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 |
|---|---|---|---|---|
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.62 – $73.23 | 23 |
| Ureteral reflux study CPT 78740 | not published | not published | $848.52 – $2,006.82 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $517.79 – $652.45 | 4 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $7,136.20 – $7,511.79 | 3 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $517.79 – $1,750.98 | 4 |
| Uric acid blood CPT 84550 | not published | not published | $4.07 – $89.40 | 23 |
| Uric acid urine CPT 84560 | not published | not published | $4.57 – $33.29 | 23 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.23 – $58.49 | 23 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.75 – $30.44 | 23 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.95 – $31.39 | 23 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $2.85 – $108.43 | 23 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.02 – $81.79 | 23 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $1,906.48 – $2,006.82 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $3,019.65 – $3,178.58 | 3 |
| Urine Culture Test CPT 87086 | not published | not published | $7.26 – $169.30 | 23 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $3,019.65 – $3,178.58 | 3 |
| Urine pregnancy test CPT 81025 | not published | not published | $7.75 – $116.99 | 23 |
| Urine screen for bacteria CPT 81007 | not published | not published | $26.98 – $58.49 | 23 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $11.68 | 20 |
| Urography, antegrade CPT 74425 | not published | not published | $828.27 – $1,297.30 | 4 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $401.74 – $1,297.30 | 4 |
| Use 1st target lesion CPT 76982 | not published | not published | $245.18 – $584.93 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.43 – $20.61 | 2 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $672.72 – $672.72 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $156.80 – $266.72 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $142.65 – $242.65 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $151.22 – $277.81 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $85.15 – $156.42 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $63.58 – $108.03 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $110.00 | $110.00 | $30.84 – $155.03 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $106.54 – $218.96 | 5 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $65.80 – $155.03 | 5 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $147.28 – $329.88 | 5 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $123.45 – $233.10 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $31.44 – $155.03 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $13.66 – $155.03 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $166.00 | $166.00 | $56.02 – $121.34 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $136.17 – $469.84 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $40.09 – $155.03 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $51.81 – $116.03 | 4 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $81.00 | $81.00 | $72.90 – $155.03 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $68.27 – $155.03 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $147.28 – $292.97 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $30.72 – $155.03 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $147.28 – $651.35 | 5 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $147.28 – $186.83 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $80.99 – $161.96 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $80.99 – $161.96 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $99.00 | $99.00 | $21.20 – $155.03 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $21.68 – $155.03 | 5 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $147.28 – $155.03 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $147.28 – $155.03 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $147.28 – $155.03 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $33.00 | $33.00 | $147.28 – $155.03 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $147.28 – $155.03 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $147.28 – $155.03 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $147.28 – $155.03 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $35.74 – $155.03 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.60 – $155.03 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $805.00 | $805.00 | $147.28 – $497.34 | 5 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $147.28 – $447.05 | 5 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $147.28 – $350.43 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $147.28 – $349.64 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $97.88 – $193.28 | 5 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $147.28 – $571.56 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $253.00 | $253.00 | $129.47 – $220.23 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $429.00 | $429.00 | $250.25 – $681.94 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $147.28 – $444.36 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $147.28 – $516.29 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $43.84 – $155.03 | 5 |
| Vaccine rabies im CPT 90675 | $1,177.50 | $1,177.50 | $308.14 – $714.28 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $147.28 – $631.75 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $534.41 – $1,178.22 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $534.41 – $1,178.22 | 5 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $147.28 – $606.57 | 5 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $147.28 – $308.24 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $101.61 – $203.18 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $175.75 | $175.75 | $37.90 – $155.03 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $117.00 | $117.00 | $32.94 – $94.16 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $147.28 – $274.54 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $147.28 – $380.14 | 5 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $147.28 – $507.54 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.02 – $155.03 | 4 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $8,914.37 – $9,383.55 | 3 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $8,914.37 – $9,383.55 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $98.49 – $103.67 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $1,229.73 – $1,294.45 | 3 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,229.73 – $1,294.45 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,229.73 – $1,294.45 | 3 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.08 – $0.08 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $12.19 – $127.45 | 23 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,401.21 – $2,150.51 | 2 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,492.45 – $1,571.00 | 3 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $468.04 – $492.67 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $468.04 – $492.67 | 3 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,539.00 – $1,620.00 | 3 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,229.30 – $1,294.00 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $468.04 – $492.67 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $468.04 – $492.67 | 3 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.05 – $0.05 | 1 |
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.