Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

Licking Memorial Hospital

1320 W MAIN ST, Newark, OH 43055

CMS Overall Rating ★★☆☆☆
Factual Overview

Licking Memorial Hospital is a Acute Care Hospitals (Voluntary non-profit - Private) operating in Newark, OH. Mapped commercial insurance prices across 84 procedures average 10.39x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 67%.

Facility Overview

Setting: urban Bed Count: 219 Beds Teaching Status: Non-Teaching Annual Discharges: 8,003

Patient Experience

Recommendation Rate: 67% High Patient Rating: 70% ER Wait Time (Med): 190 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 84 codes Avg Markup vs Medicare: 10.39x Price File In Index: Yes MRF Version: 2.0.0
Procedure & Code Cash Price Actions
Heart stent placement (inpatient stay)
MS-DRG Code: 322
$83,844 Calc
Blood transfusion
CPT Code: 36430
$1,106 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$27,208 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$66,542 Calc
CT scan, head (no contrast)
CPT Code: 70450
$2,952 Calc
CT scan, head (with contrast)
CPT Code: 70460
$3,220 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
$4,169 Calc
CT scan, sinuses
CPT Code: 70486
$2,883 Calc
MRI, brain (no contrast)
CPT Code: 70551
$4,414 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
$5,796 Calc
X-ray, chest (single view)
CPT Code: 71045
$418 Calc
X-ray, chest (two views)
CPT Code: 71046
$589 Calc
CT scan, chest (no contrast)
CPT Code: 71250
$3,143 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
$816 Calc
X-ray, lower back
CPT Code: 72110
$1,100 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
$3,608 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
$3,834 Calc
MRI, lower back (no contrast)
CPT Code: 72148
$4,414 Calc
X-ray, pelvis
CPT Code: 72170
$508 Calc
CT scan, pelvis
CPT Code: 72192
$2,984 Calc
X-ray, shoulder
CPT Code: 73030
$1,059 Calc
X-ray, hand
CPT Code: 73130
$1,052 Calc
X-ray, hip
CPT Code: 73502
$658 Calc
X-ray, ankle
CPT Code: 73610
$1,002 Calc
X-ray, foot
CPT Code: 73630
$1,052 Calc
MRI, knee or other leg joint
CPT Code: 73721
$6,621 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$7,413 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$8,470 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
$1,031 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
$3,172 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
$1,172 Calc
Ultrasound, pelvis
CPT Code: 76856
$1,493 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
$596 Calc
Screening mammogram (both breasts)
CPT Code: 77067
$375 Calc
Blood test, basic metabolic panel
CPT Code: 80048
$258 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
$361 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
$251 Calc
Blood test, liver function panel
CPT Code: 80076
$345 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
$138 Calc
Blood test, amylase
CPT Code: 82150
$173 Calc
Blood test, vitamin D
CPT Code: 82306
$357 Calc
Blood test, calcium
CPT Code: 82310
$76 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
$72 Calc
Blood test, vitamin B12
CPT Code: 82607
$104 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
$147 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
$96 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
$74 Calc
Blood test, lipase
CPT Code: 83690
$173 Calc
Blood test, magnesium
CPT Code: 83735
$93 Calc
Blood test, potassium
CPT Code: 84132
$65 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
$279 Calc
Blood test, sodium
CPT Code: 84295
$65 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
$323 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
$56 Calc
Blood test, hemoglobin
CPT Code: 85018
$35 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
$110 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
$71 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
$135 Calc
Hepatitis C antibody test
CPT Code: 86803
$457 Calc
Blood antibody screen
CPT Code: 86850
$162 Calc
Culture, blood
CPT Code: 87040
$126 Calc
Culture, bacterial
CPT Code: 87070
$114 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$47,644 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
$246 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
$264 Calc
Family therapy session
CPT Code: 90847
$284 Calc
Group therapy session
CPT Code: 90853
$509 Calc
Speech therapy (language evaluation)
CPT Code: 92507
$478 Calc
Speech therapy (group session)
CPT Code: 92508
$316 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
$226 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
$2,606 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
$2,022 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
$106 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
$4,297 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
$271 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
$174 Calc
Physical therapy (gait training)
CPT Code: 97116
$129 Calc
Physical therapy (manual therapy)
CPT Code: 97140
$192 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
$192 Calc
Occupational therapy (self-care training)
CPT Code: 97535
$192 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
$179 Calc
Orthotic fitting and training
CPT Code: 97760
$183 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
$507 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
$888 Calc