CMS Price Transparency Data

Blood test, amylase

Facility: Licking Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $124
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 19.14x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Licking Memorial Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 19.14x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)
Cash / Self-Pay: $173 (2670%)
Insurance Median: $124 (1914%)
Cash: $173 (2670% of Medicare)
Ins. Median: $124 (1914% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.48 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1914% of the Medicare baseline (a markup of 1814%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $6 - $146 93%
Blue Cross Blue Shield $6 - $172 93%
Champva [500001] $6 93%
Cigna $6 - $180 93%
Humana $6 - $194 93%
Medicare (plans) $6 93%
Tricare $6 93%
UnitedHealthcare $6 - $170 93%
Veterans Administration [100068] $6 93%
Wellcare By Allwell [450104] $6 93%
Molina Marketplace [100106] $10 154%
Medical Mutual [100114] $48 - $166 741%
Medben [700068] $61 - $196 941%
Allied Benefit Systems [100015] $63 - $144 972%
Geha [100039] $63 - $144 972%
Gravie Administrative Services [100165] $63 - $144 972%
Meritain [100063] $63 - $144 972%
Optima [700069] $63 - $144 972%
Trustmark Small Business Benefits [100263] $63 - $144 972%
Webtpa [100127] $63 - $144 972%
Benicomp [70090] $65 - $150 1003%
Consociate Health 6 Degrees [100059] $70 - $160 1080%
Consociate Health [100029] $70 - $160 1080%
Healthscope [100157] $74 - $170 1142%
Surest [100016] $74 - $170 1142%
United Medical Resources [700071] $74 - $170 1142%
American Postal Workers [100089] $78 - $180 1204%
Antidote Health Plan Of Ohio [70006803] $78 - $180 1204%
Coresource [100002] $78 - $200 1204%
Great West Life [700064] $78 - $180 1204%
National Association Of Letter Carriers [100067] $78 - $180 1204%
Ohio Healthy Luminare Health [100264] $78 - $180 1204%
Ohio Healthy [100255] $78 - $180 1204%
Ohio Ppo Connect [70006801] $78 - $180 1204%
Osu Prime Care [100254] $78 - $180 1204%
Quality Care Partners [70006802] $78 - $180 1204%
The Health Plan [100261] $78 - $180 1204%
Wellfleet Group, Llc [100164] $78 - $180 1204%
Coventry [100010] $80 - $185 1235%
Pan American Life [700070] $80 - $185 1235%
Administrative Concepts [100006] $84 - $194 1296%
Carefactor [100087] $84 - $194 1296%
Ohio Health Choice [100109] $84 - $192 1296%
Philadelphia American Life [100260] $84 - $200 1296%
Reliance Standard-Asrm [100258] $84 - $194 1296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals