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 |
|---|---|---|---|---|
| Warde vitamin a CPT 84590 | $51.50 | $103.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $85.50 | $171.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $112.00 | $224.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $50.00 | $100.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $154.00 | $308.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $59.50 | $119.00 | not published | 0 |
| Warde zinc CPT 84630 | $51.50 | $103.00 | not published | 0 |
| Wbc automated CPT 85048 | $30.00 | $60.00 | not published | 0 |
| Western blot test CPT 84181 | $68.00 | $136.00 | not published | 0 |
| Wilate injection HCPCS J7183 | $1,379.96 | $2,759.93 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $437.00 | $874.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $228.00 | $456.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $381.00 | $762.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $266.50 | $533.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $180.00 | $360.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $260.00 | $520.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $260.00 | $520.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $260.00 | $520.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $255.00 | $510.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $283.00 | $566.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $288.50 | $577.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $305.50 | $611.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $166.50 | $333.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $294.00 | $588.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $294.00 | $588.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $322.00 | $644.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $450.00 | $900.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $515.00 | $1,030.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $310.50 | $621.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $266.50 | $533.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $430.00 | $860.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $385.00 | $770.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $288.50 | $577.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $205.50 | $411.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $288.50 | $577.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $180.00 | $360.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $288.50 | $577.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $266.50 | $533.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $322.00 | $644.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $255.00 | $510.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $261.00 | $522.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $349.50 | $699.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $255.00 | $510.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $277.50 | $555.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $277.50 | $555.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $210.50 | $421.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $266.50 | $533.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $266.50 | $533.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $266.50 | $533.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $210.50 | $421.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $230.00 | $460.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $288.50 | $577.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $288.50 | $577.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $294.00 | $588.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $288.50 | $577.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $166.50 | $333.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $145.00 | $290.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $180.00 | $360.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $283.00 | $566.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $288.50 | $577.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $860.00 | $1,720.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $166.50 | $333.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $361.00 | $722.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $288.50 | $577.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $361.00 | $722.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $288.50 | $577.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $210.50 | $421.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $349.50 | $699.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $310.50 | $621.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $166.50 | $333.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $288.50 | $577.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $288.50 | $577.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $435.00 | $870.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $425.00 | $850.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $160.50 | $321.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $166.50 | $333.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $435.00 | $870.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $288.50 | $577.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $266.50 | $533.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $210.50 | $421.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $294.00 | $588.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $261.00 | $522.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $249.50 | $499.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $445.00 | $890.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $440.00 | $880.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $322.00 | $644.00 | not published | 0 |
| Xyntha inj HCPCS J7185 | $2,143.70 | $4,287.40 | not published | 0 |
| Ziconotide injection HCPCS J2278 | $6,868.24 | $13,736.48 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $53.04 | $106.08 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $27.50 | $55.01 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $1,160.00 | $2,320.00 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $54.60 | $109.20 | 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.