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 |
|---|---|---|---|---|
| Chest CT scan (with and without contrast) CPT 71270 | $23,459.25 | $23,459.25 | $401.74 – $2,925.55 | 5 |
| Chest CT scan (with contrast) CPT 71260 | $19,844.25 | $19,844.25 | $401.74 – $2,525.69 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $19,290.75 | $19,290.75 | $245.18 – $2,220.99 | 5 |
| Chest X-ray CPT 71046 | $408.75 | $408.75 | $182.03 – $463.63 | 4 |
| Chest X-ray (single view) CPT 71045 | $408.75 | $408.75 | $182.03 – $389.74 | 4 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $229.84 – $241.94 | 3 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $3,619.00 | $3,619.00 | $401.74 – $829.07 | 4 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $105.31 – $323.64 | 28 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $105.31 – $406.83 | 28 |
| Chlamydia culture CPT 87110 | $13.00 | $13.00 | $17.76 – $167.03 | 28 |
| Chlamydia trachomatis ag if CPT 87270 | $16.00 | $16.00 | $10.85 – $188.29 | 28 |
| Chlamydia type CPT 87140 | not published | not published | $5.04 – $48.59 | 28 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $787.62 – $829.07 | 3 |
| Chloramphenicol sodium injec HCPCS J0720 | $117.00 | $117.00 | $82.93 – $82.93 | 1 |
| Chloride CPT 82435 | $92.00 | $92.00 | $4.17 – $49.60 | 28 |
| Chloride 24 hour urine CPT 82436 | $66.25 | $66.25 | $5.21 – $98.19 | 28 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.04 – $0.07 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.58 – $0.96 | 2 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $290.00 | $290.00 | $31.51 – $95.91 | 2 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $28.17 – $39.22 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $513.25 | $513.25 | $148.20 – $156.00 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $235.61 – $248.01 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $3,251.00 | $3,251.00 | $1,014.58 – $1,067.98 | 3 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $235.61 – $248.01 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $235.61 – $248.01 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $235.61 – $248.01 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $235.61 – $248.01 | 3 |
| Cholesterol CPT 82465 | $424.50 | $424.50 | $3.94 – $23.28 | 28 |
| Cholesterol body fluid CPT 84999 | not published | not published | $296.20 – $311.79 | 3 |
| Cholesterol (Lipid) Test CPT 80061 | $584.50 | $584.50 | $12.13 – $225.74 | 28 |
| Choline c-11 HCPCS A9515 | not published | not published | $4,152.11 – $4,152.11 | 1 |
| Cholinesterase CPT 82480 | $8.75 | $8.75 | $7.13 – $18.22 | 28 |
| Cholinesterase challenge CPT 95857 | not published | not published | $38.00 – $40.00 | 3 |
| Chorion biopsy CPT 59015 | not published | not published | $308.70 – $324.95 | 3 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $17.70 – $25.41 | 2 |
| Chrom analysis CPT 88273 | $214.50 | $214.50 | $31.55 – $54.30 | 25 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $35.35 – $77.95 | 28 |
| Chromatography CPT 83021 | $13.25 | $13.25 | $16.37 – $74.91 | 28 |
| Chromogenic substrate assay CPT 85130 | $110.75 | $110.75 | $10.78 – $41.50 | 28 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $110.85 | 28 |
| Chromosome analys amniotic CPT 88269 | $157.50 | $157.50 | $157.40 – $270.91 | 25 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $156.96 – $270.15 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $260.75 | $260.75 | $113.74 – $195.76 | 25 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $156.96 – $270.15 | 25 |
| Chromosome analysis 45 CPT 88263 | $157.50 | $157.50 | $136.22 – $234.45 | 25 |
| Chromosome analysis 5 CPT 88261 | $204.50 | $204.50 | $239.59 – $412.37 | 25 |
| Chromosome analysis 50-100 CPT 88248 | $475.00 | $475.00 | $156.96 – $270.15 | 25 |
| Chromosome analys placenta CPT 88267 | $208.00 | $208.00 | $170.91 – $294.17 | 25 |
| Chromosome banding study CPT 88283 | not published | not published | $62.18 – $107.02 | 25 |
| Chromosome count additional CPT 88285 | $21.75 | $21.75 | $24.39 – $41.98 | 25 |
| Chromosome karyotype study CPT 88280 | $201.25 | $201.25 | $30.33 – $52.21 | 25 |
| Chromosome study additional CPT 88289 | $260.75 | $260.75 | $31.20 – $53.71 | 25 |
| Chronic urticaria - sendout CPT 86343 | $121.50 | $121.50 | $11.29 – $91.11 | 28 |
| Chylomicron screen, bf - sendout CPT 82664 | $17.00 | $17.00 | $23.09 – $95.94 | 28 |
| Cidofovir injection HCPCS J0740 | not published | not published | $506.18 – $865.39 | 2 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $7.12 – $11.72 | 2 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $3,854.43 – $4,057.30 | 3 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $536,573.93 – $969,621.79 | 2 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $1.63 – $1.63 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $245.18 – $597.26 | 4 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $567.40 – $597.26 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.04 – $3.30 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $56.07 – $56.07 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.77 – $3.48 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $105.31 – $514.04 | 28 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $2,097.00 | $2,097.00 | $9.89 – $12.24 | 2 |
| Claviculectomy partial CPT 23120 | not published | not published | $905.91 – $953.59 | 3 |
| Claviculectomy total CPT 23125 | not published | not published | $345.25 – $363.42 | 3 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $354.86 – $373.54 | 3 |
| Clearance of airways CPT 31720 | not published | not published | $2,539.81 – $2,673.48 | 3 |
| Clearance of tear duct CPT 68530 | not published | not published | $1,907.98 – $2,008.40 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $66.50 – $70.00 | 3 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $41.80 – $44.00 | 3 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $56.05 – $59.00 | 3 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $37.05 – $39.00 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.56 – $3.15 | 2 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $6,030.72 – $6,348.13 | 3 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $306.20 – $457.72 | 23 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $15.53 – $23.71 | 2 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $197.50 | $197.50 | $15.71 – $28.43 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,604.09 – $1,688.52 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $504.89 – $531.46 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $2,699.45 – $2,841.53 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,059.30 – $1,115.05 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $1,059.30 – $1,115.05 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $2,488.84 – $2,619.83 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $397.18 – $418.08 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,072.27 – $1,128.71 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $717.42 – $755.18 | 3 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,265.58 – $1,332.19 | 3 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,483.22 – $3,666.55 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $2,263.80 – $2,382.95 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $2,263.80 – $2,382.95 | 3 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $5,667.21 – $5,965.48 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $626.06 – $659.01 | 3 |
| Close mastoid fistula CPT 69700 | not published | not published | $6,807.77 – $7,166.07 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $5,170.98 – $5,443.14 | 3 |
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.