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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27443 | not published | not published | $5,859.54 – $17,429.32 | 6 |
| Revision of knee joint CPT 27446 | not published | not published | $5,859.54 – $17,429.32 | 7 |
| Revision of knee joint CPT 27445 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Revision of larynx CPT 31400 | not published | not published | $2,523.47 – $2,656.28 | 3 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Revision of lung CPT 32940 | not published | not published | $1,604.09 – $1,688.52 | 3 |
| Revision of mitral valve CPT 33420 | not published | not published | $498.15 – $524.37 | 3 |
| Revision of mitral valve CPT 33422 | not published | not published | $498.15 – $524.37 | 3 |
| Revision of neck muscle CPT 21700 | not published | not published | $5,170.98 – $5,443.14 | 3 |
| Revision of neck muscle CPT 21720 | not published | not published | $5,170.98 – $5,443.14 | 3 |
| Revision of neck muscle CPT 21725 | not published | not published | $5,170.98 – $5,443.14 | 3 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $5,170.98 – $5,443.14 | 3 |
| Revision of nose CPT 30120 | not published | not published | $539.50 – $567.90 | 3 |
| Revision of nose CPT 30430 | not published | not published | $539.50 – $567.90 | 3 |
| Revision of nose CPT 30435 | not published | not published | $539.50 – $567.90 | 3 |
| Revision of nose CPT 30450 | not published | not published | $539.50 – $567.90 | 3 |
| Revision of nose CPT 30460 | not published | not published | $539.50 – $567.90 | 3 |
| Revision of nose CPT 30462 | not published | not published | $539.50 – $567.90 | 3 |
| Revision of pelvis CPT 27158 | not published | not published | $1,059.30 – $1,115.05 | 3 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $498.15 – $524.37 | 3 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $498.15 – $524.37 | 3 |
| Revision of radius CPT 25350 | not published | not published | $3,942.91 – $4,150.43 | 3 |
| Revision of radius CPT 25355 | not published | not published | $3,942.91 – $4,150.43 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Revision of scrotum CPT 55175 | not published | not published | $12,436.51 – $13,091.06 | 3 |
| Revision of scrotum CPT 55180 | not published | not published | $12,436.51 – $13,091.06 | 3 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,177.26 – $2,291.85 | 3 |
| Revision of testis CPT 54660 | not published | not published | $6,085.54 – $6,405.83 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $3,787.12 – $3,986.44 | 3 |
| Revision of toe CPT 28312 | not published | not published | $2,263.80 – $2,382.95 | 3 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $498.15 – $524.37 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $498.15 – $524.37 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $3,942.91 – $4,150.43 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $4,892.09 – $5,149.57 | 3 |
| Revision of upper arm CPT 24940 | not published | not published | $4,103.51 – $4,319.48 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $7,595.39 – $7,995.15 | 3 |
| Revision of urethra CPT 53460 | not published | not published | $7,595.39 – $7,995.15 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $9,487.98 – $9,987.35 | 3 |
| Revision of urinary tract CPT 51820 | not published | not published | $3,213.95 – $3,383.11 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,859.54 – $6,167.94 | 3 |
| Revision tips CPT 37183 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $905.91 – $17,429.32 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $905.91 – $953.59 | 3 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $209.78 – $209.78 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $209.78 – $999.24 | 2 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,807.77 – $7,166.07 | 3 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,807.77 – $7,166.07 | 3 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,308.85 – $1,377.74 | 3 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,807.77 – $7,166.07 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,177.26 – $2,291.85 | 3 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,308.85 – $1,377.74 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $8,290.69 – $8,727.04 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $5,667.21 – $5,965.48 | 3 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $1,226.63 – $1,291.19 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $8,290.69 – $8,727.04 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.11 – $17.85 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,590.62 – $1,674.34 | 3 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.57 – $142.73 | 28 |
| Rheumatoid factor quantitative CPT 86431 | $24.50 | $24.50 | $5.14 – $60.74 | 28 |
| Rh ig IV CPT 90386 | not published | not published | $1,034.77 – $1,096.84 | 4 |
| Rh ig minidose im CPT 90385 | not published | not published | $132.00 – $1,089.23 | 4 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $539.50 – $567.90 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $414.00 | $414.00 | $4.73 – $7.97 | 2 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $145.00 | $145.00 | $22.91 – $37.83 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $31.53 – $55.95 | 2 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $74.85 – $132.87 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $217.01 – $283.44 | 4 |
| Rhythm ecg with report CPT 93040 | not published | not published | $13.30 – $14.00 | 3 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,229.65 – $5,504.89 | 3 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $98.25 – $146.87 | 23 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $4,514.40 – $4,514.40 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.25 | 2 |
| Right heart cath congenital CPT 93530 | not published | not published | $602.30 – $634.00 | 3 |
| Right ventric recording CPT 93603 | $13,170.50 | $13,170.50 | $59.85 – $63.00 | 3 |
| Rilonacept injection HCPCS J2793 | not published | not published | $56.03 – $56.03 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $7.04 – $10.53 | 23 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $305.49 – $456.66 | 23 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $180.36 – $269.61 | 23 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $760.66 – $1,137.08 | 23 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $24.42 | $24.42 | $7.04 – $10.53 | 23 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.41 – $24.63 | 2 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,068.00 | $2,068.00 | $10.19 – $18.45 | 2 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.14 – $123.37 | 2 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.40 – $60.84 | 2 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $33.72 – $49.75 | 2 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $32.10 – $34.49 | 2 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $21.90 – $24.19 | 2 |
| R & l heart cath congenital CPT 93531 | not published | not published | $1,724.25 – $1,815.00 | 3 |
| R & l heart cath congenital CPT 93532 | not published | not published | $1,677.70 – $1,766.00 | 3 |
| R & l heart cath congenital CPT 93533 | not published | not published | $1,677.70 – $1,766.00 | 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.