Madison Medical Center

All Charges

Charge

Type

Setting

Price

METOPROLOL (LOPRES) 5MG/5ML INJ 5ML

Facility

$126.00

Service Code	NDC 4.7781E+10
Hospital Charge Code	2655573
Hospital Revenue Code	250
Rate for Payer: Cash Price	$113.40

METOPROLOL (LOPRES) 5MG/5ML INJ 5ML

Facility

$126.00

Service Code	NDC 4.7781E+10
Hospital Charge Code	2655573
Hospital Revenue Code	250
Min. Negotiated Rate	$45.36
Max. Negotiated Rate	$89.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$74.59
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$89.96
Rate for Payer: Cash Price	$113.40
Rate for Payer: UnitedHealthcare Commercial	$84.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$45.36

METOPROLOL (LOPRESSOR) 100MG TAB

Facility

$22.00

Service Code	NDC 904634261
Hospital Charge Code	2655561
Hospital Revenue Code	250
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$15.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$13.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$15.71
Rate for Payer: Cash Price	$19.80
Rate for Payer: UnitedHealthcare Commercial	$14.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.92

METOPROLOL (LOPRESSOR) 100MG TAB

Facility

$22.00

Service Code	NDC 904634261
Hospital Charge Code	2655561
Hospital Revenue Code	250
Rate for Payer: Cash Price	$19.80

METOPROLOL (LOPRESSOR) 25MG TAB UD

Facility

$21.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2626457
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOPROLOL (LOPRESSOR) 25MG TAB UD

Facility

$21.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2626457
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

METOPROLOL ORAL SOL 10MG/ML 90ML BOTTLE

Facility

$140.00

Service Code	NDC 6.1919E+10
Hospital Charge Code	2622516
Hospital Revenue Code	250
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$99.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$82.88
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$99.96
Rate for Payer: Cash Price	$126.00
Rate for Payer: UnitedHealthcare Commercial	$93.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.40

METOPROLOL ORAL SOL 10MG/ML 90ML BOTTLE

Facility

$140.00

Service Code	NDC 6.1919E+10
Hospital Charge Code	2622516
Hospital Revenue Code	250
Rate for Payer: Cash Price	$126.00

METOPROLOL SUCC 50MG TAB HE

Facility

$21.00

Service Code	NDC 7.001E+10
Hospital Charge Code	2626230
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOPROLOL SUCC 50MG TAB HE

Facility

$21.00

Service Code	NDC 7.001E+10
Hospital Charge Code	2626230
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

METOPROLOL SUCC (TOPROL XL)25MG TAB

Facility

$20.00

Service Code	NDC 904616961
Hospital Charge Code	2626324
Hospital Revenue Code	250
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$14.28
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$11.84
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$14.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: UnitedHealthcare Commercial	$13.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.20

METOPROLOL SUCC (TOPROL XL)25MG TAB

Facility

$20.00

Service Code	NDC 904616961
Hospital Charge Code	2626324
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.00

METOPROLOL SUCC (TOPROL XL)50MG TAB

Facility

$21.00

Service Code	NDC 904632361
Hospital Charge Code	2626322
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

METOPROLOL SUCC (TOPROL XL)50MG TAB

Facility

$21.00

Service Code	NDC 904632361
Hospital Charge Code	2626322
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOPROLOL SUCC XL 100MG TAB EMP

Facility

$21.00

Service Code	NDC 4.5963E+10
Hospital Charge Code	2623546
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOPROLOL SUCC XL 100MG TAB EMP

Facility

$21.00

Service Code	NDC 4.5963E+10
Hospital Charge Code	2623546
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

METOPROLOL SUCC XL 25MG TAB EMP

Facility

$20.00

Service Code	NDC 904616961
Hospital Charge Code	2622412
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.00

METOPROLOL SUCC XL 25MG TAB EMP

Facility

$20.00

Service Code	NDC 904616961
Hospital Charge Code	2622412
Hospital Revenue Code	250
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$14.28
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$11.84
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$14.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: UnitedHealthcare Commercial	$13.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.20

METOPROLOL SUCC XL 50MG TAB EMP

Facility

$21.00

Service Code	NDC 904632361
Hospital Charge Code	2622241
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

METOPROLOL SUCC XL 50MG TAB EMP

Facility

$21.00

Service Code	NDC 904632361
Hospital Charge Code	2622241
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOPROLOL TART 100MG TAB EMP

Facility

$22.00

Service Code	NDC 5.7664E+10
Hospital Charge Code	2622795
Hospital Revenue Code	250
Rate for Payer: Cash Price	$19.80

METOPROLOL TART 100MG TAB EMP

Facility

$22.00

Service Code	NDC 5.7664E+10
Hospital Charge Code	2622795
Hospital Revenue Code	250
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$15.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$13.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$15.71
Rate for Payer: Cash Price	$19.80
Rate for Payer: UnitedHealthcare Commercial	$14.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.92

METOPROLOL TART 25MG TAB EMP

Facility

$21.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2698231
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

METOPROLOL TART 25MG TAB EMP

Facility

$21.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2698231
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

METOPROLOL TART 50MG TAB EMP

Facility

$126.00

Service Code	NDC 5.7664E+10
Hospital Charge Code	2618976
Hospital Revenue Code	250
Rate for Payer: Cash Price	$113.40

Know your out-of-pocket cost for care.

All Charges