Office visit, established patient (20-29 min)
Facility: Licking Memorial Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Office visit, established patient (20-29 min) is about $87 (about 0.9× the $95 Medicare rate). Licking Memorial Hospital charges insurers about $128, or about $507 in cash — above the fair price. Located in Newark, OH.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $87. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $128 - $612 | 134% |
| Blue Cross Blue Shieldmajor | $128 - $619 | 134% |
| Aetnamajor | $128 - $665 | 134% |
| Cignamajor | $128 - $648 | 134% |
| Humanamajor | $128 - $699 | 134% |
| GEHA | $240 - $589 | 252% |
| Medical Mutual | $162 - $598 | 170% |
| Molina | $205 | 215% |
| Sentara | $240 - $589 | 252% |
| WellCare | $128 | 134% |
| + 26 smaller / regional plans | $206 - $720 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Licking Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other OH hospitals
- Uhhs Memorial Hospital of Geneva · Geneva $37
- University Hospitals Conneaut Medical Center · Conneaut $37
- Cincinnati Children's Hospital Medical Center · Cincinnati $42
- Arthur G James Cancer Hospital and Research Institute · Columbus $47
- Mount Carmel Dublin · Dublin $55
- Memorial Hospital · Marysville $57
- Marymount Hospital · Garfield Heights $58
- Cleveland Clinic Avon Hospital · Avon $58
Insurance negotiated median for the same procedure, sorted lowest first.