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 |
|---|---|---|---|---|
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $854.50 | $854.50 | $89.81 – $139.79 | 26 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $193.80 – $204.00 | 3 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $545.27 – $573.97 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $3.87 – $20.25 | 28 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $66.50 – $70.00 | 3 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $2,177.26 – $2,291.85 | 3 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $35.71 – $53.91 | 26 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $656.15 – $656.15 | 1 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $149.16 – $149.16 | 1 |
| Ast/sgot CPT 84450 | $157.75 | $157.75 | $4.69 – $186.26 | 28 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $26,903.00 | $26,903.00 | $86.71 – $154.95 | 2 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $10,391.96 – $10,938.91 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $23,412.22 – $24,644.44 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $14.41 – $77.95 | 28 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.11 – $0.17 | 2 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $3,012.48 – $3,171.03 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $102.60 – $108.00 | 3 |
| Audiometry air + bone CPT 92553 | not published | not published | $38.95 – $41.00 | 3 |
| Auditory function 60 min CPT 92620 | not published | not published | $87.40 – $92.00 | 3 |
| Augmentation cheek bone CPT 21270 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $4,144.86 – $4,363.01 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $6,747.18 – $7,102.30 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $6,274.04 – $6,604.25 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $66.36 – $1,311.41 | 28 |
| Autologous blood op salvage CPT 86891 | not published | not published | $79.82 – $656.15 | 4 |
| Autologous blood process CPT 86890 | $455.00 | $455.00 | $79.82 – $149.16 | 4 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $139.65 – $147.00 | 3 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.87 – $48.59 | 28 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $50.35 – $53.00 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $40.85 – $43.00 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $83.60 – $88.00 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $94.23 – $173.23 | 2 |
| Av fistula revision CPT 36833 | not published | not published | $3,253.38 – $3,424.61 | 3 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Avul nail plate addl CPT 11732 | not published | not published | $1,123.25 – $1,182.37 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $460.65 – $484.89 | 3 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $91.82 – $91.82 | 1 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $487,755.77 – $878,117.20 | 2 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $5,727.80 – $6,029.26 | 3 |
| Azacitidine injection HCPCS J9025 | $2,134.00 | $2,134.00 | $0.31 – $0.76 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | $12.00 | $12.00 | $0.10 – $0.98 | 2 |
| Azathioprine parenteral HCPCS J7501 | $1,175.00 | $1,175.00 | $418.32 – $418.32 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $210.00 | $210.00 | $2.15 – $3.37 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $190.75 | $190.75 | $2.41 – $3.68 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $169.56 – $299.43 | 2 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $461.00 | $461.00 | $52.21 – $98.19 | 2 |
| Baclofen eval charges CPT 97750 | $802.00 | $802.00 | $29.12 – $42.22 | 23 |
| Bacterial meningitis antigen CPT 86403 | $29.25 | $29.25 | $10.46 – $121.48 | 28 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $63.62 – $229.79 | 28 |
| Bactericidal level serum CPT 87197 | $35.00 | $35.00 | $13.61 – $106.29 | 28 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $31.81 – $106.29 | 28 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $9.18 – $13.72 | 23 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.34 – $0.51 | 23 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.36 – $5.02 | 23 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $13.65 – $20.40 | 23 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $11.96 | $11.96 | $8.57 – $12.82 | 23 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $6.80 – $10.16 | 23 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $12.11 – $18.10 | 23 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $6,030.72 – $6,348.13 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $236.25 | $236.25 | $31.81 – $106.29 | 28 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $27.55 – $29.00 | 3 |
| Basiliximab HCPCS J0480 | not published | not published | $4,547.03 – $7,888.77 | 2 |
| B cells total count CPT 86355 | $30.50 | $30.50 | $34.19 – $84.02 | 28 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.05 – $5.41 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $155.89 | 28 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.77 – $6.42 | 2 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $53.32 – $94.31 | 2 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $10.18 – $15.21 | 23 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $7,745.50 | $7,745.50 | $1.20 – $3.38 | 2 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.77 – $22.52 | 2 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.17 – $21.17 | 2 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $26.42 – $52.78 | 2 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $1,236.24 – $1,301.31 | 3 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $290.42 – $305.71 | 3 |
| #_benzodiazconfur CPT 80346 | not published | not published | $133.67 – $140.71 | 3 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $435.00 | $435.00 | $16.27 – $22.80 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $23.07 – $248.01 | 28 |
| Beta-2 microglobulin CPT 82232 | $107.00 | $107.00 | $14.67 – $38.47 | 28 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $201.12 | 25 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $128.92 – $201.12 | 25 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $49.00 | $49.00 | $6.64 – $11.40 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $70.55 – $121.49 | 2 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $28.93 – $39.34 | 2 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $26.13 – $42.57 | 2 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $3.04 – $3.04 | 1 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $47.50 – $103.09 | 26 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $26.60 – $41.57 | 26 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $15.29 – $398.85 | 28 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $2,177.26 – $2,291.85 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $532.77 – $560.81 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $829.93 – $873.61 | 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.