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 |
|---|---|---|---|---|
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.05 – $73.23 | 23 |
| Ghs protoporphyrins fract CPT 84202 | $7.50 | $7.50 | $12.91 – $23.78 | 23 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $215.94 – $227.31 | 3 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.03 – $73.23 | 23 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $78.85 – $83.00 | 3 |
| Ghs quinidine CPT 80194 | $14.00 | $14.00 | $13.14 – $117.46 | 23 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $92.15 – $97.00 | 3 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $506.89 – $533.57 | 3 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $2,313.08 – $2,434.82 | 3 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,843.23 – $1,940.24 | 3 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $60.00 | $60.00 | $14.30 – $85.60 | 23 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.88 – $131.25 | 23 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $12.52 – $99.87 | 23 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.84 – $123.64 | 23 |
| Ghs semen analysis fert CPT 89320 | $774.25 | $774.25 | $11.08 – $15.39 | 20 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.86 – $12.30 | 20 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $6.73 – $208.29 | 23 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $448.16 – $471.75 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $477.07 – $502.18 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $652.36 – $686.69 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $251.19 – $264.41 | 3 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $218.66 – $230.17 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $218.66 – $230.17 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $218.66 – $230.17 | 3 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $394.85 – $415.63 | 3 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $790.60 – $832.21 | 3 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $5,017.39 – $5,281.46 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $106.40 – $112.00 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $305.90 – $322.00 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $42.02 – $57.00 | 21 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $847.52 – $892.13 | 3 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $8.55 – $9.00 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $90.38 – $120.50 | 21 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $19.00 – $20.00 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $773.43 – $814.14 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $63.17 – $96.00 | 21 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $16.15 – $17.00 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $62.35 – $65.63 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $967.70 – $1,018.63 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $790.60 – $832.21 | 3 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $2,386.27 – $2,511.86 | 3 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.57 – $73.23 | 23 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $644.22 – $678.13 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $995.26 – $1,047.64 | 3 |
| Ghs urine, hydroxproline total CPT 83505 | $38.25 | $38.25 | $21.87 – $155.03 | 23 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $13.24 – $73.23 | 23 |
| Ghs windowing of cast CPT 29730 | not published | not published | $773.43 – $814.14 | 3 |
| Giardia ag if CPT 87269 | not published | not published | $12.25 – $99.87 | 23 |
| Giardia lamblia antibody CPT 86674 | $51.00 | $51.00 | $13.25 – $85.60 | 23 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $517.79 – $584.93 | 4 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $8.50 – $245.38 | 23 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $345.15 – $363.32 | 3 |
| Gi protein loss CPT 78282 | not published | not published | $848.52 – $2,006.82 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $184.32 – $194.02 | 3 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,202.61 – $1,265.91 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $777.10 – $818.00 | 3 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,202.61 – $1,265.91 | 3 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $91.01 – $126.40 | 23 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $55.37 – $104.15 | 23 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $31.50 – $104.15 | 23 |
| Glassia injection HCPCS J0257 | not published | not published | $5.29 – $9.39 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $57.00 – $60.00 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $44.65 – $47.00 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,796.69 – $3,996.52 | 3 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,796.69 – $3,996.52 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $3,796.69 – $3,996.52 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $3,796.69 – $3,996.52 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $625.00 | $625.00 | $185.04 – $272.02 | 2 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $145.93 – $236.36 | 2 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $12.86 – $17.86 | 23 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $41.46 – $132.20 | 23 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $45.45 – $132.20 | 23 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.99 – $73.23 | 23 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.28 – $73.23 | 23 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.45 – $73.23 | 23 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.95 – $23.78 | 23 |
| Glucose blood quantitative CPT 82947 | not published | not published | $3.54 – $51.36 | 23 |
| Glucose body fluid CPT 82945 | not published | not published | $3.54 – $150.27 | 23 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.10 – $58.00 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $11.58 – $73.23 | 23 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $18.00 | $18.00 | $3.53 – $19.02 | 23 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.49 – $0.63 | 2 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.59 – $22.59 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.45 – $19.19 | 2 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $16.72 – $39.00 | 23 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $125.59 – $185.51 | 23 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $164.50 | $164.50 | $16.67 – $39.00 | 23 |
| Gonioscopy CPT 92020 | not published | not published | $29.45 – $31.00 | 3 |
| Goniotomy CPT 65820 | not published | not published | $3,796.69 – $3,996.52 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $683.99 – $1,282.88 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $29.45 – $209.78 | 2 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $209.78 – $1,024.29 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $61.71 – $209.78 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,819.06 – $2,967.43 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $209.78 – $209.78 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $3,295.88 – $3,295.88 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $63.45 – $209.78 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $102.30 – $209.78 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,045.63 – $2,153.29 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $132.28 – $209.78 | 2 |
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.