Madison Medical Center

All Charges

Charge

Type

Setting

Price

METHYLPRED ACETATE 40MG IM MDV 5ML

Facility

$81.00

Service Code	HCPCS J1010
Hospital Charge Code	2620307
Hospital Revenue Code	250
Rate for Payer: Cash Price	$72.90

METHYLPRED ACETATE 80MG IM INJ 1ML

Facility

$152.00

Service Code	HCPCS J1010
Hospital Charge Code	2626532
Hospital Revenue Code	250
Min. Negotiated Rate	$54.72
Max. Negotiated Rate	$108.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$89.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$108.53
Rate for Payer: Cash Price	$136.80
Rate for Payer: UnitedHealthcare Commercial	$101.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$54.72

METHYLPRED ACETATE 80MG IM INJ 1ML

Facility

$152.00

Service Code	HCPCS J1010
Hospital Charge Code	2626532
Hospital Revenue Code	250
Rate for Payer: Cash Price	$136.80

METHYLPRED ACETATE 80MG IM (MDV 5ML)

Facility

$152.00

Service Code	HCPCS J1010
Hospital Charge Code	2698371
Hospital Revenue Code	250
Min. Negotiated Rate	$54.72
Max. Negotiated Rate	$108.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$89.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$108.53
Rate for Payer: Cash Price	$136.80
Rate for Payer: UnitedHealthcare Commercial	$101.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$54.72

METHYLPRED ACETATE 80MG IM (MDV 5ML)

Facility

$152.00

Service Code	HCPCS J1010
Hospital Charge Code	2698371
Hospital Revenue Code	250
Rate for Payer: Cash Price	$136.80

METHYLPREDNISOLONE INJ

Facility

$58.00

Service Code	HCPCS J2930
Hospital Charge Code	2058060
Hospital Revenue Code	370
Min. Negotiated Rate	$20.88
Max. Negotiated Rate	$41.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$34.34
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$41.41
Rate for Payer: Cash Price	$52.20
Rate for Payer: UnitedHealthcare Commercial	$38.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.88

METHYLPREDNISOLONE INJ

Facility

$58.00

Service Code	HCPCS J2930
Hospital Charge Code	2058060
Hospital Revenue Code	370
Rate for Payer: Cash Price	$52.20

METHYLPRED SOD SUCCINATE 125MG/2ML INJ

Facility

$90.00

Service Code	HCPCS J2919
Hospital Charge Code	2655535
Hospital Revenue Code	250
Rate for Payer: Cash Price	$81.00

METHYLPRED SOD SUCCINATE 125MG/2ML INJ

Facility

$90.00

Service Code	HCPCS J2919
Hospital Charge Code	2655535
Hospital Revenue Code	250
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$64.26
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$53.28
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$64.26
Rate for Payer: Cash Price	$81.00
Rate for Payer: UnitedHealthcare Commercial	$60.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.40

METHYLPRED SOD SUCCINATE 1GM INJ

Facility

$368.00

Service Code	NDC 9001820
Hospital Charge Code	2655545
Hospital Revenue Code	250
Min. Negotiated Rate	$132.48
Max. Negotiated Rate	$262.75
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$217.86
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$262.75
Rate for Payer: Cash Price	$331.20
Rate for Payer: UnitedHealthcare Commercial	$245.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$132.48

METHYLPRED SOD SUCCINATE 1GM INJ

Facility

$368.00

Service Code	NDC 9001820
Hospital Charge Code	2655545
Hospital Revenue Code	250
Rate for Payer: Cash Price	$331.20

METHYLPRED SOD SUCCINATE 40MG/ML INJ

Facility

$65.00

Service Code	HCPCS J2919
Hospital Charge Code	2655530
Hospital Revenue Code	250
Rate for Payer: Cash Price	$58.50

METHYLPRED SOD SUCCINATE 40MG/ML INJ

Facility

$65.00

Service Code	HCPCS J2919
Hospital Charge Code	2655530
Hospital Revenue Code	250
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$46.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$38.48
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$46.41
Rate for Payer: Cash Price	$58.50
Rate for Payer: UnitedHealthcare Commercial	$43.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.40

METHYLPRED SOD SUCCINATE 500MG IVP 4ML

Facility

$210.00

Service Code	NDC 9000302
Hospital Charge Code	2626593
Hospital Revenue Code	250
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$149.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$124.32
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$149.94
Rate for Payer: Cash Price	$189.00
Rate for Payer: UnitedHealthcare Commercial	$140.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$75.60

METHYLPRED SOD SUCCINATE 500MG IVP 4ML

Facility

$210.00

Service Code	NDC 9000302
Hospital Charge Code	2626593
Hospital Revenue Code	250
Rate for Payer: Cash Price	$189.00

METOCLOPRAMIDE ORAL SOL 10MG 10ML

Facility

$15.00

Service Code	NDC 6.2559E+10
Hospital Charge Code	2622518
Hospital Revenue Code	250
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$10.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$8.88
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$10.71
Rate for Payer: Cash Price	$13.50
Rate for Payer: UnitedHealthcare Commercial	$10.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.40

METOCLOPRAMIDE ORAL SOL 10MG 10ML

Facility

$15.00

Service Code	NDC 6.2559E+10
Hospital Charge Code	2622518
Hospital Revenue Code	250
Rate for Payer: Cash Price	$13.50

METOCLOPRAMIDE (REGLAN) 10MG INJ 2ML VL

Facility

$75.00

Service Code	HCPCS J2765
Hospital Charge Code	2655558
Hospital Revenue Code	250
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$53.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$44.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$53.55
Rate for Payer: Cash Price	$67.50
Rate for Payer: UnitedHealthcare Commercial	$50.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.00

METOCLOPRAMIDE (REGLAN) 10MG INJ 2ML VL

Facility

$75.00

Service Code	HCPCS J2765
Hospital Charge Code	2655558
Hospital Revenue Code	250
Rate for Payer: Cash Price	$67.50

METOCLOPRAMIDE (REGLAN) 10MG TAB

Facility

$21.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2655556
Hospital Revenue Code	250
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$14.99
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$12.43
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$14.99
Rate for Payer: Cash Price	$18.90
Rate for Payer: UnitedHealthcare Commercial	$14.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.56

METOCLOPRAMIDE (REGLAN) 10MG TAB

Facility

$21.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2655556
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOLAZONE (ZAROXOLYN) 5MG TAB

Facility

$32.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2655566
Hospital Revenue Code	250
Rate for Payer: Cash Price	$28.80

METOLAZONE (ZAROXOLYN) 5MG TAB

Facility

$32.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2655566
Hospital Revenue Code	250
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$22.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$18.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$22.85
Rate for Payer: Cash Price	$28.80
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.52

METOLAZONE (ZAROXOLYN) 5MG TAB EMP

Facility

$32.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2625345
Hospital Revenue Code	250
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$22.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$18.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$22.85
Rate for Payer: Cash Price	$28.80
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.52

METOLAZONE (ZAROXOLYN) 5MG TAB EMP

Facility

$32.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2625345
Hospital Revenue Code	250
Rate for Payer: Cash Price	$28.80

Know your out-of-pocket cost for care.

All Charges