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.

60 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FACILITY USE-CLINIC, LEVEL 2 - EST PT" Inpatient & outpatient	6570 CDM	$220	$123	—	—
"FACILITY USE-CLINIC, LEVEL 3 - EST PT" Inpatient & outpatient	6571 CDM	$308	$172	—	—
"FACILITY USE-CLINIC, LEVEL 4 - EST PT" Inpatient & outpatient	6572 CDM	$454	$254	—	—
"FACILITY USE-CLINIC, LEVEL 5 - EST PT" Inpatient & outpatient	6573 CDM	$630	$353	—	—
"FACILITY USE-URGENT CARE, LEVEL 1 - EST PT" Inpatient & outpatient	6574 CDM	$220	$123	—	—
"FACILITY USE-URGENT CARE, LEVEL 2 - EST PT" Inpatient & outpatient	6575 CDM	$220	$123	—	—
"FACILITY USE-URGENT CARE, LEVEL 3 - EST PT" Inpatient & outpatient	6576 CDM	$308	$172	—	—
"FACILITY USE-URGENT CARE, LEVEL 4 - EST PT" Inpatient & outpatient	6577 CDM	$454	$254	—	—
"FACILITY USE-URGENT CARE, LEVEL 5 - EST PT" Inpatient & outpatient	6578 CDM	$630	$353	—	—
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC" Inpatient	757 MS-DRG	—	—	$5,072 – $20,359	—
"MICRODERMABRASION, TOTAL FACE" Inpatient & outpatient	15780.0001 CDM	$12,150	$6,804	$3,458 – $10,830	—
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC" Inpatient	579 MS-DRG	—	—	$12,083 – $48,501	—
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC" Inpatient	457 MS-DRG	—	—	$33,230 – $133,387	—
"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC" Inpatient	557 MS-DRG	—	—	$5,193 – $20,846	—
ABRASION 1 LESION Inpatient & outpatient	15786 CPT	$680	$381	$240 – $752	—
ABRASION EACH ADDITIONAL 4 LESIONS OR LESS Inpatient & outpatient	15787 CPT	$700	$392	—	—
CHEMICAL PEEL FACIAL DERMAL Inpatient & outpatient	15789 CPT	$3,000	$1,680	$740 – $2,316	—
CHEMICAL PEEL FACIAL EPIDERMAL Inpatient & outpatient	15788 CPT	$1,920	$1,075	$483 – $1,512	—
CHEMICAL PEEL NONFACIAL DERMAL Inpatient & outpatient	15793 CPT	$2,000	$1,120	$483 – $1,512	—
CHEMICAL PEEL NONFACIAL EPIDERMAL Inpatient & outpatient	15792 CPT	$1,990	$1,114	$740 – $2,316	—
CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION Inpatient & outpatient	23570 CPT	$2,010	$1,126	$290 – $908	—
CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA Inpatient & outpatient	15157 CPT	$2,100	$1,176	—	—
CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ Inpatient & outpatient	24576 CPT	$2,010	$1,126	$290 – $908	—
CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ Inpatient & outpatient	24577 CPT	$2,020	$1,131	$1,934 – $6,056	—
CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION Inpatient & outpatient	23575 CPT	$2,280	$1,277	$1,934 – $6,056	—
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Inpatient	57 MS-DRG	—	—	$4,656 – $18,691	—
DENTAL AND ORAL DISEASES WITH MCC Inpatient	157 MS-DRG	—	—	$5,830 – $23,402	—
DERMABRASION REGIONAL OTHER THAN FACE Inpatient & outpatient	15782 CPT	$5,740	$3,214	$3,458 – $10,830	—
DERMABRASION SEGMENTAL FACE Inpatient & outpatient	15781 CPT	$5,740	$3,214	$850 – $2,662	—
DERMABRASION SUPERFICIAL ANY SITE Inpatient & outpatient	15783 CPT	$2,200	$1,232	$483 – $1,512	—