Antioch Medical Center — price list
← Hospital overviewVerified from Antioch Medical Center’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
20 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| DENTAL AND ORAL DISEASES WITHOUT CC/MCC Inpatient | 159 MS-DRG | — | — | $5,018 – $20,143 | — | |
| EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR Inpatient & outpatient | 15922 CPT | $20,180 | $11,301 | $4,424 – $13,854 | — | |
| EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR Inpatient & outpatient | 15920 CPT | $4,790 | $2,682 | $3,458 – $10,830 | — | |
| EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT Inpatient & outpatient | 15941 CPT | $12,790 | $7,162 | $3,458 – $10,830 | — | |
| EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY Inpatient & outpatient | 15945 CPT | $9,830 | $5,505 | $2,210 – $6,922 | — | |
| EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN Inpatient & outpatient | 15946 CPT | $9,830 | $5,505 | $2,210 – $6,922 | — | |
| EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE Inpatient & outpatient | 15940 CPT | $15,350 | $8,596 | $3,458 – $10,830 | — | |
| EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE Inpatient & outpatient | 15944 CPT | $20,180 | $11,301 | $4,424 – $13,854 | — | |
| EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR Inpatient & outpatient | 15936 CPT | $9,830 | $5,505 | $2,210 – $6,922 | — | |
| EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC Inpatient & outpatient | 15937 CPT | $10,010 | $5,606 | $2,210 – $6,922 | — | |
| EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY Inpatient & outpatient | 15935 CPT | $20,180 | $11,301 | $4,424 – $13,854 | — | |
| EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY Inpatient & outpatient | 15933 CPT | $12,790 | $7,162 | $3,458 – $10,830 | — | |
| EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC Inpatient & outpatient | 15958 CPT | $19,880 | $11,133 | $4,424 – $13,854 | — | |
| EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY Inpatient & outpatient | 15953 CPT | $19,880 | $11,133 | $4,424 – $13,854 | — | |
| EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY Inpatient & outpatient | 15951 CPT | $12,790 | $7,162 | $3,458 – $10,830 | — | |
| EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN Inpatient & outpatient | 15956 CPT | $12,010 | $6,726 | $2,210 – $6,922 | — | |
| EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE Inpatient & outpatient | 15952 CPT | $11,470 | $6,423 | $2,210 – $6,922 | — | |
| EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR Inpatient & outpatient | 15950 CPT | $11,050 | $6,188 | $1,958 – $6,131 | — | |
| EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE Inpatient & outpatient | 15931 CPT | $11,050 | $6,188 | $3,458 – $10,830 | — | |
| EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR Inpatient & outpatient | 15934 CPT | $20,180 | $11,301 | $4,424 – $13,854 | — |