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.
21 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BLEPHAROPLASTY LOWER EYELID Inpatient & outpatient | 15820 CPT | $14,010 | $7,846 | $2,210 – $6,922 | — | |
| BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD Inpatient & outpatient | 15821 CPT | $12,270 | $6,871 | $2,210 – $6,922 | — | |
| BLEPHAROPLASTY UPPER EYELID Inpatient & outpatient | 15822 CPT | $9,830 | $5,505 | $2,210 – $6,922 | — | |
| BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN Inpatient & outpatient | 15823 CPT | $10,700 | $5,992 | $2,210 – $6,922 | — | |
| DENTAL AND ORAL DISEASES WITH CC Inpatient | 158 MS-DRG | — | — | $5,012 – $20,118 | — | |
| DRESSING CHANGE UNDER ANESTHESIA Inpatient & outpatient | 15852 CPT | $970 | $543 | $740 – $2,316 | — | |
| 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 ABDOMEN Inpatient & outpatient | 15847 CPT | $12,950 | $7,252 | — | — | |
| 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 | — | |
| GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT Inpatient & outpatient | 15840 CPT | $20,180 | $11,301 | $4,424 – $13,854 | — | |
| GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT Inpatient & outpatient | 15841 CPT | $19,880 | $11,133 | $4,424 – $13,854 | — | |
| GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR Inpatient & outpatient | 15845 CPT | $20,180 | $11,301 | $4,424 – $13,854 | — | |
| GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG Inpatient & outpatient | 15842 CPT | $10,220 | $5,723 | $2,210 – $6,922 | — | |
| IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT Inpatient & outpatient | 15860 CPT | $850 | $476 | $482 – $1,510 | — |