Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.43

Service Code	NDC 70860-300-05
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.32
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.26
Rate for Payer: Aetna of CA Government/Medicare	$0.26
Rate for Payer: Cash Price	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.26
Rate for Payer: LLUH Dept of Risk Management WC	$0.24
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.32

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.23

Service Code	NDC 72266-122-25
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Cash Price	$0.10
Rate for Payer: Cigna of CA HMO/PPO	$0.18
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.17

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.28

Service Code	NDC 0409-1778-05
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.21
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.17
Rate for Payer: Aetna of CA Government/Medicare	$0.17
Rate for Payer: Cash Price	$0.13
Rate for Payer: Health Smart Auto/Commercial	$0.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.17
Rate for Payer: LLUH Dept of Risk Management WC	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.21

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.43

Service Code	NDC 70860-300-41
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.32
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.26
Rate for Payer: Aetna of CA Government/Medicare	$0.26
Rate for Payer: Cash Price	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.26
Rate for Payer: LLUH Dept of Risk Management WC	$0.24
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.32

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.24

Service Code	NDC 72611-740-10
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.14
Rate for Payer: Aetna of CA Government/Medicare	$0.14
Rate for Payer: Cash Price	$0.11
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.31

Service Code	NDC 36000-033-10
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.25
Rate for Payer: Cash Price	$0.14
Rate for Payer: Cigna of CA HMO/PPO	$0.25
Rate for Payer: Health Smart Auto/Commercial	$0.19
Rate for Payer: LLUH Dept of Risk Management WC	$0.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.23

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.24

Service Code	NDC 72611-740-01
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.19
Rate for Payer: Cash Price	$0.11
Rate for Payer: Cigna of CA HMO/PPO	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.24

Service Code	NDC 47781-587-20
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.14
Rate for Payer: Aetna of CA Government/Medicare	$0.14
Rate for Payer: Cash Price	$0.11
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.24

Service Code	NDC 72611-740-10
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.19
Rate for Payer: Cash Price	$0.11
Rate for Payer: Cigna of CA HMO/PPO	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.28

Service Code	NDC 0409-1778-15
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.22
Rate for Payer: Cash Price	$0.13
Rate for Payer: Cigna of CA HMO/PPO	$0.22
Rate for Payer: Health Smart Auto/Commercial	$0.17
Rate for Payer: LLUH Dept of Risk Management WC	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.21

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.23

Service Code	NDC 72266-122-01
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Cash Price	$0.10
Rate for Payer: Cigna of CA HMO/PPO	$0.18
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.17

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.28

Service Code	NDC 0409-1778-05
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.22
Rate for Payer: Cash Price	$0.13
Rate for Payer: Cigna of CA HMO/PPO	$0.22
Rate for Payer: Health Smart Auto/Commercial	$0.17
Rate for Payer: LLUH Dept of Risk Management WC	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.21

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.24

Service Code	NDC 47781-587-17
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.19
Rate for Payer: Cash Price	$0.11
Rate for Payer: Cigna of CA HMO/PPO	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.23

Service Code	NDC 72266-122-25
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.17
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.14
Rate for Payer: Aetna of CA Government/Medicare	$0.14
Rate for Payer: Cash Price	$0.10
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.17

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.24

Service Code	NDC 72611-740-01
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.14
Rate for Payer: Aetna of CA Government/Medicare	$0.14
Rate for Payer: Cash Price	$0.11
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.24

Service Code	NDC 47781-587-17
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.14
Rate for Payer: Aetna of CA Government/Medicare	$0.14
Rate for Payer: Cash Price	$0.11
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.43

Service Code	NDC 70860-300-05
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.34
Rate for Payer: Cash Price	$0.19
Rate for Payer: Cigna of CA HMO/PPO	$0.34
Rate for Payer: Health Smart Auto/Commercial	$0.26
Rate for Payer: LLUH Dept of Risk Management WC	$0.24
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.32

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

IP

$0.24

Service Code	NDC 47781-587-20
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.19
Rate for Payer: Cash Price	$0.11
Rate for Payer: Cigna of CA HMO/PPO	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007]

Facility

OP

$0.31

Service Code	NDC 36000-033-10
Hospital Charge Code	1720138
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.23
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.19
Rate for Payer: Aetna of CA Government/Medicare	$0.19
Rate for Payer: Cash Price	$0.14
Rate for Payer: Health Smart Auto/Commercial	$0.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.19
Rate for Payer: LLUH Dept of Risk Management WC	$0.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.23

METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592]

Facility

IP

$2.18

Service Code	NDC 45802-139-70
Hospital Charge Code	1749026
Hospital Revenue Code	259
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.74
Rate for Payer: Cash Price	$0.98
Rate for Payer: Cigna of CA HMO/PPO	$1.74
Rate for Payer: Health Smart Auto/Commercial	$1.31
Rate for Payer: LLUH Dept of Risk Management WC	$1.20
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.64

METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592]

Facility

OP

$2.18

Service Code	NDC 45802-139-70
Hospital Charge Code	1749026
Hospital Revenue Code	259
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.64
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.31
Rate for Payer: Aetna of CA Government/Medicare	$1.31
Rate for Payer: Cash Price	$0.98
Rate for Payer: Health Smart Auto/Commercial	$1.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.31
Rate for Payer: LLUH Dept of Risk Management WC	$1.20
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.64

METRONIDAZOLE 0.75 % TOPICAL CREAM [19805]

Facility

IP

$1.90

Service Code	NDC 0168-0323-46
Hospital Charge Code	ndg19805
Hospital Revenue Code	259
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$1.52
Rate for Payer: Cash Price	$0.86
Rate for Payer: Cigna of CA HMO/PPO	$1.52
Rate for Payer: Health Smart Auto/Commercial	$1.14
Rate for Payer: LLUH Dept of Risk Management WC	$1.04
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.42

METRONIDAZOLE 0.75 % TOPICAL CREAM [19805]

Facility

OP

$1.90

Service Code	NDC 0168-0323-46
Hospital Charge Code	ndg19805
Hospital Revenue Code	259
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$1.42
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.14
Rate for Payer: Aetna of CA Government/Medicare	$1.14
Rate for Payer: Cash Price	$0.86
Rate for Payer: Health Smart Auto/Commercial	$1.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.14
Rate for Payer: LLUH Dept of Risk Management WC	$1.04
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.42

METRONIDAZOLE 0.75 % TOPICAL GEL [19741]

Facility

IP

$2.61

Service Code	NDC 0115-1474-46
Hospital Charge Code	1743665
Hospital Revenue Code	259
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$2.09
Rate for Payer: Cash Price	$1.17
Rate for Payer: Cigna of CA HMO/PPO	$2.09
Rate for Payer: Health Smart Auto/Commercial	$1.57
Rate for Payer: LLUH Dept of Risk Management WC	$1.44
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.96

METRONIDAZOLE 0.75 % TOPICAL GEL [19741]

Facility

OP

$2.61

Service Code	NDC 0115-1474-46
Hospital Charge Code	1743665
Hospital Revenue Code	259
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.96
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.57
Rate for Payer: Aetna of CA Government/Medicare	$1.57
Rate for Payer: Cash Price	$1.17
Rate for Payer: Health Smart Auto/Commercial	$1.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.57
Rate for Payer: LLUH Dept of Risk Management WC	$1.44
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.96

<<
<
546
547
548
549
550
551
552
553
554
555
>
>>