Kaiser Foundation Hospital - Antioch

4501 Sand Creek Road, Antioch, CA 94531 · (925) 813-6500

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 1/5San Francisco, CA metro Website ↗

Price file

Prices published

File dated 2026-04-01

379 price rows for 58 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $193

$193

cash

$8 to $25

3 negotiated rates

$345

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $4,754

$4,754

cash

$476 to $1,490

3 negotiated rates

$8,490

list

CT scan of the head, no contrast

CPT 70450 · metro median $2,682

$2,682

cash

$145 to $455

3 negotiated rates

$4,790

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $4,760

$4,760

cash

$377 to $1,180

3 negotiated rates

$8,500

list

Cataract surgery with lens implant

CPT 66984 · metro median $8,624

$8,624

cash

$2,756 to $8,631

3 negotiated rates

$15,400

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,064 to $35,051

9 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $129

$129

cash

$32 to $100

3 negotiated rates

$230

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $3,679

$3,679

cash

$1,102 to $3,450

3 negotiated rates

$6,570

list

Colonoscopy with biopsy

CPT 45380 · metro median $3,550

$3,550

cash

$1,425 to $4,462

3 negotiated rates

$6,340

list

Colonoscopy with polyp removal

CPT 45385 · metro median $3,466

$3,466

cash

$1,425 to $4,462

3 negotiated rates

$6,190

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $123

$123

cash

$8 to $25

3 negotiated rates

$220

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $255

$255

cash

$10 to $30

3 negotiated rates

$456

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $504

$504

cash

$160 to $500

3 negotiated rates

$900

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $90

$90

cash

—

$160

list

Family psychotherapy with the patient

CPT 90847 · metro median $594

$594

cash

—

$1,060

list

Family psychotherapy without the patient

CPT 90846 · metro median $476

$476

cash

—

$850

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $19,219

$19,219

cash

$7,050 to $22,078

3 negotiated rates

$34,320

list

Gonorrhea test (DNA)

CPT 87591 · metro median $155

$155

cash

$32 to $100

3 negotiated rates

$276

list

Group psychotherapy

CPT 90853 · metro median $532

$532

cash

—

$950

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$4,599 to $73,848

9 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$2,302 to $18,481

9 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$3,273 to $52,546

9 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $18,726

$18,726

cash

$4,265 to $13,355

3 negotiated rates

$33,440

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $7,325

$7,325

cash

$3,921 to $12,278

3 negotiated rates

$13,080

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $2,705

$2,705

cash

$663 to $2,076

3 negotiated rates

$4,830

list

Left heart catheterization

CPT 93452 · metro median $15,613

$15,613

cash

—

$27,880

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $156

$156

cash

$13 to $40

3 negotiated rates

$279

list

Liver function panel

CPT 80076 · metro median $134

$134

cash

$8 to $25

3 negotiated rates

$239

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $5,499

$5,499

cash

$476 to $1,490

3 negotiated rates

$9,820

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $3,438

$3,438

cash

$323 to $1,010

3 negotiated rates

$6,140

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $3,282

$3,282

cash

$323 to $1,010

3 negotiated rates

$5,860

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $3,735

$3,735

cash

$323 to $1,010

3 negotiated rates

$6,670

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$6,054 to $97,204

9 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $3,366

$3,366

cash

$1,076 to $3,369

3 negotiated rates

$6,010

list

PSA test (prostate)

CPT 84153 · metro median $130

$130

cash

$18 to $55

3 negotiated rates

$233

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $142

$142

cash

$5 to $15

3 negotiated rates

$253

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $129

$129

cash

—

$231

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $946

$946

cash

$142 to $445

3 negotiated rates

$1,690

list

Prostate removal (laparoscopic)

CPT 55866 · metro median $38,338

$38,338

cash

$12,581 to $39,398

3 negotiated rates

$68,460

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $90

$90

cash

$3 to $10

3 negotiated rates

$160

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $443

$443

cash

—

$791

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $582

$582

cash

—

$1,040

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $403

$403

cash

—

$720

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $8,042

$8,042

cash

$4,627 to $14,491

3 negotiated rates

$14,360

list

Screening mammogram (both breasts)

CPT 77067 · metro median $375

$375

cash

$133 to $415

3 negotiated rates

$670

list

Shoulder arthroscopy with decompression

CPT 29826 · metro median $5,242

$5,242

cash

—

$9,360

list

Sleep study (overnight, attended)

CPT 95810 · metro median $4,889

$4,889

cash

—

$8,730

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $2,402

$2,402

cash

$1,076 to $3,369

3 negotiated rates

$4,290

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $3,662

$3,662

cash

$837 to $2,620

3 negotiated rates

$6,540

list

TSH test (thyroid)

CPT 84443 · metro median $155

$155

cash

$16 to $50

3 negotiated rates

$277

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $10,634

$10,634

cash

$7,148 to $22,386

3 negotiated rates

$18,990

list

Transvaginal ultrasound

CPT 76830 · metro median $717

$717

cash

$142 to $445

3 negotiated rates

$1,280

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $991

$991

cash

$142 to $445

3 negotiated rates

$1,770

list

Upper endoscopy (EGD)

CPT 43235 · metro median $3,707

$3,707

cash

$1,133 to $3,547

3 negotiated rates

$6,620

list

Upper endoscopy with biopsy

CPT 43239 · metro median $3,354

$3,354

cash

$1,133 to $3,547

3 negotiated rates

$5,990

list

Urinalysis with microscope

CPT 81001 · metro median $83

$83

cash

$3 to $10

3 negotiated rates

$148

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,352 to $16,706

9 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $588

$588

cash

$142 to $445

3 negotiated rates

$1,050

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-antioch-medical-center-standard-charges-ncal-en.csv
Antioch Medical Center · parsed · wide v3.0.1 · file dated 2026-04-01 · 205.5 MB · 379 price rows read · read Nov 2026