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 |
|---|---|---|---|---|
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,933.44 – $5,193.10 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $3,145.67 – $3,311.23 | 3 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $4,277.57 – $4,502.71 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $50.00 | $50.00 | $0.79 – $1.39 | 2 |
| Cytogenetics 25-99 CPT 88274 | $40.25 | $40.25 | $38.41 – $66.11 | 25 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $36.89 – $63.49 | 25 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $105.31 – $1,809.60 | 28 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $105.31 – $1,404.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | not published | not published | $13.05 – $106.29 | 28 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $120.50 | $120.50 | $15.27 – $71.87 | 28 |
| Cytomegalovirus dfa CPT 87271 | $59.25 | $59.25 | $12.16 – $106.29 | 28 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,757.65 – $2,983.74 | 2 |
| Cyto/molecular report CPT 88291 | not published | not published | $31.39 – $33.85 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $23.00 – $162.98 | 28 |
| Cytopath c/v index add-on CPT 88155 | $66.25 | $66.25 | $13.28 – $162.98 | 28 |
| Cytopath fl nongyn filter CPT 88106 | $32.25 | $32.25 | $24.67 – $162.98 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $27.50 | $27.50 | $49.76 – $162.98 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $24.11 – $162.98 | 28 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $249.00 | $249.00 | $18.36 – $162.98 | 28 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $33.84 – $184.24 | 4 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $33.84 – $87.06 | 4 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $7.33 – $162.98 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $149.16 – $162.98 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $49.76 – $296.60 | 4 |
| Cytopath smear other source CPT 88160 | $19.00 | $19.00 | $24.67 – $162.98 | 4 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $162.98 | 4 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $24.67 – $162.98 | 4 |
| Cytopath tbs c/v manual CPT 88164 | $115.25 | $115.25 | $15.15 – $162.98 | 28 |
| Cytotoxic antibody screening CPT 86807 | $83.50 | $83.50 | $58.66 – $122.69 | 28 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.90 – $61.75 | 28 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $215.00 | $215.00 | $154.83 – $291.26 | 4 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $314.50 | $314.50 | $4.37 – $6.80 | 2 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $280.14 – $508.18 | 2 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.10 – $25.72 | 2 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $15.56 – $24.59 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.05 | 2 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.10 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $51.40 – $90.85 | 2 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,652.00 | $2,652.00 | $2.83 – $4.98 | 2 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.83 – $4.98 | 2 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $241.55 – $429.81 | 2 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $332.00 | $332.00 | $25.61 – $43.44 | 2 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $273.60 – $288.00 | 3 |
| Dch glucoscan CPT 82948 | not published | not published | $4.57 – $20.25 | 28 |
| Dch pulmonary stress test CPT 94621 | $4,274.75 | $4,274.75 | $90.25 – $95.00 | 3 |
| Dch validity tests CPT 81002 | not published | not published | $3.15 – $37.46 | 28 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,177.26 – $2,291.85 | 3 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,226.63 – $1,291.19 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $10.92 – $91.11 | 28 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,236.24 – $1,301.31 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $387.56 – $407.96 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $28.50 – $68.85 | 26 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $2,077.24 – $2,186.57 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $1,025.15 – $1,079.11 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $1,236.24 – $1,301.31 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $589.51 – $620.54 | 3 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $164.44 – $173.10 | 3 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $477.95 – $503.11 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $4,135.25 – $4,352.89 | 3 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,078.20 – $2,187.58 | 3 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $1,236.24 – $1,301.31 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,566.59 – $1,649.04 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $387.56 – $407.96 | 3 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $354.86 – $373.54 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $2,675.41 – $2,816.22 | 3 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $1,236.24 – $1,301.31 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $899.17 – $946.50 | 3 |
| Decalcification CPT 88311 | not published | not published | $8.72 – $118.44 | 4 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.07 – $1.72 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $635.67 – $669.13 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,096.63 – $3,259.61 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $2,632.14 – $2,770.67 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $4,026.57 – $4,238.50 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $540.46 – $568.91 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,000.46 – $3,158.38 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,974.65 – $4,183.84 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,942.91 – $4,150.43 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $4,103.51 – $4,319.48 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $3,096.63 – $3,259.61 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $5,718.18 – $6,019.14 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $3,096.63 – $3,259.61 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,096.63 – $3,259.61 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,096.63 – $3,259.61 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,263.80 – $2,382.95 | 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.