Price Checker / CPT 59425
How much does Antepartum Care Only cost?
CPT 59425 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$920–$1,100
What this should cost
With insurance
~$2,600
Typical out-of-pocket
Overcharged if over
$1,400
Push back above this
The average hospital charge of $1,232 is $232 over the fair price.
What hospitals charge for Antepartum Care Only
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Family Wellness Clinic - O'Donnell O'Donnell, TX | $1,232 | — | 114% |
| Family Wellness Clinic - Tahoka Tahoka, TX | $1,232 | — | 114% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Antepartum Care Only
CPT code 59425 refers to antepartum care only (billing description: "Antepartum care only"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $392 in a facility (hospital or surgery center) and $575 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.