CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Licking Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,415
  • Cash Discount Price: $2,952
  • vs. Medicare Baseline: 22.61x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Licking Memorial Hospital is $2,415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,952. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.61x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$2,952

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,415

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,952 (2764%)
Insurance Median: $2,415 (2261%)
Cash: $2,952 (2764% of Medicare)
Ins. Median: $2,415 (2261% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2261% of the Medicare baseline (a markup of 2161%). 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 $99 93%
Aetna $101 - $2,438 95%
Blue Cross Blue Shield $101 95%
Champva [500001] $101 95%
Cigna $101 - $2,657 95%
Humana $101 - $2,863 95%
Medicare (plans) $101 95%
UnitedHealthcare $101 - $2,509 95%
Veterans Administration [100068] $101 95%
Wellcare By Allwell [450104] $101 95%
Molina Marketplace [100106] $161 151%
Medical Mutual [100114] $1,624 - $2,450 1520%
Medben [700068] $2,066 - $2,893 1934%
Benicomp [70090] $2,214 2073%
Consociate Health 6 Degrees [100059] $2,362 2211%
Consociate Health [100029] $2,362 2211%
Allied Benefit Systems [100015] $2,415 2261%
Geha [100039] $2,415 2261%
Gravie Administrative Services [100165] $2,415 2261%
Meritain [100063] $2,415 2261%
Optima [700069] $2,415 2261%
Trustmark Small Business Benefits [100263] $2,415 2261%
Webtpa [100127] $2,415 2261%
Healthscope [100157] $2,509 2349%
Surest [100016] $2,509 2349%
United Medical Resources [700071] $2,509 2349%
American Postal Workers [100089] $2,657 2488%
Antidote Health Plan Of Ohio [70006803] $2,657 2488%
Coresource [100002] $2,657 - $2,952 2488%
Great West Life [700064] $2,657 2488%
National Association Of Letter Carriers [100067] $2,657 2488%
Ohio Healthy Luminare Health [100264] $2,657 2488%
Ohio Healthy [100255] $2,657 2488%
Ohio Ppo Connect [70006801] $2,657 2488%
Osu Prime Care [100254] $2,657 2488%
Quality Care Partners [70006802] $2,657 2488%
The Health Plan [100261] $2,657 2488%
Wellfleet Group, Llc [100164] $2,657 2488%
Coventry [100010] $2,725 2551%
Pan American Life [700070] $2,725 2551%
Ohio Health Choice [100109] $2,834 2653%
Administrative Concepts [100006] $2,863 2680%
Carefactor [100087] $2,863 2680%
Philadelphia American Life [100260] $2,863 - $2,952 2680%
Reliance Standard-Asrm [100258] $2,863 2680%

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