Supplies, drugs & other prices at HCA Florida Lake Monroe Hospital

Sanford, FL · every code in this section with a posted price and a Medicare benchmark.

44 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $772.50 $772.50 1.7×
Adm tocilizu covid-19 2nd (M0250) $772.50 $772.50 1.7×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$150.50–$309 $150.50–$309 varies
Admin influenza virus vac (G0008)
range across 4 matching MRF lines
$64.50–$590.25 $64.50–$590.25 varies
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$400.25–$590.25 $400.25–$590.25 varies
Catheterize for urine spec (P9612) $470 $470 50.3×
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$58.25–$61 $58.25–$61 varies
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$306.25–$312.75 $306.25–$312.75 varies
Diab manage trn ind/group (G0109) $312.75 $312.75 19.5×
Direct refer hospital observ (G0379)
range across 6 matching MRF lines
$94.25–$440 $94.25–$440 varies
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$8.75–$358.75 $8.75–$358.75 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$85.50–$1,073 $85.50–$1,073 varies
Drug test def 22+ classes (G0483) $1,126 $1,126 4.6×
Drug test def 8-14 classes (G0481) $715.75 $715.75 4.6×
Elec stim other than wound (G0283) $192 $192 15.1×
Fecal blood scrn immunoassay (G0328) $92 $92 5.1×
Lev 1 hosp type b ed visit (G0380)
range across 3 matching MRF lines
$688.50–$1,707.75 $688.50–$1,707.75 varies
Lev 2 hosp type b ed visit (G0381)
range across 2 matching MRF lines
$881.50–$3,085.50 $881.50–$3,085.50 varies
Lev 3 hosp type b ed visit (G0382)
range across 2 matching MRF lines
$733.25–$4,783.75 $733.25–$4,783.75 varies
Lev 4 hosp type b ed visit (G0383)
range across 2 matching MRF lines
$1,137.75–$8,087.50 $1,137.75–$8,087.50 varies
Lev 5 hosp type b ed visit (G0384)
range across 2 matching MRF lines
$1,296.75–$10,932.75 $1,296.75–$10,932.75 varies
Mra w/cont, abd (C8900) $12,777.25 $12,777.25 35.1×
Mra w/cont, chest (C8909) $12,777.25 $12,777.25 35.1×
Mra w/cont, lwr ext (C8912) $12,777.25 $12,777.25 35.1×
Mra w/cont, pelvis (C8918) $11,104.75 $11,104.75 30.5×
Mra w/o cont, abd (C8901) $12,777.25 $12,777.25 51.3×
Mra w/o cont, chest (C8910) $12,777.25 $12,777.25 51.3×
Mra w/o cont, lwr ext (C8913) $12,777.25 $12,777.25 51.3×
Mra w/o cont, pelvis (C8919) $9,891.50 $9,891.50 39.7×
Mra w/o fol w/cont, abd (C8902) $12,777.25 $12,777.25 35.1×
Mra w/o fol w/cont, chest (C8911) $12,777.25 $12,777.25 35.1×
Mra w/o fol w/cont, lwr ext (C8914) $12,777.25 $12,777.25 35.1×
Mra w/o fol w/cont, pelvis (C8920) $11,705.50 $11,705.50 32.1×
Mra, w/o&w/dye, spinal canal (C8933) $1,540 $1,540 4.2×
Mri w/cont, breast, bi (C8906) $12,512 $12,512 34.3×
Mri w/cont, breast, uni (C8903) $9,499.75 $9,499.75 51.9×
Mri w/o fol w/cont, breast, (C8908) $12,512 $12,512 34.3×
Mri w/o fol w/cont, brst, un (C8905) $9,499.75 $9,499.75 26.1×
Place device/marker, non pro (C9728)
range across 2 matching MRF lines
$2,767.50–$3,182 $2,767.50–$3,182 varies
Psa screening (G0103)
range across 2 matching MRF lines
$52.75–$176.50 $52.75–$176.50 varies
Tomosynthesis, mammo (G0279) $299.75 $299.75 23.6×
Trauma respons w/hosp criti (G0390) $24,500 $24,500 17.6×
Unsched dialysis esrd pt hos (G0257) $2,598 $2,598 3.6×
Wet mounts/ w preparations (Q0111) $505.25 $505.25 27.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.