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 |
|---|---|---|---|---|
| Iron CPT 83540 | $34.00 | $68.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $43.50 | $87.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $64.48 | $128.96 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $177.62 | $355.24 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $113.00 | $226.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $1,147.66 | $2,295.33 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $5,952.50 | $11,905.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $110.50 | $221.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $116.50 | $233.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $67.00 | $134.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $338.00 | $676.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $475.00 | $950.00 | not published | 0 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $1,461.00 | $2,921.99 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $405.00 | $810.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $4,857.50 | $9,715.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $43.50 | $87.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $1.58 | $3.17 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,189.50 | $2,379.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $504.00 | $1,008.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $13,865.00 | $27,730.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $67,500.00 | $135,000.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $27,426.00 | $54,852.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,098.50 | $6,197.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $6,160.50 | $12,321.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $1,869.00 | $3,738.00 | not published | 0 |
| Knee X-ray CPT 73564 | $361.00 | $722.00 | not published | 0 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,503.83 | $3,007.66 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $12.96 | $25.92 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $171.12 | $342.23 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $34.00 | $68.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $12.00 | $24.00 | not published | 0 |
| Lactic acid CPT 83605 | $171.50 | $343.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $77.50 | $155.00 | not published | 0 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $7,953.98 | $15,907.95 | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | $585.00 | $1,170.00 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,814.40 | $15,628.80 | not published | 0 |
| Lead capillary CPT 83655 | $51.50 | $103.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $8,260.00 | $16,520.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,030.00 | $20,060.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $928.50 | $1,857.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $3,383.00 | $6,766.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,776.00 | $3,552.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $81.74 | $163.49 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $15,386.14 | $30,772.28 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $6,455.75 | $12,911.50 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.23 | $14.46 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $81.50 | $163.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $3.90 | $7.80 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $118.62 | $237.24 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $50,000.00 | $100,000.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $18.06 | $36.12 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $12.00 | $24.00 | not published | 0 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $50,377.94 | $100,755.89 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $15.00 | $30.00 | not published | 0 |
| Lipase CPT 83690 | $34.00 | $68.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $135.00 | $270.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $43.50 | $87.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $51.50 | $103.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $25.50 | $51.00 | not published | 0 |
| Liver Function Test CPT 80076 | $59.50 | $119.00 | not published | 0 |
| Liver imaging CPT 78201 | $865.00 | $1,730.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $44.76 | $89.52 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $35,130.24 | $70,260.48 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $5.36 | $10.72 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,033.00 | $2,066.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,956.00 | $3,912.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $670.00 | $1,340.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,445.50 | $4,891.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,369.00 | $4,738.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,497.50 | $2,995.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $288.50 | $577.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $204.00 | $408.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $950.50 | $1,901.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $10,439.00 | $20,878.00 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $15,449.12 | $30,898.25 | not published | 0 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $57,872.88 | $115,745.76 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $36.50 | $73.00 | not published | 0 |
| Magnesium CPT 83735 | $34.00 | $68.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $25.10 | $50.20 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $139.50 | $279.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $139.50 | $279.00 | not published | 0 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $3.50 | $7.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $3,070.56 | $6,141.13 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,863.20 | $3,726.40 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $2,375.72 | $4,751.43 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $59.50 | $119.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $80.50 | $161.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $80.50 | $161.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $199.50 | $399.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $59.50 | $119.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $59.50 | $119.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $265.00 | $530.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $240.00 | $480.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $268.00 | $536.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $59.50 | $119.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $61.00 | $122.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $76.50 | $153.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $149.50 | $299.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $56.50 | $113.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $290.00 | $580.00 | 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.