Parkview Montpelier Hospital
909 East Snyder Avenue, Montpelier, OH · Parkview · · NPI 1275575227
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 3-d radiotherapy plan CPT 77295 | $2,922.50 | $5,845.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $60.00 | $120.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $101.00 | $202.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,834.69 | $3,669.38 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $56.50 | $113.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $4,929.00 | $9,858.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $1,500.00 | $3,000.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $932.00 | $1,864.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,065.50 | $2,131.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,043.00 | $2,086.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $658.50 | $1,317.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,458.50 | $4,917.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,638.50 | $5,277.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,497.50 | $2,995.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,797.00 | $3,594.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $513.00 | $1,026.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $495.50 | $991.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $412.50 | $825.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $1,245.55 | $2,491.10 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,108.50 | $6,217.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $10.60 | $21.20 | not published | 0 |
| Acetaminophen level CPT 80143 | $106.00 | $212.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $45.66 | $91.32 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $93.00 | $186.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $59.03 | $118.06 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $257.50 | $515.00 | not published | 0 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1,331.74 | $2,663.47 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $9.60 | $19.20 | not published | 0 |
| Adalimumab injection HCPCS J0135 | $8,684.45 | $17,368.90 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,999.20 | $3,998.40 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $336.41 | $672.82 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $430.34 | $860.67 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $81.00 | $162.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $81.00 | $162.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $379.00 | $758.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $248.00 | $496.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $81.00 | $162.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $81.00 | $162.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $110.50 | $221.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $110.50 | $221.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $67.00 | $134.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $67.00 | $134.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $67.00 | $134.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $8,192.13 | $16,384.26 | not published | 0 |
| Adrenalin epinephrine inject HCPCS J0171 | $260.92 | $521.85 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $704.00 | $1,408.00 | not published | 0 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $8,960.84 | $17,921.67 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $43.50 | $87.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $164.73 | $329.46 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $88.24 | $176.48 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $34.00 | $68.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $25.00 | $50.00 | not published | 0 |
| Alcohol/subs interv >30 min HCPCS G0397 | $185.00 | $370.00 | not published | 0 |
| Aldesleukin injection HCPCS J9015 | $1,458.52 | $2,917.05 | not published | 0 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $0.01 | $0.01 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $34.00 | $68.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $85.50 | $171.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $133.00 | $266.00 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,687.41 | $27,374.82 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $15,677.20 | $31,354.40 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,215.90 | $22,431.80 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $35,023.09 | $70,046.18 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $4,370.56 | $8,741.12 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $7,046.40 | $14,092.80 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,424.50 | $2,849.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $8,112.50 | $16,225.00 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $747.50 | $1,495.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $68.00 | $136.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $211.30 | $422.60 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $16,135.56 | $32,271.12 | not published | 0 |
| Alt/sgpt CPT 84460 | $34.00 | $68.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $102.50 | $205.00 | not published | 0 |
| Amifostine HCPCS J0207 | $791.74 | $1,583.49 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $8.37 | $16.74 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $22.84 | $45.68 | not published | 0 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $83.85 | $167.70 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $6.00 | $12.00 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $4,740.26 | $9,480.51 | not published | 0 |
| Ammonia CPT 82140 | $59.50 | $119.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $68.96 | $137.91 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $182.96 | $365.91 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $39.38 | $78.77 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $30.56 | $61.11 | not published | 0 |
| Amylase CPT 82150 | $34.00 | $68.00 | not published | 0 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $404.50 | $809.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $145.00 | $290.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $165.00 | $330.00 | not published | 0 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $268.00 | $536.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $6,180.50 | $12,361.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $214.50 | $429.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $8,139.00 | $16,278.00 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $12,522.50 | $25,045.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,775.28 | $3,550.56 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $17,126.00 | $34,252.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $210.50 | $421.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $56.00 | $112.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $111.50 | $223.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $504.00 | $1,008.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $477.00 | $954.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $64.50 | $129.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.