Licking Memorial Hospital

Cash prices

1. Acute Intensive Care — Room & Care

   Standard service: Acute intensive care

   Ask what's included
   $3,599 per day

   Listed hospital room-and-care charge per day, not a confirmed cash rate or a complete stay price; excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
2. Basic Metabolic Panel

   Standard service: Basic metabolic panel (BMP)

   Code 80048

   Ask what's included
   $258

   Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
3. Bilirubin Direct

   Standard service: Bilirubin, direct

   Code 82248

   Ask what's included
   $97.60

   Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
4. Culture, Blood

   Standard service: Blood culture

   Code 87040

   Ask what's included
   $126

   Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
5. Blood Gases: PH, PO2 & PCO2 - Blood Gas Venous

   Standard service: Blood gases

   Code 82803

   Ask what's included
   $272

   Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
6. Breathing Exercise

   Standard service: Breathing exercise session

   Ask what's included
   $352

   Listed hospital charge, not a confirmed cash rate; additional charges depend on services ordered. Excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
7. Bronchospasm Evaluation

   Ask what's included
   $558

   Listed hospital charge, not a confirmed cash rate; additional charges depend on services ordered. Excludes physician and other professional fees.

   Source: lmhealth.org · checked Sep 2026
8. Phase II Outpatient Cardiac Rehabilitation with Continuous ECG Monitoring

   Standard service: Cardiac rehab session with ECG monitoring

   Code 93798

   Ask what's included
   $299 per unit

   Listed hospital charge; the page does not specify a per-session billing basis. Not a confirmed cash rate. Additional charges depend on services ordered; physician and other professional fees are excluded.

   Source: lmhealth.org · checked Sep 2026
9. Cast/Splint Procedure

   Standard service: Cast/splint application

   Ask what's included
   $951

   Listed hospital charge, not a confirmed cash rate; excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

   Source: lmhealth.org · checked Sep 2026
10. CBC with Differential

    Code 85025

    Ask what's included
    $147

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
11. CBC without Differential

    Code 85027

    Ask what's included
    $146

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
12. C-section

    Standard service: Cesarean delivery

    Ask what's included
    $12,760

    Listed hospital delivery procedure charge, not a confirmed cash rate or a complete maternity package; excludes anesthesia, drugs, supplies and separately billed physician/anesthesia administration fees.

    Source: lmhealth.org · checked Sep 2026
13. Comprehensive Metabolic Panel

    Standard service: Comprehensive metabolic panel (CMP)

    Code 80053

    Ask what's included
    $361

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
14. Acute Coronary Care — Room & Care

    Standard service: Coronary care unit (acute)

    Ask what's included
    $2,991 per day

    Listed hospital room-and-care charge per day, not a confirmed cash rate or a complete stay price; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
15. CPAP Non-emergent

    Standard service: CPAP (non-emergent)

    Ask what's included
    $448

    Listed hospital charge for non-emergent CPAP service, not a confirmed cash rate or a stated equipment purchase price. Additional charges depend on services ordered; physician and other professional fees are excluded.

    Source: lmhealth.org · checked Sep 2026
16. Assay of Urine Creatinine

    Standard service: Creatinine (urine/other source)

    Code 82570

    Ask what's included
    $195

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
17. Critical Care - First Hour

    Standard service: Critical care (first 30-74 min)

    Code 99291

    Facility fee only
    $2,504

    Hospital charge for the first hour of critical care, not a confirmed cash rate; excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
18. CT Abdomen & Pelvis with Contrast

    Standard service: CT abdomen and pelvis with contrast

    Code 74177

    Ask what's included
    $8,470

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
19. CT Abdomen & Pelvis without Contrast

    Standard service: CT abdomen and pelvis without contrast

    Code 74176

    Ask what's included
    $7,413

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
20. CT Cervical Spine without Contrast

    Code 72125

    Scan only
    $3,608

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
21. CT Chest with Contrast

    Code 71260

    Ask what's included
    $3,523

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
22. CT Chest without Contrast

    Code 71250

    Ask what's included
    $3,523

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
23. CT Head/Brain without Contrast

    Standard service: CT head without contrast

    Code 70450

    Ask what's included
    $2,952

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
24. CT Lumbar Spine without Contrast

    Code 72131

    Scan only
    $3,834

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
25. CT Angiography with & without Contrast

    Standard service: CTA with and without contrast (unspecified area)

    Ask what's included
    $5,775

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees. The page does not specify the body region.

    Source: lmhealth.org · checked Sep 2026
26. Dexa Bone Density

    Standard service: DEXA bone density scan

    Code 77080

    Scan only
    $1,080

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
27. Diagnostic Mammography, including CAD, Unilateral

    Standard service: Diagnostic mammogram unilateral with CAD

    Code 77065

    Ask what's included
    $493

    Listed hospital charge for one breast, including CAD; not a confirmed cash rate. Excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
28. Carbon Monoxide Diffusing Capacity

    Standard service: Diffusing capacity test (DLCO)

    Code 94729

    Ask what's included
    $279

    Listed hospital charge, not a confirmed cash rate; additional charges depend on services ordered. Excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
29. Transthoracic Echocardiogram Complete

    Standard service: Echocardiogram transthoracic complete

    Ask what's included
    $2,607

    Listed hospital charge, not a confirmed cash rate; additional charges depend on services ordered. Excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
30. Electrocardiogram, Tracing

    Standard service: EKG tracing only (no interpretation)

    Code 93005

    Facility fee only
    $226

    Listed hospital charge for ECG tracing, not a confirmed cash rate; additional charges depend on services ordered. Excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
31. Level 1 Emergency Room Visit

    Standard service: Emergency department visit level 1

    Code 99281

    Facility fee only
    $254 per visit

    Hospital charge for a level 1 visit, not a confirmed cash rate. Level depends on care and resources needed. Excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
32. Level 2 Emergency Room Visit

    Standard service: Emergency department visit level 2

    Code 99282

    Facility fee only
    $502 per visit

    Hospital charge for a level 2 visit, not a confirmed cash rate. Level depends on care and resources needed. Excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
33. Level 3 Emergency Room Visit

    Standard service: Emergency department visit level 3

    Code 99283

    Facility fee only
    $679 per visit

    Hospital charge for a level 3 visit, not a confirmed cash rate. Level depends on care and resources needed. Excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
34. Level 4 Emergency Room Visit

    Standard service: Emergency department visit level 4

    Code 99284

    Facility fee only
    $900 per visit

    Hospital charge for a level 4 visit, not a confirmed cash rate. Level depends on care and resources needed. Excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
35. Level 5 Emergency Room Visit

    Standard service: Emergency department visit level 5

    Code 99285

    Facility fee only
    $1,252 per visit

    Hospital charge for a level 5 visit, not a confirmed cash rate. Level depends on care and resources needed. Excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
36. Assay of Ferritin

    Standard service: Ferritin

    Code 82728

    Ask what's included
    $147

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
37. PT, Gait Training Therapy

    Standard service: Gait training (15 min)

    Code 97116

    Ask what's included
    $129 per unit

    Listed hospital charge; billing unit and duration are not specified, and a complete session price is not established. Not a confirmed cash rate. Additional services may cost extra; physician and other professional fees are excluded.

    Source: lmhealth.org · checked Sep 2026
38. Major General Anesthesia

    Standard service: General anesthesia (major)

    Ask what's included
    $1,931

    Listed hospital charge, not a confirmed cash rate; excludes drugs, supplies and separately billed physician and anesthesia administration fees.

    Source: lmhealth.org · checked Sep 2026
39. Gram Negative Sensitivity

    Standard service: Gram negative sensitivity test

    Ask what's included
    $57.80

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
40. Hemoglobin A1C

    Standard service: Hemoglobin A1c (HbA1c)

    Code 83036

    Ask what's included
    $116

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
41. Reticulated Platelet Assay - Immature Platelet Fraction

    Standard service: Immature platelet fraction

    Code 85055

    Ask what's included
    $90.45

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
42. Inpatient Rehabilitation — Room & Care

    Standard service: Inpatient rehabilitation

    Ask what's included
    $2,817 per day

    Listed hospital room-and-care charge per day, not a confirmed cash rate or a complete stay price; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
43. Medical-Surgical Room & Care

    Standard service: Inpatient room, med/surg (per day)

    Ask what's included
    $1,698 per day

    Listed hospital room-and-care charge per day, not a confirmed cash rate or a complete stay price; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
44. Medical-Surgical Isolation — Room & Care

    Standard service: Inpatient room, med/surg isolation (per day)

    Ask what's included
    $1,975 per day

    Listed hospital room-and-care charge per day, not a confirmed cash rate or a complete stay price; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
45. Labor Care - First 6 Hours

    Standard service: Labor care (first 6 hours)

    Ask what's included
    $1,529

    Listed hospital charge for the first 6 hours of labor care, not a confirmed cash rate or a complete delivery package; excludes anesthesia, drugs, supplies and separately billed physician/anesthesia administration fees.

    Source: lmhealth.org · checked Sep 2026
46. Laceration Repair with Sutures

    Standard service: Laceration repair (stitches)

    Ask what's included
    $1,088

    Listed hospital charge, not a confirmed cash rate; excludes drugs, supplies, additional ancillary procedures, physician fees and other professional fees.

    Source: lmhealth.org · checked Sep 2026
47. Lactic Acid Level

    Standard service: Lactate (lactic acid)

    Code 83605

    Ask what's included
    $161

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
48. Lipase, Serum

    Standard service: Lipase

    Code 83690

    Ask what's included
    $116

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
49. Lipid Panel

    Code 80061

    Ask what's included
    $251

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026
50. LDCT Lung Cancer Screening

    Standard service: Low-dose CT lung cancer screening

    Code 71271

    Ask what's included
    $1,014

    Listed hospital charge, not a confirmed cash rate; excludes physician and other professional fees.

    Source: lmhealth.org · checked Sep 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.