CMS Price Transparency Data

Typhoid vaccine

Facility: Licking Memorial Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90675
  • Insurance Median: $836
  • Cash Discount Price: $1,022
  • vs. Medicare Baseline: 2.65x Medicare
The contracted insurance negotiated median rate for a Typhoid vaccine at Licking Memorial Hospital is $836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,022. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 2.65x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$1,022

Average discount available for prompt cash payment at this facility.

Insurance Median
$836

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)
Cash / Self-Pay: $1,022 (324%)
Insurance Median: $836 (265%)
Cash: $1,022 (324% of Medicare)
Ins. Median: $836 (265% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 265% of the Medicare baseline (a markup of 165%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Tricare $307 97%
Cigna $314 - $920 100%
Veterans Administration [100068] $314 100%
Aetna $314 - $844 100%
Champva [500001] $314 100%
Humana $314 - $991 100%
UnitedHealthcare $314 - $869 100%
Wellcare By Allwell [450104] $314 100%
Medicare (plans) $314 100%
Blue Cross Blue Shield $314 - $1,071 100%
Molina Marketplace [100106] $502 159%
Medical Mutual [100114] $562 - $848 178%
Medben [700068] $715 - $1,001 227%
Benicomp [70090] $766 243%
Consociate Health 6 Degrees [100059] $818 260%
Consociate Health [100029] $818 260%
Allied Benefit Systems [100015] $836 265%
Gravie Administrative Services [100165] $836 265%
Trustmark Small Business Benefits [100263] $836 265%
Meritain [100063] $836 265%
Geha [100039] $836 265%
Optima [700069] $836 265%
Webtpa [100127] $836 265%
Surest [100016] $869 276%
Healthscope [100157] $869 276%
United Medical Resources [700071] $869 276%
Wellfleet Group, LLC [100164] $920 292%
National Association of Letter Carriers [100067] $920 292%
Quality Care Partners [70006802] $920 292%
Antidote Health Plan of Ohio [70006803] $920 292%
Ohio PPO Connect [70006801] $920 292%
Ohio Healthy Luminare Health [100264] $920 292%
American Postal Workers [100089] $920 292%
The Health Plan [100261] $920 292%
Ohio Healthy [100255] $920 292%
Great West Life [700064] $920 292%
Coresource [100002] $920 - $1,022 292%
Osu Prime Care [100254] $920 292%
Coventry [100010] $943 299%
Pan American Life [700070] $943 299%
Ohio Health Choice [100109] $981 311%
Administrative Concepts [100006] $991 314%
Philadelphia American Life [100260] $991 - $1,022 314%
Carefactor [100087] $991 314%
Reliance Standard-Asrm [100258] $991 314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals