Hospital Profile
Critical Access Hospitals Voluntary non-profit - Private
Community Hospitals and Wellness Centers
909 E SNYDER AVE, Montpelier, OH 43543
CMS Overall Rating No CMS Rating
Factual Overview
Community Hospitals and Wellness Centers is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Montpelier, OH. Mapped commercial insurance prices across 79 procedures average 0.70x the Medicare baseline. CMS has not published a quality star rating for this facility.
Facility Overview
Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 4
Patient Experience
Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 91 min Readmission Rate: N/A
Pricing & Transparency
Procedures Mapped: 79 codes Avg Markup vs Medicare: 0.70x Price File In Index: Yes MRF Version: 3.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $794 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $636 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,006 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,024 | — |
| CT scan, sinuses CPT Code: 70486 | $539 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,419 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,318 | — |
| X-ray, chest (single view) CPT Code: 71045 | $171 | — |
| X-ray, chest (two views) CPT Code: 71046 | $171 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $658 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $166 | — |
| X-ray, lower back CPT Code: 72110 | $288 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $539 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $670 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,498 | — |
| X-ray, pelvis CPT Code: 72170 | $283 | — |
| CT scan, pelvis CPT Code: 72192 | $658 | — |
| X-ray, shoulder CPT Code: 73030 | $238 | — |
| X-ray, hand CPT Code: 73130 | $238 | — |
| X-ray, hip CPT Code: 73502 | $210 | — |
| X-ray, ankle CPT Code: 73610 | $188 | — |
| X-ray, foot CPT Code: 73630 | $238 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,690 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,418 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,285 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $513 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $513 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $496 | — |
| Ultrasound, pelvis CPT Code: 76856 | $504 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | Contact Desk | View Calculator Calc |
| Blood test, basic metabolic panel CPT Code: 80048 | $60 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $70 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $82 | — |
| Blood test, liver function panel CPT Code: 80076 | $60 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $30 | — |
| Blood test, amylase CPT Code: 82150 | $34 | — |
| Blood test, vitamin D CPT Code: 82306 | $112 | — |
| Blood test, calcium CPT Code: 82310 | $34 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $34 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $68 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $60 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $25 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $44 | — |
| Blood test, lipase CPT Code: 83690 | $34 | — |
| Blood test, magnesium CPT Code: 83735 | $34 | — |
| Blood test, potassium CPT Code: 84132 | $34 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $78 | — |
| Blood test, sodium CPT Code: 84295 | $49 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $68 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $25 | — |
| Blood test, hemoglobin CPT Code: 85018 | $20 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $52 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $30 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $40 | — |
| Hepatitis C antibody test CPT Code: 86803 | $66 | — |
| Blood antibody screen CPT Code: 86850 | $50 | — |
| Culture, blood CPT Code: 87040 | $82 | — |
| Culture, bacterial CPT Code: 87070 | $92 | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $185 | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $185 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $185 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $167 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $120 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,225 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $928 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $149 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,412 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $70 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $80 | — |
| Physical therapy (gait training) CPT Code: 97116 | $76 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $62 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $84 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $76 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $80 | — |
| Orthotic fitting and training CPT Code: 97760 | $101 | — |
| Prosthetic fitting and training CPT Code: 97761 | $70 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $38 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $24 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $34 | — |