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 |
|---|---|---|---|---|
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $148.50 | $297.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $196.50 | $393.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $22.57 | $45.14 | not published | 0 |
| Pyruvate CPT 84210 | $56.50 | $113.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $48.00 | $96.00 | not published | 0 |
| Rabies ig ht&sol human im/sc CPT 90377 | $728.70 | $1,457.40 | not published | 0 |
| Radiation physics consult CPT 77336 | $303.00 | $606.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $303.00 | $606.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $319.00 | $638.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $790.50 | $1,581.00 | not published | 0 |
| Radiation treatment delivery CPT 77402 | $290.00 | $580.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $562.00 | $1,124.00 | not published | 0 |
| Radiology port images(s) CPT 77417 | $47.00 | $94.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $2,922.50 | $5,845.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $13,629.46 | $27,258.92 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,254.00 | $6,508.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $9,469.14 | $18,938.27 | not published | 0 |
| Rapid Strep Test CPT 87880 | $111.00 | $222.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,396.88 | $2,793.75 | not published | 0 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $30,525.74 | $61,051.48 | not published | 0 |
| Rbc count only automated CPT 85041 | $30.00 | $60.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $412.50 | $825.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $489.00 | $978.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $23.42 | $46.84 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $869.25 | $1,738.50 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,797.50 | $5,595.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $38.00 | $76.00 | not published | 0 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $16,845.00 | $33,690.00 | not published | 0 |
| Renal function panel CPT 80069 | $59.50 | $119.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $354.00 | $708.00 | not published | 0 |
| Repair pm/icd lead sgl CPT 33218 | $5,387.00 | $10,774.00 | not published | 0 |
| Reposition pm/icd lead CPT 33215 | $4,345.00 | $8,690.00 | not published | 0 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $1,392.30 | $2,784.60 | not published | 0 |
| Respirator motion mgmt simul CPT 77293 | $656.00 | $1,312.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $559.50 | $1,119.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $770.00 | $1,540.00 | not published | 0 |
| Reticulated platelet assay CPT 85055 | $172.50 | $345.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $40.00 | $80.00 | not published | 0 |
| Revision of leg vein 37780 CPT 37780 | $501.00 | $1,002.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $4,728.00 | $9,456.00 | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,184.00 | $4,368.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $38.00 | $76.00 | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $35.92 | $71.85 | not published | 0 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $546.93 | $1,093.86 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $140.11 | $280.22 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $12,257.10 | $24,514.21 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,229.90 | $2,459.81 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $6,106.88 | $12,213.76 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $9,800.08 | $19,600.16 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,878.10 | $7,756.19 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $2,967.96 | $5,935.93 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $3,470.22 | $6,940.44 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $37,299.00 | $74,598.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $53,010.50 | $106,021.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $37,299.00 | $74,598.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $4,904.50 | $9,809.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $12,561.00 | $25,122.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $12,561.00 | $25,122.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $7,624.50 | $15,249.00 | not published | 0 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $4,012.71 | $8,025.42 | not published | 0 |
| Romiplostim injection HCPCS J2796 | $10,488.00 | $20,976.00 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $1,627.44 | $3,254.87 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $35.40 | $70.80 | not published | 0 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $7,872.86 | $15,745.73 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,408.00 | $2,816.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,904.50 | $7,809.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $66.00 | $132.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $66.00 | $132.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $51.50 | $103.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $3,203.23 | $6,406.46 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $152.00 | $304.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,053.50 | $2,107.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $523.00 | $1,046.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $219.50 | $439.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $513.00 | $1,026.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $928.50 | $1,857.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $513.00 | $1,026.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $513.00 | $1,026.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $4,800.00 | $9,600.00 | not published | 0 |
| Screening Mammogram CPT 77067 | not published | not published | $82.67 – $82.67 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $77.50 | $155.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $55,015.00 | $110,030.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $30.00 | $60.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $38.50 | $77.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $303.00 | $606.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $790.50 | $1,581.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,497.00 | $4,994.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $4,970.00 | $9,940.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $1,869.00 | $3,738.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $266.50 | $533.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $122.42 | $244.83 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,220.50 | $2,441.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $816.50 | $1,633.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $539.00 | $1,078.00 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $95,896.78 | $191,793.55 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $10.61 | $21.22 | not published | 0 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $9,925.45 | $19,850.90 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,412.50 | $6,825.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,851.90 | $7,703.81 | not published | 0 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $236.25 | $472.50 | 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.