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.
19 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR Inpatient & outpatient | 22612 CPT | $31,510 | $17,646 | $22,222 – $69,590 | — | |
| ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC Inpatient & outpatient | 22614 CPT | $16,300 | $9,128 | — | — | |
| ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH Inpatient & outpatient | 26100 CPT | $4,060 | $2,274 | $3,921 – $12,278 | — | |
| ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH Inpatient & outpatient | 26110 CPT | $9,130 | $5,113 | $1,934 – $6,056 | — | |
| ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH Inpatient & outpatient | 26105 CPT | $13,010 | $7,286 | $3,921 – $12,278 | — | |
| CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Inpatient | 261 MS-DRG | — | — | $14,215 – $57,060 | — | |
| DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM Inpatient & outpatient | 17261 CPT | $960 | $538 | $240 – $752 | — | |
| EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/> Inpatient & outpatient | 26113 CPT | $11,050 | $6,188 | $1,958 – $6,131 | — | |
| EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/> Inpatient & outpatient | 26111 CPT | $11,280 | $6,317 | $1,958 – $6,131 | — | |
| EXC LESION TDN SHTH/JT CAPSL HAND/FNGR Inpatient & outpatient | 26160 CPT | $7,050 | $3,948 | $1,934 – $6,056 | — | |
| EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM Inpatient & outpatient | 26116 CPT | $7,340 | $4,110 | $1,958 – $6,131 | — | |
| EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM Inpatient & outpatient | 26115 CPT | $12,630 | $7,073 | $1,958 – $6,131 | — | |
| EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH Inpatient & outpatient | 26180 CPT | $2,390 | $1,338 | $1,934 – $6,056 | — | |
| EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH Inpatient & outpatient | 26170 CPT | $9,930 | $5,561 | $1,934 – $6,056 | — | |
| FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT Inpatient & outpatient | 26121 CPT | $17,480 | $9,789 | $3,921 – $12,278 | — | |
| FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR Inpatient & outpatient | 26123 CPT | $11,200 | $6,272 | $3,921 – $12,278 | — | |
| FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR Inpatient & outpatient | 26125 CPT | $10,640 | $5,958 | — | — | |
| FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/< Inpatient & outpatient | 15261 CPT | $6,800 | $3,808 | — | — | |
| PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR Inpatient & outpatient | 21261 CPT | $21,310 | $11,934 | $7,148 – $22,386 | — |