HCA FLORIDA LAKE CITY HOSPITAL
1100 SW 11TH STREET, LIVE OAK, FL · HCA Florida Healthcare · · NPI 1992751879
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $386.65 – $407.00 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $1,644.91 – $1,731.48 | 3 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $397.32 – $513.00 | 4 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $234.23 – $268.00 | 4 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $412.61 – $412.61 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $481.67 – $481.67 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $161.09 – $207.00 | 4 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $259.31 – $334.00 | 4 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $928.74 – $928.74 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $799.68 – $799.68 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $277.33 – $277.33 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $398.19 – $494.00 | 4 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $234.23 – $268.00 | 4 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $415.96 – $415.96 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $282.47 – $320.00 | 4 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $611.85 – $728.00 | 4 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $13.34 – $17.00 | 4 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $13.88 – $13.88 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $7.70 – $9.00 | 4 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $13.61 – $13.61 | 1 |
| Establish access to aorta CPT 36160 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $18.05 – $19.00 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $29.45 – $31.00 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $55.10 – $58.00 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $84.55 – $89.00 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $118.75 – $125.00 | 3 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $892.71 – $939.69 | 3 |
| Estradiol total CPT 82670 | $248.75 | $248.75 | $25.15 – $73.23 | 23 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.08 – $12.29 | 2 |
| Estrogens total-sendout CPT 82672 | $8.00 | $8.00 | $19.53 – $73.23 | 23 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,019.01 – $2,019.01 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $482.77 – $853.18 | 2 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $308.72 – $308.72 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $420.15 – $442.26 | 3 |
| Ethylene glycol -sendout CPT 82693 | $69.00 | $69.00 | $13.41 – $24.73 | 23 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $2,525.21 – $2,525.21 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.04 – $1.72 | 2 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $74.17 – $143.20 | 2 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $124.85 – $174.01 | 2 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.57 – $97.01 | 23 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $25.30 – $26.63 | 3 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $19.00 – $20.00 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $80.75 – $85.00 | 3 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $107.79 – $143.72 | 21 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.34 – $12.98 | 20 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $88.30 – $170.25 | 23 |
| Evaluation heart device CPT 93640 | not published | not published | $255.55 – $269.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $1,842.00 | $1,842.00 | $117.79 – $157.06 | 21 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $133.95 – $141.00 | 3 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $1,152.47 – $1,213.13 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,384.45 – $2,509.95 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $468.04 – $492.67 | 3 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $468.04 – $492.67 | 3 |
| Event monitor CPT 93270 | not published | not published | $43.70 – $46.00 | 3 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $54.15 – $57.00 | 3 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $46.55 – $49.00 | 3 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $20.49 – $218.75 | 4 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $113.05 – $119.00 | 3 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $48.45 – $51.00 | 3 |
| Evok oa screening qual CPT 92558 | not published | not published | $9.50 – $20.09 | 4 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $8,914.37 – $9,383.55 | 3 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $8,914.37 – $9,383.55 | 3 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,106.39 – $3,269.88 | 3 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,855.42 – $4,058.34 | 3 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $4,858.36 – $5,114.06 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $8,707.46 – $9,165.75 | 3 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $7,484.06 – $7,877.96 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $5,575.78 – $5,869.24 | 3 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $4,934.26 – $5,193.96 | 3 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $4,934.26 – $5,193.96 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $3,855.42 – $4,058.34 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $3,855.42 – $4,058.34 | 3 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $6,396.20 – $6,732.84 | 3 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $6,396.20 – $6,732.84 | 3 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $6,396.20 – $6,732.84 | 3 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $5,666.13 – $5,964.35 | 3 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,161.51 – $1,222.64 | 3 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $1,161.51 – $1,222.64 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.