CMS Price Transparency Data

Blood test, magnesium

Facility: Licking Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $79
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 11.79x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Licking Memorial Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 11.79x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $93 (1388%)
Insurance Median: $79 (1179%)
Cash: $93 (1388% of Medicare)
Ins. Median: $79 (1179% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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 1179% of the Medicare baseline (a markup of 1079%). 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 $7 - $286 104%
Blue Cross Blue Shield $7 - $338 104%
Champva [500001] $7 104%
Cigna $7 - $354 104%
Humana $7 - $381 104%
Medicare (plans) $7 104%
Tricare $7 104%
UnitedHealthcare $7 - $334 104%
Veterans Administration [100068] $7 104%
Wellcare By Allwell [450104] $7 104%
Molina Marketplace [100106] $11 164%
Medical Mutual [100114] $29 - $326 433%
Medben [700068] $37 - $385 552%
Allied Benefit Systems [100015] $38 - $283 567%
Geha [100039] $38 - $283 567%
Gravie Administrative Services [100165] $38 - $283 567%
Meritain [100063] $38 - $283 567%
Optima [700069] $38 - $283 567%
Trustmark Small Business Benefits [100263] $38 - $283 567%
Webtpa [100127] $38 - $283 567%
Benicomp [70090] $40 - $295 597%
Consociate Health 6 Degrees [100059] $43 - $314 642%
Consociate Health [100029] $43 - $314 642%
Healthscope [100157] $45 - $334 672%
Surest [100016] $45 - $334 672%
United Medical Resources [700071] $45 - $334 672%
American Postal Workers [100089] $48 - $354 716%
Antidote Health Plan Of Ohio [70006803] $48 - $354 716%
Coresource [100002] $48 - $393 716%
Great West Life [700064] $48 - $354 716%
National Association Of Letter Carriers [100067] $48 - $354 716%
Ohio Healthy Luminare Health [100264] $48 - $354 716%
Ohio Healthy [100255] $48 - $354 716%
Ohio Ppo Connect [70006801] $48 - $354 716%
Osu Prime Care [100254] $48 - $354 716%
Quality Care Partners [70006802] $48 - $354 716%
The Health Plan [100261] $48 - $354 716%
Wellfleet Group, Llc [100164] $48 - $354 716%
Coventry [100010] $49 - $363 731%
Pan American Life [700070] $49 - $363 731%
Ohio Health Choice [100109] $51 - $377 761%
Administrative Concepts [100006] $52 - $381 776%
Carefactor [100087] $52 - $381 776%
Philadelphia American Life [100260] $52 - $393 776%
Reliance Standard-Asrm [100258] $52 - $381 776%

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