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.

35 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC" Inpatient	283 MS-DRG	—	—	$7,801 – $31,316	—
"FACILITY USE-O.R., OTHER THAN KIDNEY TRANSPLANT - FIRST 30 MIN" Inpatient & outpatient	6583 CDM	$4,100	$2,296	—	—
ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD Inpatient & outpatient	20983 CPT	$35,740	$20,014	$8,633 – $27,033	—
ACUTE LEUKEMIA WITH CC Inpatient	835 MS-DRG	—	—	$6,634 – $26,629	—
ACUTE LEUKEMIA WITH MCC Inpatient	834 MS-DRG	—	—	$8,305 – $33,335	—
ACUTE LEUKEMIA WITHOUT CC/MCC Inpatient	836 MS-DRG	—	—	$6,051 – $24,288	—
ANT THORACIC VRT BODY TETHERING <7 VRT SEGMENTS Inpatient & outpatient	22836 CPT	$740	$414	$21,646 – $67,787	—
ANT THORACIC VRT BODY TETHERING 8+ VRT SEGMENTS Inpatient & outpatient	22837 CPT	$740	$414	$21,646 – $67,787	—
ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE Inpatient & outpatient	25830 CPT	$17,120	$9,587	$8,633 – $27,033	—
BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID Inpatient & outpatient	19083 CPT	$7,310	$4,094	$1,958 – $6,131	—
CESAREAN SECTION WITH STERILIZATION WITH MCC Inpatient	783 MS-DRG	—	—	$11,194 – $55,316	—
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC Inpatient	837 MS-DRG	—	—	$7,496 – $30,089	—
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT Inpatient	838 MS-DRG	—	—	$6,725 – $26,996	—
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Inpatient	839 MS-DRG	—	—	$6,513 – $26,143	—
DERMABRASION SUPERFICIAL ANY SITE Inpatient & outpatient	15783 CPT	$2,200	$1,232	$483 – $1,512	—
DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM Inpatient & outpatient	17283 CPT	$1,980	$1,109	$483 – $1,512	—
DISORDERS OF PERSONALITY AND IMPULSE CONTROL Inpatient	883 MS-DRG	—	—	$2,103 – $8,440	—
EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND Inpatient & outpatient	15837 CPT	$9,150	$5,124	$3,458 – $10,830	—
EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD Inpatient & outpatient	15838 CPT	$9,150	$5,124	$3,458 – $10,830	—
EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM Inpatient & outpatient	15836 CPT	$10,980	$6,149	$3,458 – $10,830	—
EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK Inpatient & outpatient	15835 CPT	$12,280	$6,877	$3,458 – $10,830	—
EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP Inpatient & outpatient	15834 CPT	$10,240	$5,734	$3,458 – $10,830	—
EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG Inpatient & outpatient	15833 CPT	$10,240	$5,734	$3,458 – $10,830	—
EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA Inpatient & outpatient	15839 CPT	$12,290	$6,882	$3,458 – $10,830	—
EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH Inpatient & outpatient	15832 CPT	$12,280	$6,877	$3,458 – $10,830	—
EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY Inpatient & outpatient	15830 CPT	$15,720	$8,803	$7,880 – $24,678	—
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Inpatient	983 MS-DRG	—	—	$15,176 – $60,919	—
IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS Inpatient & outpatient	21083 CPT	$14,610	$8,182	$3,919 – $12,272	—
MAJOR CHEST TRAUMA WITH MCC Inpatient	183 MS-DRG	—	—	$5,932 – $23,811	—
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Inpatient	483 MS-DRG	—	—	$23,703 – $95,144	—