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 upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $4,952.50 | $4,952.50 | $401.74 – $2,141.01 | 4 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $787.62 – $829.07 | 3 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $787.62 – $829.07 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $182.03 – $363.42 | 4 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $401.74 – $829.07 | 4 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $521.71 – $549.17 | 3 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $53.94 – $159.00 | 4 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $209.78 – $2,841.15 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | $31.00 | $31.00 | $11.70 – $220.68 | 28 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.45 – $2.62 | 2 |
| Yersinia antibody CPT 86793 | $11.50 | $11.50 | $11.95 – $91.11 | 28 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $93,760.51 – $93,760.51 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $69.36 – $209.78 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.41 – $17.44 | 2 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $97.25 | $97.25 | $1.46 – $2.49 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $204.00 | $204.00 | $46.50 – $106.29 | 28 |
| Zika virus igm antibody CPT 86794 | not published | not published | $15.27 – $91.11 | 28 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.74 – $2.60 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $155.25 | $155.25 | $5.02 – $15.10 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.05 – $11.91 | 2 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $55.56 – $55.56 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,613.00 | $2,613.00 | $8.38 – $9.23 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $156.75 – $235.88 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $105.31 – $301.47 | 28 |
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.