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 |
|---|---|---|---|---|
| Smear fluorescent and/or acid fast stain CPT 87206 | $55.50 | $111.00 | not published | 0 |
| Smear gram stain CPT 87205 | $41.50 | $83.00 | not published | 0 |
| Smear wet mount CPT 87210 | $55.50 | $111.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $34.00 | $68.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $40.00 | $80.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $20.00 | $40.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $20.50 | $41.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $12.00 | $24.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $14.42 | $28.84 | not published | 0 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $371.98 | $743.96 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $72.50 | $145.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $184.30 | $368.60 | not published | 0 |
| Special physics consult CPT 77370 | $303.00 | $606.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $303.00 | $606.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $1,260.00 | $2,520.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $790.50 | $1,581.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,394.00 | $2,788.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $387.00 | $774.00 | not published | 0 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $9,059.50 | $18,118.99 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $188.50 | $377.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $234.50 | $469.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $217.50 | $435.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $29,237.45 | $58,474.90 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,376.00 | $6,752.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $20,164.93 | $40,329.86 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $16,270.00 | $32,540.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $188.50 | $377.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $385.00 | $770.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $188.50 | $377.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $159.00 | $318.00 | not published | 0 |
| Streptomycin injection HCPCS J3000 | $132.77 | $265.54 | not published | 0 |
| Streptozocin injection HCPCS J9320 | $496.36 | $992.72 | not published | 0 |
| Stress test pulmonary CPT 94618 | $161.00 | $322.00 | not published | 0 |
| Stress tte complete CPT 93351 | $777.50 | $1,555.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $167.00 | $334.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $181.00 | $362.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $12.00 | $24.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $12,849.20 | $25,698.40 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $7.14 | $14.29 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $39.00 | $78.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $61.50 | $123.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $129.00 | $258.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $301.50 | $603.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $453.50 | $907.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $633.00 | $1,266.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $68.50 | $137.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $247.68 | $495.37 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $28.50 | $57.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $58,750.00 | $117,500.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $35,112.50 | $70,225.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,785.25 | $23,570.50 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $68.00 | $136.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $59.50 | $119.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $43.50 | $87.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $36.00 | $72.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.50 | $1.00 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $388.27 | $776.54 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $44.50 | $89.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $1,752.66 | $3,505.32 | not published | 0 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $10,185.66 | $20,371.32 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,410.00 | $8,820.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $255.50 | $511.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $563.56 | $1,127.13 | not published | 0 |
| Tc-99m exametazime diag HCPCS A9521 | $1,716.36 | $3,432.72 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $129.45 | $258.90 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $29.32 | $58.63 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $105.00 | $210.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $57.65 | $115.30 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $491.28 | $982.56 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $57.76 | $115.51 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $607.41 | $1,214.82 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $594.26 | $1,188.52 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $40.74 | $81.48 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $147.22 | $294.43 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $76.00 | $152.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $796.09 | $1,592.18 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $181.50 | $363.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $76.00 | $152.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $735.96 | $1,471.93 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $199.00 | $398.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $113.50 | $227.00 | not published | 0 |
| T cells total count CPT 86359 | $171.00 | $342.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $35.00 | $70.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $790.50 | $1,581.00 | not published | 0 |
| Temozolomide HCPCS J8700 | $10.24 | $20.47 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $894.77 | $1,789.54 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $9,480.88 | $18,961.75 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $2.34 | $4.68 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $581.00 | $1,162.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $777.19 | $1,554.38 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $5,408.64 | $10,817.28 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $44.50 | $89.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $45.00 | $90.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $32.50 | $65.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $28.00 | $56.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $5.30 | $10.60 | not published | 0 |
| Thiotepa injection HCPCS J9340 | $302.21 | $604.42 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,083.00 | $2,166.00 | not published | 0 |
| Thrombin time CPT 85670 | $40.00 | $80.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $51.50 | $103.00 | 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.