Hospital price profile
LICKING MEMORIAL HOSPITAL
1320 WEST MAIN STREET, Newark, OH 43055 · (740) 348-4000 · Map and directions
CMS quality snapshot
Overall hospital rating2 of 5 stars
Safety measures vs. national result0 better · 7 same · 0 worse
PSI-90 patient safetyNo Different Than the National Value
The hospital star rating is overall, not procedure-specific. PSI-90 reflects qualifying Medicare inpatient stays, not every outpatient encounter. View CMS source.
| Procedure | Context | Published cash | Comparison | Source |
|---|---|---|---|---|
| Blood drawCPT 36415 · HC Chg Collection Venous Blood,Venipuncture - Draw Charge | BOTH / 1 observed cash value(s) | $36.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Upper GI endoscopyCPT 43235 · HC Esophagogastroduodenoscopy Transoral Diagnostic | BOTH / 1 observed cash value(s) | $631.25 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT headCPT 70450 · HC CT Head/Brain WO Contrast | BOTH / 1 observed cash value(s) | $2,952.05 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT head with contrastCPT 70460 · HC CT Head/Brain W Contrast | BOTH / 1 observed cash value(s) | $3,220.35 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT head with/without contrastCPT 70470 · HC CT Head/Brain W WO Contrast | BOTH / 1 observed cash value(s) | $4,168.89 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| MRI brain without contrastCPT 70551 · HC MRI Internal Auditory Canals WO Contrast | BOTH / 1 observed cash value(s) | $4,414.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| MRI brain with contrastCPT 70552 · HC MRI Brain W Contrast | BOTH / 1 observed cash value(s) | $4,414.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| MRI brainCPT 70553 · HC MRI Brain Combo - MR Int Auditory Canals W WO Contrast | BOTH / 1 observed cash value(s) | $5,795.75 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Chest X-rayCPT 71046 · HC X-Ray Chest 2 Views | BOTH / 1 observed cash value(s) | $589.35 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT chest without contrastCPT 71250 · HC CT Chest Diagnostic W/O Contrast | BOTH / 2 observed cash value(s) | $3,142.60MRF range $2,762.10–$3,523.10 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| CT chestCPT 71260 · HC CT Chest Diagnostic W/ Contrast | BOTH / 1 observed cash value(s) | $3,523.10 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT angiography chestCPT 71275 · HC Cta Chest W and WO IV Contrast | BOTH / 1 observed cash value(s) | $5,775.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| MRI cervical spineCPT 72141 · HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast | BOTH / 1 observed cash value(s) | $4,414.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| MRI thoracic spineCPT 72146 · HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast | BOTH / 1 observed cash value(s) | $4,414.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| MRI lumbar spineCPT 72148 · HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | BOTH / 1 observed cash value(s) | $4,414.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Shoulder X-rayCPT 73030 · HC X-Ray Shoulder 2 Views | BOTH / 6 observed cash value(s) | $1,058.90MRF range $657.95–$1,603.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| MRI shoulder / upper jointCPT 73221 · HC MRI, Joint Upper Extrem WO IV Contrast | BOTH / 2 observed cash value(s) | $6,621.29MRF range $4,414.20–$8,828.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Knee X-rayCPT 73562 · HC X-Ray Patella 3 Views | BOTH / 2 observed cash value(s) | $1,138.34MRF range $758.90–$1,517.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Ankle X-rayCPT 73610 · HC X-Ray Ankle 3+ Views | BOTH / 2 observed cash value(s) | $1,002.45MRF range $668.30–$1,336.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| MRI knee / lower jointCPT 73721 · HC MRI Lower Extremity Joint WO Contrast | BOTH / 2 observed cash value(s) | $6,621.29MRF range $4,414.20–$8,828.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| CT abdomen & pelvis without contrastCPT 74176 · HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast | BOTH / 1 observed cash value(s) | $7,413.05 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT abdomen & pelvisCPT 74177 · HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | BOTH / 1 observed cash value(s) | $8,469.79 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| CT abdomen & pelvis with/without contrastCPT 74178 · HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast | BOTH / 1 observed cash value(s) | $8,757.35 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Breast ultrasoundCPT 76641 · HC Ultrasound Breast Complete - US Breast Complete Unilateral | BOTH / 2 observed cash value(s) | $1,555.42MRF range $1,036.95–$2,073.90 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Transvaginal ultrasoundCPT 76830 · HC Echography,Transvaginal - US Pelvis Transvaginal | BOTH / 1 observed cash value(s) | $953.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Pelvic ultrasoundCPT 76856 · HC Echo,Pelvic (Nonobstetric) - US Pelvis Complete | BOTH / 1 observed cash value(s) | $1,492.95 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Diagnostic mammogramCPT 77065 · HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic | BOTH / 1 observed cash value(s) | $492.65 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Screening mammogramCPT 77067 · HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | BOTH / 2 observed cash value(s) | $375.42MRF range $333.30–$417.55 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Nuclear stress imagingCPT 78452 · HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect | BOTH / 1 observed cash value(s) | $9,868.15 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Comprehensive metabolic panelCPT 80053 · HC Metabolic Panel,Comprehensive - Bundled Charge | BOTH / 1 observed cash value(s) | $360.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Lipid panelCPT 80061 · HC Lipid Panel - Bundled Charge | BOTH / 1 observed cash value(s) | $250.70 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| UrinalysisCPT 81001 · HC Urinalysis, Auto, W/Scope - Urinalysis Profile | BOTH / 1 observed cash value(s) | $137.69 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Vitamin D testCPT 82306 · HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25 (Oh) | BOTH / 1 observed cash value(s) | $357.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Ferritin testCPT 82728 · HC Assay of Ferritin - Ferritin | BOTH / 1 observed cash value(s) | $147.25 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Hemoglobin A1cCPT 83036 · HC Glycosylated Hemoglobin Test - Hemoglobin A1c | BOTH / 2 observed cash value(s) | $74.37MRF range $32.60–$116.15 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Iron testCPT 83540 · HC Assay of Iron - Iron Total Iron Liver Tissue Block | BOTH / 3 observed cash value(s) | $320.85MRF range $71.30–$486.55 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| TIBC testCPT 83550 · HC Iron Binding Test - Iron and Iron Binding Capacity | BOTH / 1 observed cash value(s) | $83.25 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| PSA testCPT 84153 · HC Prostate Specific Antigen,Total - Psa Post Prostatectomy | BOTH / 2 observed cash value(s) | $311.64MRF range $246.95–$311.64 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| TSH testCPT 84443 · HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | BOTH / 1 observed cash value(s) | $323.25 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Pregnancy blood testCPT 84702 · HC Chorionic Gonadotropin, Quant - Beta Subunit Serum | BOTH / 2 observed cash value(s) | $337.40MRF range $261.45–$413.35 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| CBC with differentialCPT 85025 · HC Cbc With Diff No Plts | BOTH / 2 observed cash value(s) | $147.15MRF range $73.75–$147.15 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Urine cultureCPT 87086 · HC Culture, Urine | BOTH / 1 observed cash value(s) | $68.70 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| EchocardiogramCPT 93306 · HC Tte W/Doppler Complete - Tte Complete | BOTH / 1 observed cash value(s) | $2,606.50 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| SpirometryCPT 94010 · HC Spirometry Test | BOTH / 2 observed cash value(s) | $323.50MRF range $279.35–$367.65 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Lung diffusion testCPT 94729 · HC Diffusing Capacity - Carbon Monoxide Diffusing Capacity | BOTH / 1 observed cash value(s) | $279.35 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Sleep studyCPT 95810 · HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd Reduced | BOTH / 2 observed cash value(s) | $4,296.60MRF range $2,711.45–$5,881.75 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Physical therapy exerciseCPT 97110 · HC Pt Range of Motion Initial 15 Min | BOTH / 3 observed cash value(s) | $271.25MRF range $269.80–$327.45 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
| Manual therapyCPT 97140 · HC Pt Manual Ther Tech,1+Regions,Ea 15 Min | BOTH / 1 observed cash value(s) | $192.30 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| PT evaluation, low complexityCPT 97161 · HC Pt Physical Therapy Evaluation Low Complex | BOTH / 1 observed cash value(s) | $382.85 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| PT evaluation, moderate complexityCPT 97162 · HC Pt Physical Therapy Evaluation Mod Complex | BOTH / 1 observed cash value(s) | $382.85 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 999393e8… |
| Therapeutic activitiesCPT 97530 · HC Pt Therapeutic Activity, Transfer Training Each 15 Min | BOTH / 3 observed cash value(s) | $192.05MRF range $178.55–$230.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 999393e8… |
About these prices
Every amount on this page comes from the hospital’s machine-readable file and remains tied to its exact billing code, care setting, and billing class. Rows with multiple published amounts show the source range and are not ranked as a single comparable price.