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 |
|---|---|---|---|---|
| Blood Count (CBC) Test (without differential) CPT 85027 | $40.00 | $80.00 | not published | 0 |
| Blood count spun microhematocrit CPT 85013 | $40.00 | $80.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $82.50 | $165.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $14.00 | $28.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $262.50 | $525.00 | not published | 0 |
| Blood gases ph venous CPT 82800 | $53.50 | $107.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $81.50 | $163.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $34.00 | $68.00 | not published | 0 |
| Blood typing abo CPT 86900 | $41.00 | $82.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $459.50 | $919.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $59.00 | $118.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $29.00 | $58.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $88.00 | $176.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $288.50 | $577.00 | not published | 0 |
| Bone filler cerament 10cc HCPCS C1602 | $19,600.00 | $39,200.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $633.00 | $1,266.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $272.50 | $545.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $294.00 | $588.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $577.88 | $1,155.77 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $235.50 | $471.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $76.50 | $153.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,175.69 | $2,351.38 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $357.18 | $714.35 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $385.94 | $771.89 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $358.08 | $716.16 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $4,116.13 | $8,232.26 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,394.49 | $6,788.98 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $616.00 | $1,232.00 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $23,848.50 | $47,697.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,069.50 | $4,139.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,208.50 | $4,417.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,432.50 | $2,865.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $2,317.50 | $4,635.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $2,245.00 | $4,490.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $1,419.00 | $2,838.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,123.50 | $6,247.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $1,240.50 | $2,481.00 | not published | 0 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $15,264.60 | $30,529.20 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $223.00 | $446.00 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $8.18 | $16.36 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $123.00 | $246.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $385.00 | $770.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $176.40 | $352.80 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $2.82 | $5.65 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.52 | $7.03 | not published | 0 |
| Buprenorphine oral 1mg HCPCS J0571 | $3.14 | $6.28 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $10,015.25 | $20,030.50 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $12.88 | $25.76 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $2,779.00 | $5,558.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,157.50 | $2,315.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,254.50 | $2,509.00 | not published | 0 |
| C-1 esterase, berinert HCPCS J0597 | $4,521.54 | $9,043.09 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $56.50 | $113.00 | not published | 0 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $18,390.53 | $36,781.06 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $7,670.00 | $15,340.00 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $8,610.76 | $17,221.52 | not published | 0 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $8.92 | $17.85 | not published | 0 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $33,520.50 | $67,041.00 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,086.18 | $2,172.37 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $34.00 | $68.00 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $140.98 | $281.96 | not published | 0 |
| Calcium ionized CPT 82330 | $59.50 | $119.00 | not published | 0 |
| Calcium total CPT 82310 | $34.00 | $68.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $146.00 | $292.00 | not published | 0 |
| Canakinumab injection HCPCS J0638 | $25,327.58 | $50,655.15 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $112,500.00 | $225,000.00 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $11,357.50 | $22,715.00 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $1,298.70 | $2,597.40 | not published | 0 |
| Carbamazepine free CPT 80157 | $45.50 | $91.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $44.50 | $89.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $25.00 | $50.00 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $100.89 | $201.78 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $53.50 | $107.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $77.50 | $155.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $175.00 | $350.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $113.50 | $227.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,078.00 | $2,156.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $4,257.74 | $8,515.47 | not published | 0 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $679.09 | $1,358.18 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $606.50 | $1,213.00 | not published | 0 |
| Car seat/bed test 60 minutes CPT 94780 | $224.50 | $449.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $112.00 | $224.00 | not published | 0 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $830.58 | $1,661.15 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $12,425.40 | $24,850.80 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,535.50 | $3,071.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $11,195.25 | $22,390.50 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $9,425.25 | $18,850.50 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $8,646.45 | $17,292.90 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $31,800.00 | $63,600.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $8,512.96 | $17,025.93 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $13,204.20 | $26,408.40 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,360.00 | $10,720.00 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $3,745.18 | $7,490.36 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $3,315.00 | $6,630.00 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $3,383.00 | $6,766.00 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $29.50 | $59.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,672.40 | $3,344.80 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $9,130.25 | $18,260.50 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,992.00 | $5,984.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $3,572.80 | $7,145.60 | 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.