HCA FLORIDA LAKE MONROE HOSPITAL
1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908
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 |
|---|---|---|---|---|
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $209.78 – $209.78 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,525.39 – $2,658.30 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $10.00 | $10.00 | $4.31 – $50.62 | 28 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $4.31 – $29.36 | 28 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $7.84 – $116.41 | 28 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.01 – $129.57 | 28 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,518.98 – $1,598.93 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $6,085.54 – $6,405.83 | 3 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $130.64 – $195.29 | 23 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,518.98 – $1,598.93 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $235.61 – $248.01 | 3 |
| Svc venogram s&i CPT 75827 | $6,176.75 | $6,176.75 | $2,234.96 – $3,163.82 | 4 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $49.76 – $96.17 | 4 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,675.29 – $3,999.14 | 23 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,279.94 – $4,903.00 | 23 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $302.58 – $452.31 | 23 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $361.23 – $539.98 | 23 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $291.20 – $435.30 | 23 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $532.96 – $796.69 | 23 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.15 – $8.18 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $36.10 – $38.00 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.97 – $12.47 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $3.99 – $80.98 | 28 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $15.36 – $175.13 | 28 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $12.85 – $133.62 | 28 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $8.18 – $120.46 | 28 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.23 – $124.51 | 28 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $0.97 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.76 – $3.09 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.18 – $0.33 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,197.00 | $1,197.00 | $247.41 – $433.04 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $12.45 – $135.65 | 28 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.51 – $23.50 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $68.27 – $122.00 | 2 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.90 – $123.62 | 2 |
| Talymed HCPCS Q4127 | not published | not published | $66.44 – $209.78 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.48 – $0.72 | 23 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $105.31 – $1,184.87 | 28 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $105.31 – $4,554.58 | 28 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $105.31 – $932.74 | 28 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,523.65 – $2,584.87 | 2 |
| Tas congenital car anomal CPT 33741 | not published | not published | $498.15 – $524.37 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $630.87 – $664.07 | 3 |
| Tavr perq femoral CPT 33361 | not published | not published | $498.15 – $524.37 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.36 – $0.41 | 2 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $105.31 – $213.72 | 28 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $93.44 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $185.87 – $185.87 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $185.87 – $185.87 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $86.55 – $156.00 | 28 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $46.75 | $46.75 | $56.17 – $117.43 | 28 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $867.45 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,138.32 – $2,138.32 | 1 |
| Tc-99m bicisate HCPCS A9557 | $14,932.50 | $14,932.50 | $1,279.61 – $1,279.61 | 1 |
| Tc-99m depreotide HCPCS A9536 | $24,254.50 | $24,254.50 | $1,321.02 – $1,321.02 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $101.95 – $101.95 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,541.31 – $1,541.31 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $9,306.00 | $9,306.00 | $1,530.72 – $1,530.72 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $542.19 – $542.19 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $1,573.00 | $1,573.00 | $179.67 – $179.67 | 1 |
| Tc-99m maa HCPCS A9540 | $991.75 | $991.75 | $50.14 – $50.14 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $991.75 | $991.75 | $187.21 – $187.21 | 1 |
| Tc-99m medronate HCPCS A9503 | $363.00 | $363.00 | $106.36 – $106.36 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $4,818.75 | $4,818.75 | $1,308.90 – $1,308.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $85.98 – $85.98 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $991.75 | $991.75 | $47.39 – $47.39 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $34.72 – $34.72 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $19.83 – $19.83 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $65.59 – $65.59 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $3,764.75 | $3,764.75 | $743.46 – $743.46 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,994.25 | $2,994.25 | $1,088.88 – $1,088.88 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $627.00 | $627.00 | $1,239.81 – $1,239.81 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $192.89 – $192.89 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $841.47 – $885.76 | 3 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.15 – $117.00 | 3 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $111.15 – $117.00 | 3 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $227.05 – $239.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $42.58 – $73.90 | 28 |
| T cells absolute cd 4 count CPT 86361 | $178.75 | $178.75 | $24.27 – $146.78 | 28 |
| T cells total count CPT 86359 | $30.50 | $30.50 | $34.19 – $84.02 | 28 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $225.04 – $236.88 | 3 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $225.04 – $236.88 | 3 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $225.04 – $236.88 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,226.63 – $1,291.19 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $39.90 – $42.00 | 3 |
| Team conf without pat by phys CPT 99367 | not published | not published | $60.80 – $64.00 | 3 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $46.55 – $49.00 | 3 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $208.32 – $366.65 | 2 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $54.69 – $81.75 | 23 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.88 – $12.16 | 2 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $30.08 – $30.08 | 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.