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 |
|---|---|---|---|---|
| Folic acid CPT 82746 | $59.50 | $119.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $779.72 | $1,559.45 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $32.99 | $65.98 | not published | 0 |
| Foot X-ray CPT 73630 | $266.50 | $533.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $46.60 | $93.20 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | $514.72 | $1,029.44 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $23.92 | $47.84 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $100.00 | $200.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $106.00 | $212.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $200.50 | $401.00 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $2.32 | $4.64 | not published | 0 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $4.14 | $8.29 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $38.02 | $76.04 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $51.21 | $102.42 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $413.31 | $826.62 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $43.50 | $87.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $68.00 | $136.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $34.00 | $68.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $2,899.52 | $5,799.04 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $57.14 | $114.27 | not published | 0 |
| Gastro/jejuno tube, std HCPCS B4087 | $277.45 | $554.90 | not published | 0 |
| Gel-one HCPCS J7326 | $1,495.00 | $2,990.00 | not published | 0 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $567.76 | $1,135.52 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $49.03 | $98.06 | not published | 0 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $12,865.53 | $25,731.06 | not published | 0 |
| General health panel CPT 80050 | $221.50 | $443.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $84,737.50 | $169,475.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $48,500.00 | $97,000.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $53.78 | $107.57 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $51.00 | $102.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $866.50 | $1,733.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $169.00 | $338.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $72.00 | $144.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $66.00 | $132.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $261.50 | $523.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $379.00 | $758.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $81.00 | $162.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $549.00 | $1,098.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,211.50 | $2,423.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,192.00 | $2,384.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $60.00 | $120.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $80.00 | $160.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $161.50 | $323.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $470.50 | $941.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $403.50 | $807.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $211.50 | $423.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $147.00 | $294.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $278.50 | $557.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $182.50 | $365.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $471.50 | $943.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $80.00 | $160.00 | not published | 0 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,027.00 | $2,054.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,287.50 | $2,575.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $390.50 | $781.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,269.00 | $2,538.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $67.00 | $134.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $213.00 | $426.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $280.00 | $560.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $374.00 | $748.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $412.50 | $825.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $435.00 | $870.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $381.50 | $763.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $376.50 | $753.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $391.00 | $782.00 | not published | 0 |
| Ghs mbp CPT 83873 | $68.00 | $136.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $110.50 | $221.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $31.50 | $63.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $110.50 | $221.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $27.00 | $54.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $130.00 | $260.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $262.00 | $524.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,027.00 | $2,054.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $794.50 | $1,589.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,287.50 | $2,575.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $1,027.00 | $2,054.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $1,027.00 | $2,054.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,287.50 | $2,575.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $990.00 | $1,980.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $990.00 | $1,980.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $69.50 | $139.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $83.00 | $166.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $916.00 | $1,832.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $265.00 | $530.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $67.00 | $134.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $206.00 | $412.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $43.50 | $87.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $215.00 | $430.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $30.00 | $60.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $111.00 | $222.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $314.50 | $629.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $472.00 | $944.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $332.00 | $664.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $262.50 | $525.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $340.50 | $681.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $1,029.50 | $2,059.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $191.00 | $382.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $549.00 | $1,098.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $978.00 | $1,956.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $68.50 | $137.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,250.50 | $2,501.00 | 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.