Emergency visit, moderate (level 3) at Licking Memorial Hospital. CPT 99283.
What Licking Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$679cash price (self-pay)
$679list price
$258–$679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Administration [100068] | Veterans Chillicothe [10006805] | $263 |
| Veterans Administration [100068] | Veterans Danville IL [10006810] | $263 |
| Veterans Administration [100068] | Veterans Columbus [10006811] | $263 |
| Veterans Administration [100068] | Va Choice-Triwest [1000681101] | $263 |
| Veterans Administration [100068] | Vaccn Optum [1000681102] | $263 |
| Medicare [400001] | Medicare Part A And B [40000101] | $263 |
| Medicare [400001] | Medicare Part A [40000102] | $263 |
| Medicare [400001] | Medicare Part B [40000103] | $263 |
| Medicare [400001] | Medicare Railroad [40000104] | $263 |
| Aetna Medicare Advantage [450001] | Aetna Medicare Replacement [450001 | $263 |
| Aetna Medicare Advantage [450001] | Aetna Coventry Medicare Replacemen | $263 |
| Aetna Medicare Advantage [450001] | Aetna Medicare Replacement HMO [45 | $263 |
| Aetna Medicare Advantage [450001] | My Care Ohio Aetna-Dual [450001010 | $263 |
| Cigna Medicare Advantage [450007] | Cigna Healthspring Medicare [45000 | $263 |
| Advantra Freedom Medicare Advantage [450011] | Advantra Freedom Medica | $263 |
| Humana Medicare Advantage [450013] | Humana Medicare [45001301] | $263 |
| Humana Medicare Advantage [450013] | Humana Gold Choice [4500130101] | $263 |
| Humana Medicare Advantage [450013] | Humana Medicare PPO [4500130102] | $263 |
| Molina Medicare Advantage [450016] | Molina Healthcare Of Oh Medicare | $263 |
| Molina Medicare Advantage [450016] | My Care Molina [4500160201] | $263 |
| United Healthcare Medicare [450021] | UHC Dual Complete [45002101] | $263 |
| United Healthcare Medicare [450021] | UHC Medicare Advantage [45002102 | $263 |
| United Healthcare Medicare [450021] | UHC Group Medicare Replacement [ | $263 |
| United Healthcare Medicare [450021] | United Behavioral Health Medicar | $263 |
| United Healthcare Medicare [450021] | UHC Care Improvement Plus [45002 | $263 |
| United Healthcare Medicare [450021] | UHC Medicare Advantage [45002107 | $263 |
| United Healthcare Medicare [450021] | UHC Dual Complete Rppo-Snp [4500 | $263 |
| United Healthcare Medicare [450021] | UHC West Medicare Risk [45002110 | $263 |
| United Healthcare Medicare [450021] | UHC Dual Complete Lp Snp 2018 [4 | $263 |
| United Healthcare Medicare [450021] | United Healthcare Community Plan | $263 |
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