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 |
|---|---|---|---|---|
| Igh gene rearrange amp meth CPT 81261 | $430.00 | $860.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $710.00 | $1,420.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $375.00 | $750.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $134.50 | $269.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $728.00 | $1,456.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $353.00 | $706.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $226.12 | $452.24 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $281.97 | $563.94 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,070.08 | $6,140.16 | not published | 0 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $1,967.33 | $3,934.66 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $95.00 | $190.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $95.00 | $190.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $56.50 | $113.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $95.00 | $190.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $470.50 | $941.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $470.50 | $941.00 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $14,014.00 | $28,028.00 | not published | 0 |
| Implant pulse generator remede el HCPCS C1823 | $68,750.00 | $137,500.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $3,680.00 | $7,360.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $8,445.50 | $16,891.00 | not published | 0 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $7.05 | $14.10 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,227.92 | $4,455.83 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $4,730.98 | $9,461.96 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,752.00 | $3,504.00 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | $1,328.60 | $2,657.20 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $787.00 | $1,574.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $773.00 | $1,546.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,533.00 | $3,066.00 | not published | 0 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $206.50 | $413.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $234.50 | $469.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $580.00 | $1,160.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $248.50 | $497.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $82.50 | $165.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $96.50 | $193.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $82.50 | $165.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $96.50 | $193.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $82.50 | $165.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $152.00 | $304.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $276.50 | $553.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $82.50 | $165.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $82.50 | $165.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,145.00 | $2,290.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $262.50 | $525.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $257.50 | $515.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $398.50 | $797.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $234.50 | $469.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $2,473.50 | $4,947.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,450.50 | $2,901.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $441.50 | $883.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $456.50 | $913.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $276.50 | $553.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $525.00 | $1,050.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $870.50 | $1,741.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,137.33 | $2,274.66 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $780.32 | $1,560.65 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $716.62 | $1,433.25 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $230.00 | $460.00 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $0.50 | $1.00 | not published | 0 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $22.00 | $44.00 | not published | 0 |
| Inj. acthar gel to 40 units HCPCS J0801 | $30,249.70 | $60,499.40 | not published | 0 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $1,765.94 | $3,531.87 | not published | 0 |
| Inj alymsys 10 mg HCPCS Q5126 | $2,600.04 | $5,200.09 | not published | 0 |
| Inj andexxa, 10 mg HCPCS J7169 | $3,250.00 | $6,500.00 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $6,798.18 | $13,596.37 | not published | 0 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $2,863.64 | $5,727.28 | not published | 0 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $6,669.00 | $13,338.00 | not published | 0 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $7,379.78 | $14,759.55 | not published | 0 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $4,940.00 | $9,880.00 | not published | 0 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $7.23 | $14.46 | not published | 0 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $10.50 | $21.00 | not published | 0 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $332.57 | $665.14 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $258.67 | $517.34 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $11.10 | $22.20 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $395.00 | $790.00 | not published | 0 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $6,829.68 | $13,659.36 | not published | 0 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $193.54 | $387.07 | not published | 0 |
| Inj, durolane 1 mg HCPCS J7318 | $1,302.06 | $2,604.11 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $993.00 | $1,986.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $498.50 | $997.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | $3,122.38 | $6,244.76 | not published | 0 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $11,571.77 | $23,143.54 | not published | 0 |
| Injection, daratumumab 10 mg HCPCS J9145 | $3,237.08 | $6,474.16 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $329.00 | $658.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $439.50 | $879.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $461.00 | $922.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $343.00 | $686.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $97.06 | $194.11 | not published | 0 |
| Injection glatiramer acetate HCPCS J1595 | $264.96 | $529.91 | not published | 0 |
| Injection, glucarpidase HCPCS C9293 | $53,526.20 | $107,052.40 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $4,440.26 | $8,880.51 | not published | 0 |
| Injection, isavuconazonium HCPCS J1833 | $578.96 | $1,157.91 | not published | 0 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $5,628.68 | $11,257.35 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,679.60 | $3,359.20 | not published | 0 |
| Injection, peramivir HCPCS J2547 | $514.58 | $1,029.15 | 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.