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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $67.00 | $134.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $56.00 | $112.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $84.00 | $168.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $75.00 | $150.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $123.00 | $246.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $22.85 | $45.70 | not published | 0 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $719.16 | $1,438.32 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,047.16 | $4,094.33 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $54.52 | $109.05 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $11,539.05 | $23,078.10 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $4,850.07 | $9,700.14 | not published | 0 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $13,754.60 | $27,509.20 | not published | 0 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $79.24 | $158.47 | not published | 0 |
| Dch validity tests CPT 81002 | $29.50 | $59.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $48.50 | $97.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $437.00 | $874.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $60.50 | $121.00 | not published | 0 |
| Decalcification CPT 88311 | $33.50 | $67.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $159.34 | $318.67 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $367.00 | $734.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $19.24 | $38.48 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $732.90 | $1,465.81 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $241.50 | $483.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,121.21 | $8,242.42 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $790.50 | $1,581.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $326.10 | $652.19 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,011.50 | $6,023.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $727.50 | $1,455.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $963.00 | $1,926.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,955.00 | $5,910.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $13,056.56 | $26,113.11 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,976.80 | $13,953.60 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,503.83 | $3,007.66 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $4,200.74 | $8,401.49 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $27.00 | $54.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $2.90 | $5.80 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $456.76 | $913.51 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $58.50 | $117.00 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $12.00 | $24.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $14.00 | $28.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $148.68 | $297.35 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $28.00 | $56.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $85.50 | $171.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $43.50 | $87.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $35.00 | $70.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $54.40 | $108.81 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $26.58 | $53.17 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $14.63 | $29.26 | not published | 0 |
| Diffusing capacity CPT 94729 | $91.50 | $183.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $224.57 | $449.14 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $5,793.23 | $11,586.46 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $44.50 | $89.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $214.16 | $428.33 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $334.76 | $669.53 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $938.88 | $1,877.75 | not published | 0 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $10.38 | $20.77 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $0.98 | $1.95 | not published | 0 |
| Disaccharidases CPT 82657 | $90.00 | $180.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $66.00 | $132.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $75.56 | $151.13 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $189.28 | $378.56 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $42.00 | $84.00 | not published | 0 |
| Doppler echo complete CPT 93320 | $387.50 | $775.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $501.00 | $1,002.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $371.00 | $742.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $290.00 | $580.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $48,698.50 | $97,397.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $15,032.06 | $30,064.12 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $378.34 | $756.67 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $191.75 | $383.50 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $465.00 | $930.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $166.50 | $333.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $62.00 | $124.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $344.00 | $688.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $16,171.18 | $32,342.35 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $16.50 | $33.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $14.76 | $29.52 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $16,014.15 | $32,028.30 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $340.00 | $680.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $738.00 | $1,476.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $93.50 | $187.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $481.50 | $963.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,184.00 | $4,368.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $928.50 | $1,857.00 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $5,366.28 | $10,732.57 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $34.00 | $68.00 | not published | 0 |
| Ecallantide injection HCPCS J1290 | $21,607.44 | $43,214.87 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $120.50 | $241.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $235.50 | $471.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $684.50 | $1,369.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $354.00 | $708.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $80.50 | $161.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $120.50 | $241.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,225.00 | $2,450.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $303.00 | $606.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,731.50 | $3,463.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $601.00 | $1,202.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $930.50 | $1,861.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $285.00 | $570.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,225.00 | $2,450.00 | 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.