Visits & medical services prices at Licking Memorial Hospital
Newark, OH · every code in this section with a posted price and a Medicare benchmark.
185 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $11,438.60 | $11,438.60 | 1.5× |
| Actigraphy Testing Recording Analysis I&R (95803) | $575.60 | $575.60 | 10.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $44.55 | $44.55 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $306.60 | $306.60 | 1.5× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$86.85–$125.90 | $86.85–$125.90 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $259.90 | $259.90 | 18.1× |
| Application on-body injector (96377) | $178.55 | $178.55 | 4.0× |
| Assessment of aphasia per hr (96105) | $573.90 | $573.90 | 5.9× |
| Behavral qualit analys voice (92524) | $286 | $286 | 2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $557.55 | $557.55 | 1.5× |
| Canalith repositioning proc (95992) | $230.55 | $230.55 | 5.7× |
| Car seat/bed test 60 min (94780) | $307.65 | $307.65 | 8.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 14 matching MRF lines |
$753.80–$1,718.55 | $753.80–$1,718.55 | varies |
| Cardiopulmonary resuscitation (92950) | $1,044.60 | $1,044.60 | 5.0× |
| Cardioversion (92960) | $2,450.15 | $2,450.15 | 3.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $26,238.75 | $26,238.75 | 8.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $25,077.25 | $25,077.25 | 8.0× |
| Cbt 1st hour (94644) | $302.20 | $302.20 | 2.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $295 | $295 | 4.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $295 | $295 | 4.2× |
| Chemo intralesional up to 7 (96405) | $34.95 | $34.95 | 0.5× |
| Chemo IV infusion addl hr (96415) | $168.70 | $168.70 | 2.4× |
| Chemo IV push addl drug (96411) | $360.60 | $360.60 | 5.2× |
| Chemother Prolong Infuse W/Pump (96416) | $1,203.35 | $1,203.35 | 3.8× |
| Chemotherapy Into Cns (96450) | $720.45 | $720.45 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $720.30 | $720.30 | 10.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $720.30 | $720.30 | 2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $360.60 | $360.60 | 1.1× |
| Chest Wall Manipulation (94668) | $233 | $233 | 1.8× |
| Color/duplex Doppler, complete (93975) | $1,443.95 | $1,443.95 | 6.3× |
| Color/duplex Doppler, limited (93976) | $1,229.20 | $1,229.20 | 12.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $444.60 | $444.60 | 3.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $122.75 | $122.75 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $19,693.85 | $19,693.85 | 6.3× |
| Coronary Artery Angio S&I (93454) | $18,492.75 | $18,492.75 | 5.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $448.40 | $448.40 | 2.1× |
| Cpt initial (94667) | $233 | $233 | 1.8× |
| Critical care first hour (99291) | $2,503.70 | $2,503.70 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $573.90 | $573.90 | 3.0× |
| Dialysis One Evaluation (90945) | $1,244 | $1,244 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,362.20 | $1,362.20 | 5.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $908.20 | $908.20 | 9.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $979.55 | $979.55 | 4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $439.15 | $439.15 | 4.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$1,181.25–$3,361.90 | $1,181.25–$3,361.90 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$835.75–$1,187.45 | $835.75–$1,187.45 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,182.85 | $1,182.85 | 5.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $432.70 | $432.70 | 4.3× |
| Duplex Scan Hemodialysis Access (93990) | $697.35 | $697.35 | 6.9× |
| Duplex up extrem art bilat (93930) | $853.10 | $853.10 | 3.7× |
| Duplex up extrem art unilat/ltd (93931) | $439.15 | $439.15 | 4.4× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,329.20–$1,740.65 | $1,329.20–$1,740.65 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$756.90–$3,350.45 | $756.90–$3,350.45 | varies |
| Eeg 41-60 Minutes (95812) | $1,369.95 | $1,369.95 | 6.6× |
| EEG awake and asleep (95819) | $1,318.90 | $1,318.90 | 6.3× |
| EEG awake drowsy (95816) | $1,318.90 | $1,318.90 | 6.3× |
| EEG cerebral death evaluation (95824) | $1,318.90 | $1,318.90 | 3.7× |
| EEG extended monitoring 61-119 minutes (95813) | $1,369.95 | $1,369.95 | 6.6× |
| Eeg Sleep Only (95822) | $1,318.90 | $1,318.90 | 6.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$111.45–$264.85 | $111.45–$264.85 | varies |
| Electrocardiogram Tracing (93005) | $225.90 | $225.90 | 4.0× |
| Emergency Dept Visit Level 2 (99282) | $502.15 | $502.15 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $678.55 | $678.55 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $899.60 | $899.60 | 2.2× |
| Ep & ablate supravent arrhyt (93653) | $36,377.25 | $36,377.25 | 1.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $11,438.60 | $11,438.60 | 1.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $11,438.60 | $11,438.60 | 1.5× |
| Er level 1 (99281) | $253.85 | $253.85 | 3.1× |
| Er level v (99285) | $1,252.40 | $1,252.40 | 2.2× |
| Evaluate Speech Production (92522) | $274 | $274 | 2.4× |
| Evaluate Swallowing Function (92610) | $568.45 | $568.45 | 6.7× |
| Evaluation of speech fluency (92521) | $336.55 | $336.55 | 2.5× |
| External ECG rec>48hr<7d recording (93242) | $59.60 | $59.60 | 1.7× |
| External ECG rec>7d<15d recording (93246) | $119.10 | $119.10 | 3.3× |
| External Ecg Scanning Analysis Report (93226) | $423.80 | $423.80 | 7.5× |
| Extracranial Bilat Study (93880) | $1,169.85 | $1,169.85 | 5.1× |
| Extracranial Uni/Ltd Study (93882) | $697.45 | $697.45 | 6.9× |
| Group Therapeutic Procedures (97150) | $210.65 | $210.65 | 11.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $27,494.55 | $27,494.55 | 8.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,585.95 | $1,585.95 | 2.4× |
| Holter monitor recording (93225) | $1,194.80 | $1,194.80 | 9.3× |
| Immunization administration (90471) | $120.70 | $120.70 | 1.7× |
| Insert/Place Heart Catheter (93503) | $4,584.65 | $4,584.65 | 3.0× |
| Intra-atrial pacing (93610) | $11,438.60 | $11,438.60 | 1.5× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$188.10–$264.85 | $188.10–$264.85 | varies |
| Irrig Drug Delivery Device (96523) | $216.95 | $216.95 | 3.8× |
| IV infusion hydration each additional hour (96361) | $120.70 | $120.70 | 2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $482.10 | $482.10 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $482.10 | $482.10 | 6.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $120.70 | $120.70 | 2.7× |
| IV push initial (96374) | $300.85 | $300.85 | 1.5× |
| L Hrt Art/Grft Angio (93459) | $27,494.55 | $27,494.55 | 8.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $18,492.75 | $18,492.75 | 5.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $617.75 | $617.75 | 3.0× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,828.25 | $2,828.25 | 2.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $91.50 | $91.50 | 2.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $106.75 | $106.75 | 2.9× |
| Methacholine challenge (94070) | $1,507.20 | $1,507.20 | 4.2× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$791.60–$1,583 | $791.60–$1,583 | varies |
| Motion Fluoroscopy/Swallow (92611) | $568.45 | $568.45 | 6.2× |
| Multiple Sleep Latency Test (95805) | $5,035.35 | $5,035.35 | 6.1× |
| Nasopharyngoscopy (92511) | $901.55 | $901.55 | 4.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $689.15 | $689.15 | 1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $689.15 | $689.15 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$344.50–$689 | $344.50–$689 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $559.55 | $559.55 | 1.4× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$156.60–$192.05 | $156.60–$192.05 | varies |
| Oral Function Therapy (92526) | $478.25 | $478.25 | 5.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$142.90–$224 | $142.90–$224 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $361.20 | $361.20 | 17.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $197.70 | $197.70 | 14.1× |
| Ot eval high complexity (97167) | $382.85 | $382.85 | 3.8× |
| Ot Eval Low Complex (97165) | $382.85 | $382.85 | 3.8× |
| Ot Eval Moderate Complexity (97166) | $382.85 | $382.85 | 3.8× |
| Ot manual therapy 15 min (97140) | $192.30 | $192.30 | 6.9× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$197.70–$221.65 | $197.70–$221.65 | varies |
| Ot Re-Eval Est Plan Care (97168) | $271.25 | $271.25 | 4.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $298.70 | $298.70 | 2.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $13 | $13 | 0.1× |
| Patch/Application Test Specify Number Tests (95044) | $12.35 | $12.35 | 0.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $35,351.50 | $35,351.50 | 2.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $19,667 | $19,667 | 3.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $19,667 | $19,667 | 1.8× |
| Phlebotomy therapeutic (99195) | $273.70 | $273.70 | 2.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $368.80 | $368.80 | 6.5× |
| Physical Performance Test (97750) | $179.25 | $179.25 | 5.3× |
| Plethysmography (94726) | $481.20 | $481.20 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$3,259.90–$6,518.40 | $3,259.90–$6,518.40 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $28,759.40 | $28,759.40 | 2.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $28,759.40 | $28,759.40 | 2.6× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$280–$560 | $280–$560 | varies |
| Pt Eval High Complex (97163) | $382.85 | $382.85 | 3.9× |
| Pt eval low complex 20 min (97161) | $382.85 | $382.85 | 3.9× |
| Pt Eval Mod Complex (97162) | $382.85 | $382.85 | 3.9× |
| Pt gait training 15 min (97116) | $128.95 | $128.95 | 4.4× |
| Pt mechanical traction (97012) | $208.80 | $208.80 | 14.5× |
| Pt Re-Eval Est Plan Care (97164) | $271.25 | $271.25 | 4.0× |
| Pulm function test by gas (94727) | $367.65 | $367.65 | 1.8× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$233.20–$271.60 | $233.20–$271.60 | varies |
| Pulmonary Stress Testing (94618) | $543.35 | $543.35 | 4.2× |
| R Hrt Art/Grft Angio (93457) | $19,280.10 | $19,280.10 | 6.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $18,492.75 | $18,492.75 | 5.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $18,492.75 | $18,492.75 | 5.9× |
| R hrt coronary artery angio (93456) | $19,280.10 | $19,280.10 | 6.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $26,238.75 | $26,238.75 | 8.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $26,238.75 | $26,238.75 | 8.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $238.20 | $238.20 | 6.6× |
| Right Heart Cath (93451) | $18,492.75 | $18,492.75 | 5.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $271.25 | $271.25 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $288.15 | $288.15 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $114.55 | $114.55 | 2.4× |
| Self Care Mngment Training (97535) | $192.05 | $192.05 | 5.9× |
| Sleep study unattended (95806) | $769.05 | $769.05 | 3.7× |
| Speech sound lang comprehen (92523) | $567.80 | $567.80 | 2.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$279.35–$367.65 | $279.35–$367.65 | varies |
| Standardized Cognitive Performance Testing (96125) | $206.20 | $206.20 | 2.0× |
| Stress Tte Only (93350) range across 12 matching MRF lines |
$712.05–$2,742.35 | $712.05–$2,742.35 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $120.70 | $120.70 | 2.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $482.10 | $482.10 | 2.4× |
| Temp transcutaneous pacing (92953) | $1,621.55 | $1,621.55 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$192.05–$206.20 | $192.05–$206.20 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $206.20 | $206.20 | 9.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $212.20 | $212.20 | 7.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $240.20 | $240.20 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$178.55–$179.45 | $178.55–$179.45 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $482.10 | $482.10 | 2.4× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$178.55–$230 | $178.55–$230 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,855.40 | $1,855.40 | 5.2× |
| Tte w/doppler, complete (93306) | $2,606.50 | $2,606.50 | 4.9× |
| Tte W/O Doppler Complete (93307) | $2,606.50 | $2,606.50 | 11.3× |
| Tx atrial fib pulm vein isol (93656) | $36,377.25 | $36,377.25 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $478.25 | $478.25 | 6.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $315.90 | $315.90 | 13.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $240.75 | $240.75 | 5.3× |
| Unlisted cardiovascular service/procedure (93799) | $921.65 | $921.65 | 7.4× |
| Unlisted noninvasive vascular diagnostic study (93998) range across 2 matching MRF lines |
$481.20–$613.35 | $481.20–$613.35 | varies |
| Unlisted Special Dermatological Service/Px (96999) | $310.90 | $310.90 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$302.25–$783.35 | $302.25–$783.35 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 8 matching MRF lines |
$291.65–$915.55 | $291.65–$915.55 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$159.25–$168.70 | $159.25–$168.70 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,020.55 | $1,020.55 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,020.55 | $1,020.55 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $205.65 | $205.65 | 6.6× |
| Whirlpool Therapy (97022) | $274.70 | $274.70 | 17.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $1,085 | $1,085 | 19.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.