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 |
|---|---|---|---|---|
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $539.50 – $567.90 | 3 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $539.50 – $567.90 | 3 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $33.25 – $35.00 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $17.10 – $18.00 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $498.15 – $524.37 | 3 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $4,709.37 – $4,957.23 | 3 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $397.18 – $561.65 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,059.30 – $1,115.05 | 3 |
| Rsv assay w/optic CPT 87807 | not published | not published | $11.87 – $106.29 | 28 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $156.75 – $574.20 | 4 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $21.12 – $30.62 | 23 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $49.36 – $71.57 | 23 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $50.00 – $72.50 | 23 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $53.19 – $77.13 | 23 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $41.04 – $59.51 | 23 |
| Rubella antibody igg CPT 86762 | not published | not published | $13.05 – $48.59 | 28 |
| Rubeola ag if CPT 87283 | not published | not published | $55.11 – $106.29 | 28 |
| Rubeola antibody igg CPT 86765 | not published | not published | $11.68 – $156.91 | 28 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $105.31 – $514.04 | 28 |
| Russell viper venom diluted CPT 85613 | not published | not published | $8.68 – $33.41 | 28 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $105.31 – $1,430.64 | 28 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $241.17 – $360.51 | 23 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $34.73 – $61.02 | 2 |
| Safety plan interven HCPCS G0560 | not published | not published | $34.01 – $34.01 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $848.52 – $2,135.95 | 4 |
| Salivary gland imaging CPT 78230 | $2,968.25 | $2,968.25 | $848.52 – $2,135.95 | 4 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $848.52 – $2,135.95 | 4 |
| Salmonella antibody CPT 86768 | $9.50 | $9.50 | $11.95 – $91.11 | 28 |
| Sargramostim injection HCPCS J2820 | $1,214.00 | $1,214.00 | $58.08 – $101.89 | 2 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $91.11 | 28 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $156.69 – $316.67 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $106.29 | 28 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $63.71 – $109.65 | 28 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,518.98 – $1,598.93 | 3 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $142.50 – $150.00 | 3 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $73.15 – $77.00 | 3 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $95.95 – $101.00 | 3 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $46.55 – $49.00 | 3 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $84.55 – $89.00 | 3 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $4,113.00 | $4,113.00 | $221.35 – $233.00 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,379.25 | $1,379.25 | $114.95 – $121.00 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $3,873.75 | $3,873.75 | $150.10 – $158.00 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $97.85 – $103.00 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,676.75 | $1,676.75 | $104.50 – $110.00 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | not published | not published | $100.70 – $106.00 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $4,113.00 | $4,113.00 | $216.60 – $228.00 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $111.15 – $117.00 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $105.45 – $111.00 | 3 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,226.63 – $1,291.19 | 3 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,226.63 – $1,291.19 | 3 |
| Scan proc spinal CPT 61783 | not published | not published | $1,226.63 – $1,291.19 | 3 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,197.62 – $7,769.64 | 23 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,778.15 – $1,871.74 | 3 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $6,274.04 – $6,604.25 | 3 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.15 – $28.92 | 25 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $21.98 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $28.94 – $49.83 | 25 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $39.86 – $68.59 | 25 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $24.01 – $41.32 | 25 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $24.52 – $42.20 | 25 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $18.36 – $31.61 | 25 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $21.98 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $205.20 – $216.00 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $204.25 – $215.00 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $92.00 | $92.00 | $16.36 – $118.44 | 28 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $25.63 – $44.10 | 25 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $42.01 – $72.31 | 25 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $13.46 – $37.56 | 28 |
| Screening Mammogram CPT 77067 | $1,259.50 | $1,259.50 | $81.87 – $126.67 | 23 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $28.00 | 4 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $17.50 – $30.12 | 25 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.15 – $28.92 | 25 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.65 – $3.00 | 4 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $63.65 – $67.00 | 3 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $5,251.76 – $5,528.17 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $2,537.89 – $2,671.46 | 3 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $5,154.75 | $5,154.75 | $6.65 – $7.00 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $283.50 | $283.50 | $2.44 – $73.90 | 28 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $4,792.69 – $4,792.69 | 1 |
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.