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 |
|---|---|---|---|---|
| Glassia injection HCPCS J0257 | $732.55 | $1,465.10 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $201.14 | $402.29 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $59.50 | $119.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $25.00 | $50.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $25.00 | $50.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $25.00 | $50.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $25.00 | $50.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $59.50 | $119.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $25.00 | $50.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $14.16 | $28.32 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,506.74 | $5,013.48 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $77.50 | $155.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $77.50 | $155.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,618.72 | $7,237.44 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,080.00 | $8,160.00 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $9,084.40 | $18,168.80 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,332.00 | $6,664.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $24,626.00 | $49,252.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $14,364.00 | $28,728.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $35,369.55 | $70,739.10 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $18,748.80 | $37,497.60 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,531.55 | $11,063.10 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | $4.14 | $8.28 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | $4.39 | $8.78 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,259.00 | $2,518.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,284.36 | $6,568.73 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,117.40 | $2,234.80 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $290.00 | $580.00 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $5,760.00 | $11,520.00 | not published | 0 |
| Halo cervical into jckt vest HCPCS L0810 | $6,240.00 | $12,480.00 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $13.57 | $27.14 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.46 | $2.91 | not published | 0 |
| Hand X-ray CPT 73130 | $266.50 | $533.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $59.50 | $119.00 | not published | 0 |
| Hbb gene com variants CPT 81361 | $420.00 | $840.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $43.50 | $87.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $68.00 | $136.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | $301.50 | $603.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $1,023.50 | $2,047.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,005.50 | $2,011.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $636.50 | $1,273.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $76.50 | $153.00 | not published | 0 |
| Hematocrit CPT 85014 | $55.00 | $110.00 | not published | 0 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $13,902.98 | $27,805.96 | not published | 0 |
| Hemoglobin CPT 85018 | $20.50 | $41.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $43.50 | $87.00 | not published | 0 |
| Heparin assay CPT 85520 | $70.50 | $141.00 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $16.00 | $32.00 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $2.30 | $4.59 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $56.50 | $113.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $56.50 | $113.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $56.50 | $113.00 | not published | 0 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $911.53 | $1,823.06 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $56.50 | $113.00 | not published | 0 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $140.75 – $140.75 | 1 |
| Hepatitis c antibody CPT 86803 | $66.00 | $132.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $972.00 | $1,944.00 | not published | 0 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $158.15 – $158.15 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $66.00 | $132.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $85.50 | $171.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $38.00 | $76.00 | not published | 0 |
| Hip X-ray CPT 73502 | $210.50 | $421.00 | not published | 0 |
| Histamine CPT 83088 | $297.50 | $595.00 | not published | 0 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $5,105.17 | $10,210.34 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $1,323.50 | $2,647.00 | not published | 0 |
| Hla class ii high defin qual CPT 86833 | $1,332.50 | $2,665.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $911.00 | $1,822.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $165.00 | $330.00 | not published | 0 |
| Home sleep test/type 3 porta HCPCS G0399 | $685.00 | $1,370.00 | not published | 0 |
| Homocysteine CPT 83090 | $77.50 | $155.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $55.50 | $111.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $2,878.24 | $5,756.47 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $262.50 | $525.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $248.50 | $497.00 | not published | 0 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $796.53 | $1,593.06 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $73.16 | $146.33 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $6.36 | $12.72 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $67.00 | $134.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $338.00 | $676.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $258.14 | $516.29 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $199.68 | $399.35 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $50.00 | $100.00 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $38.18 | $76.37 | not published | 0 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $0.50 | $1.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $32.00 | $64.00 | not published | 0 |
| Hypnotherapy CPT 90880 | $50.00 | $100.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $545.00 | $1,090.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $300.08 | $600.16 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $4,451.20 | $8,902.40 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $4,158.00 | $8,316.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $180.38 | $360.75 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $3,910.58 | $7,821.16 | not published | 0 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $168.19 | $336.38 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $158.29 | $316.58 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $37,548.52 | $75,097.03 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $47,659.12 | $95,318.25 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $19,320.00 | $38,640.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,030.00 | $20,060.00 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $176.53 | $353.06 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $167.92 | $335.85 | 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.