payer: Healthscope Whirlpool	$1.71
Rate for Payer: Mclaren Commercial	$1.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.50
Rate for Payer: Nomi Health Commercial	$1.44
Rate for Payer: Priority Health Cigna Priority Health	$1.14
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1.55

METOPROLOL TARTRATE 50 MG TABLET

Facility

$1.76

Service Code	NDC 51079080101
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.76
Rate for Payer: Aetna Commercial	$1.58
Rate for Payer: Aetna Medicare	$0.88
Rate for Payer: ASR ASR	$1.71
Rate for Payer: ASR Commercial	$1.71
Rate for Payer: BCBS Complete	$0.70
Rate for Payer: BCBS Trust/PPO	$1.44
Rate for Payer: BCN Commercial	$1.36
Rate for Payer: Cash Price	$1.41
Rate for Payer: Cofinity Commercial	$1.65
Rate for Payer: Encore Health Key Benefits Commercial	$1.41
Rate for Payer: Healthscope Commercial	$1.76
Rate for Payer: Healthscope Whirlpool	$1.71
Rate for Payer: Mclaren Commercial	$1.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.50
Rate for Payer: Nomi Health Commercial	$1.44
Rate for Payer: Priority Health Cigna Priority Health	$1.14
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1.54
Rate for Payer: Priority Health Narrow Network	$1.23
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1.55

METOPROLOL TARTRATE 50 MG TABLET

Facility

$108.10

Service Code	NDC 00378003201
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$70.27
Max. Negotiated Rate	$108.10
Rate for Payer: Aetna Commercial	$97.29
Rate for Payer: ASR ASR	$104.86
Rate for Payer: ASR Commercial	$104.86
Rate for Payer: BCBS Trust/PPO	$88.09
Rate for Payer: BCN Commercial	$83.81
Rate for Payer: Cash Price	$86.48
Rate for Payer: Cofinity Commercial	$101.61
Rate for Payer: Encore Health Key Benefits Commercial	$86.48
Rate for Payer: Healthscope Commercial	$108.10
Rate for Payer: Healthscope Whirlpool	$104.86
Rate for Payer: Mclaren Commercial	$97.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$91.89
Rate for Payer: Nomi Health Commercial	$88.64
Rate for Payer: Priority Health Cigna Priority Health	$70.27
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$95.13

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584026611
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$146.64
Max. Negotiated Rate	$225.60
Rate for Payer: Aetna Commercial	$203.04
Rate for Payer: ASR ASR	$218.83
Rate for Payer: ASR Commercial	$218.83
Rate for Payer: BCBS Trust/PPO	$183.84
Rate for Payer: BCN Commercial	$174.91
Rate for Payer: Cash Price	$180.48
Rate for Payer: Cofinity Commercial	$212.06
Rate for Payer: Encore Health Key Benefits Commercial	$180.48
Rate for Payer: Healthscope Commercial	$225.60
Rate for Payer: Healthscope Whirlpool	$218.83
Rate for Payer: Mclaren Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$191.76
Rate for Payer: Nomi Health Commercial	$184.99
Rate for Payer: Priority Health Cigna Priority Health	$146.64
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$198.53

METOPROLOL TARTRATE 50 MG TABLET

Facility

$225.60

Service Code	NDC 62584026601
Hospital Charge Code	5009
Hospital Revenue Code	637
Min. Negotiated Rate	$146.64
Max. Negotiated Rate	$225.60
Rate for Payer: Aetna Commercial	$203.04
Rate for Payer: ASR ASR	$218.83
Rate for Payer: ASR Commercial	$218.83
Rate for Payer: BCBS Trust/PPO	$183.84
Rate for Payer: BCN Commercial	$174.91
Rate for Payer: Cash Price	$180.48
Rate for Payer: Cofinity Commercial	$212.06
Rate for Payer: Encore Health Key Benefits Commercial	$180.48
Rate for Payer: Healthscope Commercial	$225.60
Rate for Payer: Healthscope Whirlpool	$218.83
Rate for Payer: Mclaren Commercial	$203.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$191.76
Rate for Payer: Nomi Health Commercial	$184.99
Rate for Payer: Priority Health Cigna Priority Health	$146.64
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$198.53

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$14.12

Service Code	NDC 47781058717
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$14.12
Rate for Payer: Aetna Commercial	$12.71
Rate for Payer: Aetna Medicare	$7.06
Rate for Payer: ASR ASR	$13.70
Rate for Payer: ASR Commercial	$13.70
Rate for Payer: BCBS Complete	$5.65
Rate for Payer: BCBS Trust/PPO	$11.56
Rate for Payer: BCN Commercial	$10.95
Rate for Payer: Cash Price	$11.30
Rate for Payer: Cofinity Commercial	$13.27
Rate for Payer: Encore Health Key Benefits Commercial	$11.30
Rate for Payer: Healthscope Commercial	$14.12
Rate for Payer: Healthscope Whirlpool	$13.70
Rate for Payer: Mclaren Commercial	$12.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.00
Rate for Payer: Nomi Health Commercial	$11.58
Rate for Payer: Priority Health Cigna Priority Health	$9.18
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$12.37
Rate for Payer: Priority Health Narrow Network	$9.90
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$12.43

Know your out-of-pocket cost for care.

All Charges