CMS Price Transparency Data

Blood test, vitamin D

Facility: Licking Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $257
  • Cash Discount Price: $357
  • vs. Medicare Baseline: 8.68x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Licking Memorial Hospital is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.68x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$357

Average discount available for prompt cash payment at this facility.

Insurance Median
$257

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $357 (1206%)
Insurance Median: $257 (868%)
Cash: $357 (1206% of Medicare)
Ins. Median: $257 (868% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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 868% of the Medicare baseline (a markup of 768%). 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
Tricare $29 98%
Aetna $30 - $260 101%
Blue Cross Blue Shield $30 - $307 101%
Champva [500001] $30 101%
Cigna $30 - $321 101%
Humana $30 - $346 101%
Medicare (plans) $30 101%
UnitedHealthcare $30 - $304 101%
Veterans Administration [100068] $30 101%
Wellcare By Allwell [450104] $30 101%
Molina Marketplace [100106] $47 159%
Medical Mutual [100114] $196 - $296 662%
Medben [700068] $250 - $350 845%
Allied Benefit Systems [100015] $257 868%
Geha [100039] $257 868%
Gravie Administrative Services [100165] $257 868%
Meritain [100063] $257 868%
Optima [700069] $257 868%
Trustmark Small Business Benefits [100263] $257 868%
Webtpa [100127] $257 868%
Benicomp [70090] $268 905%
Consociate Health 6 Degrees [100059] $286 966%
Consociate Health [100029] $286 966%
Healthscope [100157] $304 1027%
Surest [100016] $304 1027%
United Medical Resources [700071] $304 1027%
American Postal Workers [100089] $321 1084%
Antidote Health Plan Of Ohio [70006803] $321 1084%
Coresource [100002] $321 - $357 1084%
Great West Life [700064] $321 1084%
National Association Of Letter Carriers [100067] $321 1084%
Ohio Healthy Luminare Health [100264] $321 1084%
Ohio Healthy [100255] $321 1084%
Ohio Ppo Connect [70006801] $321 1084%
Osu Prime Care [100254] $321 1084%
Quality Care Partners [70006802] $321 1084%
The Health Plan [100261] $321 1084%
Wellfleet Group, Llc [100164] $321 1084%
Coventry [100010] $330 1115%
Pan American Life [700070] $330 1115%
Ohio Health Choice [100109] $343 1159%
Administrative Concepts [100006] $346 1169%
Carefactor [100087] $346 1169%
Philadelphia American Life [100260] $346 - $357 1169%
Reliance Standard-Asrm [100258] $346 1169%

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