Ohio / Licking Memorial Hospital
CMS certification 360218 · Newark, OH · 5 entries in CMS's price-transparency list
Licking Memorial Hospital: charges and Medicare payments
Licking Memorial Hospital reported 1,053 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 3.47 times what it was paid — mid-range in Ohio, number 68 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 211 stays at an average charge of $47,030, 48% below the national average. It also billed 1,744 outpatient services, charging 7.17 times what Medicare paid.
- 1Medicare inpatient stays 1,053
- 2Charge ÷ paid, inpatient 3.47×
- 3Rank in OH (highest ratio = 1) 68 of 104
- 4CMS price-transparency actions 5
Inpatient stays
For the 40 DRGs that can be compared with the national average, Licking Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 211 | $47,030 | -48% | $14,348 |
| 291 Heart Failure and Shock with MCC | 77 | $26,209 | -54% | $9,085 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 47 | $27,186 | -45% | $7,576 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $28,868 | -52% | $9,605 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $36,139 | -37% | $8,970 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $37,212 | -49% | $10,648 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $40,616 | -42% | $11,037 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 31 | $41,500 | -45% | $11,208 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $30,451 | -37% | $7,854 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $28,857 | -28% | $7,582 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $21,228 | -43% | $5,935 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $95,252 | -58% | $32,146 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $34,846 | -42% | $9,939 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $28,843 | -44% | $8,272 |
| 603 Cellulitis without MCC | 23 | $17,705 | -53% | $6,518 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $20,120 | -47% | $6,058 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $36,049 | -35% | $7,324 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $24,547 | -51% | $8,088 |
| 312 Syncope and Collapse | 20 | $32,282 | -29% | $6,590 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $78,353 | -32% | $16,650 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $42,124 | -51% | $11,527 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $50,412 | -23% | $11,522 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $52,607 | -48% | $15,882 |
| 683 Renal Failure with CC | 16 | $28,470 | -30% | $6,688 |
| 682 Renal Failure with MCC | 15 | $57,443 | -13% | $12,436 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $20,229 | -47% | $6,176 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $36,195 | -36% | $9,011 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $93,064 | -43% | $18,588 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $58,050 | -43% | $14,752 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $27,640 | -45% | $8,451 |
| 812 Red Blood Cell Disorders without MCC | 13 | $26,015 | -41% | $6,748 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $54,911 | -44% | $22,693 |
| 100 Seizures with MCC | 12 | $29,982 | -68% | $12,922 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $19,332 | -51% | $6,369 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $24,630 | -32% | $5,778 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $17,285 | -53% | $6,529 |
| 176 Pulmonary Embolism without MCC | 11 | $26,124 | -37% | $6,253 |
| 638 Diabetes with CC | 11 | $21,060 | -49% | $7,501 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $25,705 | -59% | $10,560 |
| 948 Signs and Symptoms without MCC | 11 | $23,312 | -39% | $6,036 |
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Licking Memorial Hospital charged $47,030 on average, 27% less than the Ohio average of $64,290, and was paid $14,348 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Licking Memorial Hospital charged $26,209 on average, 39% less than the Ohio average of $42,986, and was paid $9,085 against a state average of $10,652. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Licking Memorial Hospital charged $27,186 on average, 20% less than the Ohio average of $34,039, and was paid $7,576 against a state average of $8,621. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Licking Memorial Hospital charged $28,868 on average, 31% less than the Ohio average of $41,598, and was paid $9,605 against a state average of $10,716. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,082 was 5% above the state average of $10,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,429 was 9% below the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,232 was 9% below the state average of $10,162. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $12,095 was 8% above the state average of $11,228.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Licking Memorial Hospital in Newark, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-10 (CMS case 1290)
- CAP Request — 2023-05-16 (CMS case 1290)
- Closure Notice — 2023-06-08 (CMS case 1290)
- Warning Notice — 2024-11-07 (CMS case 2914)
- Closure Notice — 2025-02-14 (CMS case 2914)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.