CMS Price Transparency Data

Blood test, calcium

Facility: Licking Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $54
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 10.47x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Licking Memorial Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 10.47x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $76 (1473%)
Insurance Median: $54 (1047%)
Cash: $76 (1473% of Medicare)
Ins. Median: $54 (1047% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 1047% of the Medicare baseline (a markup of 947%). 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 $5 - $55 97%
Blue Cross Blue Shield $5 - $65 97%
Champva [500001] $5 97%
Cigna $5 - $68 97%
Humana $5 - $73 97%
Medicare (plans) $5 97%
Tricare $5 97%
UnitedHealthcare $5 - $64 97%
Veterans Administration [100068] $5 97%
Wellcare By Allwell [450104] $5 97%
Molina Marketplace [100106] $8 155%
Medical Mutual [100114] $42 - $63 814%
Medben [700068] $53 - $74 1027%
Allied Benefit Systems [100015] $54 1047%
Geha [100039] $54 1047%
Gravie Administrative Services [100165] $54 1047%
Meritain [100063] $54 1047%
Optima [700069] $54 1047%
Trustmark Small Business Benefits [100263] $54 1047%
Webtpa [100127] $54 1047%
Benicomp [70090] $57 1105%
Consociate Health 6 Degrees [100059] $60 1163%
Consociate Health [100029] $60 1163%
Healthscope [100157] $64 1240%
Surest [100016] $64 1240%
United Medical Resources [700071] $64 1240%
American Postal Workers [100089] $68 1318%
Antidote Health Plan Of Ohio [70006803] $68 1318%
Coresource [100002] $68 - $76 1318%
Great West Life [700064] $68 1318%
National Association Of Letter Carriers [100067] $68 1318%
Ohio Healthy Luminare Health [100264] $68 1318%
Ohio Healthy [100255] $68 1318%
Ohio Ppo Connect [70006801] $68 1318%
Osu Prime Care [100254] $68 1318%
Quality Care Partners [70006802] $68 1318%
The Health Plan [100261] $68 1318%
Wellfleet Group, Llc [100164] $68 1318%
Coventry [100010] $70 1357%
Pan American Life [700070] $70 1357%
Administrative Concepts [100006] $73 1415%
Carefactor [100087] $73 1415%
Ohio Health Choice [100109] $73 1415%
Philadelphia American Life [100260] $73 - $76 1415%
Reliance Standard-Asrm [100258] $73 1415%

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