CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Licking Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$112
about 0.8× the $136 Medicare rate · typically $83–$253
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $16 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $112 This hospital $128 Cash price $888 Hospital's list price $888

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $128

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 (30-39 min) is about $112 (about 0.8× the $136 Medicare rate). Licking Memorial Hospital charges insurers about $128, or about $888 in cash — about the fair price. Located in Newark, OH.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 - $1,007 94%
Blue Cross Blue Shieldmajor $128 - $1,017 94%
Aetnamajor $128 - $1,093 94%
Cignamajor $128 - $1,066 94%
Humanamajor $128 - $1,149 94%
GEHA $484 - $969 357%
Medical Mutual $326 - $983 240%
Molina $205 151%
Sentara $484 - $969 357%
WellCare $128 94%
+ 26 smaller / regional plans $415 - $1,184
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals