UCF LAKE NONA HOSPITAL
6700 Lake Nona Blvd, Orlando, FL · HCA Florida Healthcare · · NPI 1871193664
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 |
|---|---|---|---|---|
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $30.00 | $30.00 | $3.40 – $6.34 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $149.16 – $170.86 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.42 – $88.38 | 25 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,370.00 | $1,370.00 | $167.12 – $281.79 | 2 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,620.19 – $2,910.39 | 2 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $249.98 – $249.98 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $214.12 – $1,166.01 | 2 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $50.81 – $94.10 | 2 |
| Lev 1 hosp type b ed visit HCPCS G0380 | $736.53 | $736.53 | $203.88 – $208.17 | 2 |
| Lev 2 hosp type b ed visit HCPCS G0381 | $912.01 | $912.01 | $525.08 – $536.14 | 2 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $784.38 | $784.38 | $882.83 – $901.41 | 2 |
| Lev 4 hosp type b ed visit HCPCS G0383 | $1,219.13 | $1,219.13 | $1,243.45 – $1,269.63 | 2 |
| Lev 5 hosp type b ed visit HCPCS G0384 | $1,387.96 | $1,387.96 | $786.66 – $803.22 | 2 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $3.30 – $3.30 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | $52.92 | $52.92 | $0.27 – $0.63 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | $52.92 | $52.92 | $0.09 – $0.13 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.05 – $0.07 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $12.58 | $12.58 | $12.01 – $37.32 | 25 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.00 – $3.56 | 2 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $640.40 – $640.40 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $367.10 | $367.10 | $7.04 – $9.87 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.08 – $0.08 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $48.48 | $48.48 | $0.01 – $0.02 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $112.08 | $112.08 | $13.32 – $408.49 | 25 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,750.75 – $1,787.60 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,750.75 – $1,787.60 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation major artery chest CPT 37616 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $3,294.73 – $3,364.10 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $539.50 – $550.86 | 2 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,104.63 – $5,212.09 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $7.69 – $7.86 | 2 |
| Ligation of shunt CPT 49428 | not published | not published | $5,251.76 – $5,362.32 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $539.50 – $550.86 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,537.89 – $2,591.32 | 2 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,937.07 – $1,937.07 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $75.05 – $76.63 | 2 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,590.62 – $1,624.11 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $105.38 – $105.38 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $93.51 – $93.51 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $18.05 – $18.43 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.05 – $8.91 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $106.00 | $106.00 | $3.37 – $4.52 | 2 |
| Lipase CPT 83690 | not published | not published | $6.25 – $152.20 | 25 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,157.87 – $1,182.25 | 2 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $30.69 – $75.61 | 25 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $30.99 – $75.61 | 25 |
| Lipoprotein direct measurement hdl CPT 83718 | $1,415.44 | $1,415.44 | $7.42 – $75.61 | 25 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.52 – $84.45 | 25 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $30.99 – $75.61 | 25 |
| Lip surgery procedure CPT 40799 | not published | not published | $1,157.87 – $1,182.25 | 2 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $500,948.74 – $927,632.05 | 2 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.95 – $88.38 | 25 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $5.99 – $69.71 | 25 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $8,154.13 – $8,325.79 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,226.63 – $1,252.45 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,226.63 – $1,252.45 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,594.47 – $1,628.04 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $66.36 – $274.86 | 25 |
| Liver elastography 91200 CPT 91200 | not published | not published | $23.75 – $313.99 | 3 |
| Liver Function Test CPT 80076 | $2,820.79 | $2,820.79 | $7.40 – $260.21 | 25 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,594.47 – $1,628.04 | 2 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $2,029.15 – $2,071.87 | 2 |
| Liver imaging CPT 78201 | not published | not published | $1,101.15 – $2,071.87 | 3 |
| Liver imaging (3d) CPT 78205 | not published | not published | $2,029.15 – $2,071.87 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $1,101.15 – $2,071.87 | 3 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $848.52 – $1,971.72 | 3 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $848.52 – $2,071.87 | 3 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $76.95 – $78.57 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,096.63 – $3,161.82 | 2 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.90 – $1.72 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $205.64 – $365.01 | 2 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.52 – $2.33 | 2 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $76.09 – $113.74 | 21 |
| Loudness balance test CPT 92562 | not published | not published | $44.65 – $45.59 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $7,379.01 – $7,534.36 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $22,277.42 | $22,277.42 | $401.74 – $2,726.83 | 4 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $22,141.42 | $22,141.42 | $828.27 – $3,848.18 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $22,141.42 | $22,141.42 | $245.18 – $2,362.52 | 4 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $18,905.01 | $18,905.01 | $828.27 – $3,527.09 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $17,845.92 | $17,845.92 | $828.27 – $5,506.67 | 4 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $14,712.97 | $14,712.97 | $517.79 – $2,548.11 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $4,259.17 | $4,259.17 | $245.18 – $481.15 | 3 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,109.28 – $4,195.79 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $19.95 – $552.07 | 23 |
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.