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 |
|---|---|---|---|---|
| Injection, renflexis HCPCS Q5104 | $670.88 | $1,341.77 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $990.00 | $1,980.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,269.00 | $2,538.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $873.50 | $1,747.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,269.00 | $2,538.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $265.00 | $530.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,269.00 | $2,538.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $794.50 | $1,589.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $329.50 | $659.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $329.50 | $659.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $329.50 | $659.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $67.00 | $134.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $80.00 | $160.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $338.00 | $676.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $110.50 | $221.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $1,119.50 | $2,239.00 | not published | 0 |
| Inj, epinephrine (belcher) HCPCS J0173 | $96.92 | $193.83 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $116.84 | $233.69 | not published | 0 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $3,030.88 | $6,061.75 | not published | 0 |
| Inj., fibryga, 1 mg HCPCS J7177 | $1,200.48 | $2,400.97 | not published | 0 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $178.85 | $357.70 | not published | 0 |
| Inj for ext venography CPT 36005 | $1,003.50 | $2,007.00 | not published | 0 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $66.94 | $133.88 | not published | 0 |
| Inj givosiran 0.5 mg HCPCS J0223 | $53,787.50 | $107,575.00 | not published | 0 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $13,683.20 | $27,366.41 | not published | 0 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $16,802.88 | $33,605.76 | not published | 0 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $6,154.40 | $12,308.79 | not published | 0 |
| Inj herzuma 10 mg HCPCS Q5113 | $5,003.00 | $10,006.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | $1,508.04 | $3,016.08 | not published | 0 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,348.27 | $2,696.54 | not published | 0 |
| Inj ivig privigen 500 mg HCPCS J1459 | $1,839.50 | $3,679.00 | not published | 0 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $5,394.13 | $10,788.26 | not published | 0 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $923.69 | $1,847.38 | not published | 0 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | $12,675.00 | $25,350.00 | not published | 0 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $40.18 | $80.36 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $41.28 | $82.56 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $16.30 | $32.60 | not published | 0 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $351.00 | $702.00 | not published | 0 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $5,000.90 | $10,001.81 | not published | 0 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $83.36 | $166.73 | not published | 0 |
| Inj multihance HCPCS A9577 | $62.56 | $125.12 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $32.76 | $65.52 | not published | 0 |
| Inj naloxone hydrochloride HCPCS J2310 | $28.76 | $57.53 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,307.50 | $2,615.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $2,259.90 | $4,519.79 | not published | 0 |
| Inj ontruzant 10 mg HCPCS Q5112 | $4,205.54 | $8,411.08 | not published | 0 |
| Inj, panzyga, 500 mg HCPCS J1576 | $5,829.72 | $11,659.44 | not published | 0 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $5,001.13 | $10,002.26 | not published | 0 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $930.42 | $1,860.84 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $375.00 | $750.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $16.34 | $32.68 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $309.77 | $619.54 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $1,618.82 | $3,237.63 | not published | 0 |
| Inj secretin synthetic human HCPCS J2850 | $1,253.09 | $2,506.18 | not published | 0 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $33,901.34 | $67,802.67 | not published | 0 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $2,492.90 | $4,985.79 | not published | 0 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $41,793.70 | $83,587.40 | not published | 0 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $9,179.52 | $18,359.05 | not published | 0 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $18,005.00 | $36,010.00 | not published | 0 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $22,122.91 | $44,245.82 | not published | 0 |
| Inj testostero enanthate 1mg HCPCS J3121 | $75.20 | $150.39 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $16.60 | $33.20 | not published | 0 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | $18,499.01 | $36,998.02 | not published | 0 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $762.02 | $1,524.03 | not published | 0 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $2,675.34 | $5,350.68 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $1,480.00 | $2,960.00 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $455.50 | $911.00 | not published | 0 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $32,567.10 | $65,134.20 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $148.50 | $297.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $4,803.50 | $9,607.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,483.50 | $2,967.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $16,845.00 | $33,690.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $16,845.00 | $33,690.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $18,538.00 | $37,076.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,752.00 | $3,504.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,035.50 | $4,071.00 | not published | 0 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $53,010.50 | $106,021.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $12,561.00 | $25,122.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $12,561.00 | $25,122.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $12,561.00 | $25,122.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,697.00 | $11,394.00 | not published | 0 |
| Insert pm/icd lead dual CPT 33217 | $12,561.00 | $25,122.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $605.00 | $1,210.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $207.00 | $414.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $353.00 | $706.00 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $6,046.50 | $12,093.00 | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $40,347.00 | $80,694.00 | not published | 0 |
| Insulin total CPT 83525 | $51.50 | $103.00 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $9,924.16 | $19,848.31 | not published | 0 |
| Interferon alfa-n3 inj HCPCS J9215 | $244.23 | $488.46 | not published | 0 |
| Interferon beta-1b / .25 mg HCPCS J1830 | $974.76 | $1,949.53 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $76.50 | $153.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $632.00 | $1,264.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $385.50 | $771.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $350.50 | $701.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $111.30 | $222.60 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $373.62 | $747.25 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $45,256.22 | $90,512.45 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $65.20 | $130.40 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $3,685.50 | $7,371.00 | 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.