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 |
|---|---|---|---|---|
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $40.00 | $80.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $76.50 | $153.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,173.50 | $2,347.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $68.00 | $136.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $513.00 | $1,026.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,698.93 | $5,397.86 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $59.50 | $119.00 | not published | 0 |
| Tigecycline injection HCPCS J3243 | $64.07 | $128.14 | not published | 0 |
| Tilt table study CPT 93660 | $1,040.00 | $2,080.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $212.19 | $424.38 | not published | 0 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $8,912.80 | $17,825.60 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $48.50 | $97.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $304.20 | $608.40 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $379.36 | $758.72 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $51.00 | $102.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $3,331.74 | $6,663.49 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $21.48 – $21.48 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $69.36 | $138.73 | not published | 0 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $11,790.84 | $23,581.67 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $66.00 | $132.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $860.00 | $1,720.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $4,482.38 | $8,964.75 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $90.00 | $180.00 | not published | 0 |
| Transferrin CPT 84466 | $59.50 | $119.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $794.50 | $1,589.00 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,025.86 | $4,051.71 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $4,754.60 | $9,509.19 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $2,750.94 | $5,501.88 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,799.44 | $3,598.87 | not published | 0 |
| Treat fracture of radius CPT 25505 | $529.00 | $1,058.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $930.00 | $1,860.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $241.50 | $483.00 | not published | 0 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $51,714.00 | $103,428.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $66.00 | $132.00 | not published | 0 |
| Treprostinil injection HCPCS J3285 | $5,381.20 | $10,762.39 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $435.00 | $870.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $22.54 | $45.08 | not published | 0 |
| Triamcinolone a inj prs-free HCPCS J3300 | $1,275.32 | $2,550.64 | not published | 0 |
| Triglycerides CPT 84478 | $34.00 | $68.00 | not published | 0 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $2,016.42 | $4,032.85 | not published | 0 |
| Trimethobenzamide hcl inj HCPCS J3250 | $88.02 | $176.05 | not published | 0 |
| Trim nail(s) HCPCS G0127 | $79.00 | $158.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $79.00 | $158.00 | not published | 0 |
| Triptorelin pamoate HCPCS J3315 | $5,450.44 | $10,900.89 | not published | 0 |
| Troponin quantitative CPT 84484 | $51.50 | $103.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $632.50 | $1,265.00 | not published | 0 |
| Ua w/micro/comp poc CPT 81000 | $51.00 | $102.00 | not published | 0 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $13,614.26 | $27,228.51 | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $560.00 | $1,120.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $504.00 | $1,008.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $757.00 | $1,514.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $549.50 | $1,099.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $486.50 | $973.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $300.00 | $600.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $504.00 | $1,008.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $495.50 | $991.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $297.50 | $595.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $288.00 | $576.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $388.00 | $776.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $730.00 | $1,460.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $432.50 | $865.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $342.50 | $685.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $504.00 | $1,008.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $495.50 | $991.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $504.00 | $1,008.00 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $432.50 | $865.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $486.50 | $973.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $504.00 | $1,008.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $523.00 | $1,046.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $513.00 | $1,026.00 | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | $42.50 | $85.00 | not published | 0 |
| Unlisted orl service/px CPT 92700 | $145.50 | $291.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $209.50 | $419.00 | not published | 0 |
| Unlisted px ther rad tx plng CPT 77299 | $916.50 | $1,833.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,445.50 | $4,891.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,369.00 | $4,738.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,497.50 | $2,995.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $25.00 | $50.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $34.00 | $68.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $605.00 | $1,210.00 | not published | 0 |
| Uric acid blood CPT 84550 | $25.00 | $50.00 | not published | 0 |
| Uric acid urine CPT 84560 | $34.00 | $68.00 | not published | 0 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $20.00 | $40.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $29.50 | $59.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $20.00 | $40.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $68.50 | $137.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,630.56 | $5,261.11 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $34,928.87 | $69,857.74 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $41.78 | $83.56 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $117.44 | $234.89 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $105.90 | $211.79 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $23.74 | $47.49 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $0.01 | $0.01 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $176.73 | $353.46 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $53.22 | $106.45 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $75.15 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $83.36 | $166.73 | $70.38 – $70.38 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $213.14 | $426.28 | $168.30 – $168.30 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $0.01 | $0.01 | $30.77 – $30.77 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $422.39 | $844.78 | 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.