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 |
|---|---|---|---|---|
| X-ray bone age studies CPT 77072 | $482.50 | $482.50 | $210.61 – $245.18 | 4 |
| X-ray bone length studies CPT 77073 | $959.25 | $959.25 | $210.61 – $245.18 | 4 |
| X-ray bone survey complete CPT 77075 | $6,248.00 | $6,248.00 | $210.61 – $245.18 | 4 |
| X-ray bone survey infant CPT 77076 | $3,696.75 | $3,696.75 | $210.61 – $245.18 | 4 |
| X-ray cervical spine 2-3 views CPT 72040 | $2,951.75 | $2,951.75 | $182.03 – $438.33 | 4 |
| X-ray cervical spine 4-5 views CPT 72050 | $4,157.50 | $4,157.50 | $245.18 – $676.22 | 4 |
| X-ray cervical spine >= 6 views CPT 72052 | $4,998.00 | $4,998.00 | $245.18 – $681.28 | 4 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $182.03 – $395.81 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $6,430.75 | $6,430.75 | $401.74 – $829.07 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $7,731.75 | $7,731.75 | $401.74 – $829.07 | 4 |
| X-ray consultation CPT 76140 | not published | not published | $258.95 – $597.26 | 4 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $182.03 – $352.28 | 4 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $182.03 – $445.41 | 4 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $2,234.96 – $2,352.59 | 3 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $2,234.96 – $2,352.59 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $4,640.00 | $4,640.00 | $401.74 – $829.07 | 4 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $1,531.25 | $1,531.25 | $245.18 – $1,808.98 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | $1,531.25 | $1,531.25 | $245.18 – $2,200.23 | 4 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $245.18 – $452.50 | 4 |
| X-ray exam of eye sockets CPT 70200 | $4,020.50 | $4,020.50 | $245.18 – $465.66 | 4 |
| X-ray exam of femur 1 CPT 73551 | $485.75 | $485.75 | $182.03 – $539.56 | 4 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $182.03 – $2,319.69 | 4 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $517.79 – $2,319.69 | 4 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $245.18 – $695.45 | 4 |
| X-ray exam of middle ear CPT 70134 | $3,648.00 | $3,648.00 | $1,086.50 – $2,319.69 | 4 |
| X-ray exam of penis CPT 74445 | $7,452.50 | $7,452.50 | $245.18 – $1,380.78 | 4 |
| X-ray exam of perineum CPT 74775 | not published | not published | $517.79 – $517.79 | 1 |
| X-ray exam of salivary gland CPT 70380 | $2,067.00 | $2,067.00 | $182.03 – $2,319.69 | 4 |
| X-ray exam of sinuses CPT 70210 | $1,935.25 | $1,935.25 | $182.03 – $563.85 | 4 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $517.79 – $2,319.69 | 4 |
| X-ray exam of teeth CPT 70300 | not published | not published | $182.03 – $2,319.69 | 4 |
| X-ray exam of teeth CPT 70310 | not published | not published | $517.79 – $2,319.69 | 4 |
| X-ray exam si joints CPT 72200 | $542.75 | $542.75 | $216.38 – $245.18 | 4 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $245.18 – $577.01 | 4 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $182.03 – $353.29 | 4 |
| X-ray facial bones complete > 3 views CPT 70150 | $3,050.25 | $3,050.25 | $245.18 – $544.62 | 4 |
| X-ray femur >=2 views (both sides) CPT 73552 | $485.75 | $485.75 | $182.03 – $488.94 | 4 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $182.03 – $321.91 | 4 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $182.03 – $312.80 | 4 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $182.03 – $397.83 | 4 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $245.18 – $326.97 | 4 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $182.03 – $2,319.69 | 4 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $182.03 – $361.39 | 4 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $802.25 | $802.25 | $245.18 – $1,171.23 | 4 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $802.25 | $802.25 | $245.18 – $743.03 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $802.25 | $802.25 | $245.18 – $768.34 | 4 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,531.25 | $1,531.25 | $245.18 – $599.28 | 4 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $485.75 | $485.75 | $182.03 – $318.87 | 4 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $182.03 – $414.03 | 4 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $245.18 – $343.17 | 4 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $182.03 – $352.28 | 4 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $182.03 – $459.58 | 4 |
| X-ray knee ap standing bilateral CPT 73565 | $3,302.25 | $3,302.25 | $182.03 – $829.07 | 4 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $182.03 – $570.43 | 4 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $245.18 – $832.11 | 4 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $4,157.50 | $4,157.50 | $245.18 – $815.91 | 4 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $245.18 – $1,362.56 | 4 |
| X-ray male genital tract CPT 74440 | not published | not published | $517.79 – $1,380.78 | 4 |
| X-ray mandible complete > 4 views CPT 70110 | $2,982.75 | $2,982.75 | $245.18 – $557.78 | 4 |
| X-ray mandible ltd <4 views CPT 70100 | $1,644.75 | $1,644.75 | $182.03 – $415.04 | 4 |
| X-ray nasal bones complete > 3 views CPT 70160 | $3,050.25 | $3,050.25 | $182.03 – $402.90 | 4 |
| X-ray neck soft tissue CPT 70360 | $2,483.50 | $2,483.50 | $182.03 – $335.07 | 4 |
| X-ray nose to rectum for foreign body child CPT 76010 | $3,094.25 | $3,094.25 | $182.03 – $597.26 | 4 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $517.79 – $517.79 | 1 |
| X-ray optic foramina CPT 70190 | not published | not published | $182.03 – $2,319.69 | 4 |
| X-ray pelvis 1-2 views CPT 72170 | $3,024.50 | $3,024.50 | $245.18 – $405.93 | 4 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $245.18 – $347.22 | 4 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $2,234.96 – $2,352.59 | 3 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $2,234.96 – $2,352.59 | 3 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $828.27 – $1,380.78 | 4 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $182.03 – $509.19 | 4 |
| X-ray ribs 3 views bilateral CPT 71110 | $4,694.75 | $4,694.75 | $245.18 – $649.90 | 4 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $245.18 – $537.53 | 4 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $5,215.25 | $5,215.25 | $245.18 – $612.44 | 4 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,079.75 | $1,079.75 | $245.18 – $522.35 | 4 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $3,262.50 | $3,262.50 | $182.03 – $467.68 | 4 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $245.18 – $419.09 | 4 |
| X-ray sella turcica CPT 70240 | $1,438.50 | $1,438.50 | $182.03 – $388.72 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $182.03 – $332.03 | 4 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $3,930.00 | $3,930.00 | $182.03 – $697.47 | 4 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,279.25 | $1,279.25 | $567.40 – $1,086.50 | 4 |
| X-ray skull < 4 views CPT 70250 | $3,058.75 | $3,058.75 | $245.18 – $455.54 | 4 |
| X-ray skull > 4 views complete CPT 70260 | $4,837.25 | $4,837.25 | $245.18 – $566.89 | 4 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $2,929.50 | $2,929.50 | $245.18 – $597.26 | 4 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $5,292.25 | $5,292.25 | $401.74 – $446.42 | 4 |
| X-ray small intestine follow-through study CPT 74248 | $5,701.00 | $5,701.00 | $787.62 – $829.07 | 3 |
| X-ray spine single view CPT 72020 | $2,538.25 | $2,538.25 | $182.03 – $376.58 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $2,161.50 | $2,161.50 | $182.03 – $581.06 | 4 |
| X-ray sternum > 2 views CPT 71120 | $3,235.25 | $3,235.25 | $182.03 – $452.50 | 4 |
| X-ray surgical specimen CPT 76098 | $1,548.25 | $1,548.25 | $332.75 – $1,086.50 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $2,861.50 | $2,861.50 | $401.74 – $597.26 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,760.25 | $1,760.25 | $182.03 – $702.54 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $2,951.75 | $2,951.75 | $245.18 – $517.29 | 4 |
| X-ray thoracic spine 3 views CPT 72072 | $3,196.25 | $3,196.25 | $245.18 – $517.29 | 4 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $2,951.75 | $2,951.75 | $182.03 – $527.41 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $485.75 | $485.75 | $182.03 – $2,200.23 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $802.25 | $802.25 | $245.18 – $527.41 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $182.03 – $427.19 | 4 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $182.03 – $315.84 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $3,843.25 | $3,843.25 | $401.74 – $829.07 | 4 |
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.