Visits & medical services prices at HCA Florida Lake Monroe Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node w/wo (93650) $14,956.25 $14,956.25 1.8×
Aerosol inhalation pentamidine (94642) $581.50 $581.50 2.5×
Airway inhalation treatment (94640) $222.62 $222.62 1.0×
Airway resistance by oscillometry (94728) $1,476 $1,476 11.0×
Analyze pacemaker system (93724) $653.75 $653.75 2.0×
Assessment of aphasia (96105) $854.50 $854.50 8.8×
Behavioral & qualit analysis voice and resonance (92524) $170 $170 1.6×
Blink reflex test (95933) $849.50 $849.50 13.8×
Bundle of his recording (93600) $14,930 $14,930 1.8×
Cardiac stress test (93017) $9,197.88 $9,197.88 40.8×
Cardiopulmonary exercise testing (94621) $4,274.75 $4,274.75 11.0×
Cardiovascular procedure unlisted (93799) $324.75 $324.75 2.4×
Cardioversion elective external (92960) $2,566.50 $2,566.50 3.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $36.25 $36.25 0.9×
Carotid duplex scan; bilat (93880) $4,498.50 $4,498.50 18.1×
Carotid duplex scan; unil/limit (93882) $1,676.75 $1,676.75 15.4×
Chemo cns (intrathecal) w lp (96450) $862.75 $862.75 2.5×
Chemo hormon antineopl sq/im (96402) $213.50 $213.50 2.8×
Chemo intralesional 1-7 lesions (96405) $350.50 $350.50 4.7×
Chemo intralesional over 7 (96406) $350.50 $350.50 1.6×
Chemo IV infus each addl seq (96417) $286.25 $286.25 3.8×
Chemo IV infusion addl hr (96415) $201.50 $201.50 2.7×
Chemother prolong infuse w/pump (96416) $1,504 $1,504 4.4×
Chemother, IV infusion, 1 hr (96413) $1,048.12 $1,048.12 3.0×
Chemother, IV push,ea add drug (96411) $286.25 $286.25 3.8×
Chemother,non-hormone anti-neopl, sub-q/im (96401) $282 $282 3.8×
Chemotherapy admin intra-arterial push tq (96420) $513.25 $513.25 1.5×
Chemotherapy administration into pleural cavity, requiring and including thoracentesis UNSCHEDULED (96440) $513.25 $513.25 1.5×
Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) $513.25 $513.25 10.5×
Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours),… (96425) $2,582 $2,582 7.5×
Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour UNSCHEDULED (96422) $513.25 $513.25 1.5×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $847.50 $847.50 2.5×
Chemotx admn pertl cavity implanted port/cath (96446) $1,504 $1,504 4.4×
Color/duplex Doppler, complete (93975) $4,113 $4,113 16.5×
Color/duplex Doppler, limited (93976) $1,379.25 $1,379.25 12.6×
Compre electrophysiologic arrhythmia induction (93620) $43,997 $43,997 5.4×
Compre electrophysiologic w/o arrhyt induction (93619) $44,214 $44,214 5.4×
Continuous inhalation tx, 1st hr (94644) $627 $627 4.5×
Cpap/bipap daily (94660) $1,981.88 $1,981.88 8.7×
Cpt initial (94667) $2,765.25 $2,765.25 19.9×
Cpt subsequent (94668) $532.50 $532.50 3.8×
Critical care first hour (99291) $10,625.25 $10,625.25 12.3×
Delivery/birthing room resuscitation (99465) $1,836.25 $1,836.25 2.7×
Duplex a ivc il/bpg; compl (93978) $3,873.75 $3,873.75 15.5×
Duplex a ivc il/bpg; unil/lim (93979) $2,865 $2,865 26.2×
Duplex ext veins; bilat (93970) $3,844.75 $3,844.75 15.4×
Duplex hemodialysis access (93990) $4,091.75 $4,091.75 37.5×
Duplex le art/bpg; bilat (93925) $4,113 $4,113 16.5×
Duplex le art/bpg; unil/limit (93926) $2,920.50 $2,920.50 26.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,200.50 $1,200.50 4.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $577.50 $577.50 5.3×
Duplex ue art/bpg; bilat (93930) $3,961.25 $3,961.25 15.9×
Duplex ue art/bpg; unil/limit (93931) $1,504 $1,504 13.8×
Duplex venous ext unilat/lmtd (93971) $1,700 $1,700 15.6×
ECG monit/reprt up to 48 hrs (93226) $4,625.75 $4,625.75 75.1×
ECG up to 48 hrs recording (93225) $6,059.50 $6,059.50 43.6×
Echo transesophageal (93312) $8,735.50 $8,735.50 15.3×
EEG awake & asleep (95819) $8,490.50 $8,490.50 37.7×
EEG awake/drowsy (95816) $5,809.25 $5,809.25 25.8×
EEG cerebral death eval (95824) $8,975.25 $8,975.25 23.0×
EEG cont rec w/video by tech min 8 channels (95700) $8,490.50 $8,490.50 37.7×
EEG extended monitoring 61-119 minutes (95813) $2,910.75 $2,910.75 12.9×
Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) $1,465.50 $1,465.50 6.5×
Electrocardiogram (93005) $622 $622 10.1×
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $11,239 $11,239 1.4×
Emergency department visit high mdm (99285) $11,078.12 $11,078.12 17.8×
Emergency department visit low mdm (99283) $4,837.38 $4,837.38 17.0×
Emergency department visit may not req phys/qhp (99281) $1,673.75 $1,673.75 19.0×
Emergency department visit moderate mdm (99284) $7,926.62 $7,926.62 18.2×
Emergency department visit straightforward mdm (99282) $3,024.25 $3,024.25 18.9×
EMG four extremities (95864) $3,570.50 $3,570.50 26.6×
EMG one extremity (95860) $1,801.50 $1,801.50 13.0×
EMG three extremities (95863) $2,730.25 $2,730.25 20.3×
EMG two extremities (95861) $2,287.50 $2,287.50 16.5×
Ep & ablate supravent arrhyt (93653) $116,827.50 $116,827.50 4.3×
Ep & ablate ventric tachy (93654) $116,827.50 $116,827.50 4.3×
Ephys eval pacg cvdfb prgrmg/reprgrmg parameters (93642) $4,289 $4,289 3.4×
Ergonovine provocation test (93024) $1,103.50 $1,103.50 2.4×
Esophageal Motility Study (91010) $5,939 $5,939 15.2×
Evaluate pt use of inhaler (94664) $241 $241 1.1×
Evaluate speech production (92522) $170 $170 1.5×
Evaluation of speech fluency (92521) $170 $170 1.3×
Flow volume loop (94375) $999 $999 4.4×
Gait training 15 min (97116) $257.25 $257.25 8.9×
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $1,003.75 $1,003.75 4.5×
Gastric motility (manometric) studies UNSCHEDULED (91020) $5,939 $5,939 15.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,756 $4,756 5.3×
Gastroesophageal Reflux Test (91034) $6,168 $6,168 15.8×
Immunization Admin (90471) $531 $531 7.1×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $481.62 $481.62 9.8×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $481.62 $481.62 2.2×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,053.25 $3,053.25 0.4×
Intra-atrial recording (93602) $13,170.50 $13,170.50 1.6×
Intraventricular pacing (93612) $9,400 $9,400 1.2×
Irrigaj implntd venous access drug delivery syst (96523) $192.50 $192.50 3.1×
IV hydration each add'l hr (96361) $695.88 $695.88 14.2×
IV infusion hydration initial 31 min-1 hour (96360) $702.75 $702.75 3.2×
IV infusion ther proph addl sequential to 1 hr (96367) $690.62 $690.62 9.2×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $726.50 $726.50 3.3×
IV tx, each additional hour (96366) $693.62 $693.62 14.2×
Manual therapy ea 15 min (97140) $361.38 $361.38 13.0×
Massage therapy ea 15 mins (97124) $234.75 $234.75 7.9×
Maximum voluntary ventilation (94200) $383.75 $383.75 6.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $155.75 $155.75 4.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $312.75 $312.75 8.5×
Methacholine challenge (94070) $2,057.50 $2,057.50 5.3×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $1,162.50 $1,162.50 12.7×
Multiple sleep latency test (95805) $10,277.50 $10,277.50 11.5×
Negative pressure wound therapy dme </= 50 sq cm (97605) $3,457 $3,457 16.5×
Neuromuscular junction test (95937) $1,042.25 $1,042.25 7.8×
Non-invasive physiologic study extremity 3 levels (93923) $2,456.25 $2,456.25 10.9×
Oral speech device eval (92597) $369 $369 5.2×
Ot eval high complex 60 min (97167) $1,459 $1,459 14.5×
Ot eval low complex 30 min (97165) $729.75 $729.75 7.3×
Ot eval mod complex 45 min (97166) $1,093.25 $1,093.25 10.9×
Ot group therapy procedures (97150) $238.25 $238.25 13.2×
Ot re-eval est plan care (97168) $304 $304 4.4×
Ot Sensory Integrative Techniques Each 15 Minutes (97533) $212 $212 3.5×
Ot wheelchair management (97542) $182.50 $182.50 5.9×
Outpatient cardiac rehab w/cont ECG monitoring (93798) $392 $392 2.9×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $393 $393 2.9×
Peritoneal Dialysis-Outpatient (90945) $1,156.75 $1,156.75 2.7×
Phlebotomy therapeutic (99195) $925.75 $925.75 6.7×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $17,255 $17,255 19.2×
Pt Community/Work Reintegration Trainj Ea 15 Min (97537) $276.75 $276.75 8.6×
Pt Debridement Open Wound 20 Sq Cm< (97597) $2,011.50 $2,011.50 9.6×
Pt Electric Current Therapy (97033) $217.50 $217.50 11.4×
Pt Electrical Stimulation (97032) $194.62 $194.62 13.2×
Pt eval high complex 45 min (97163) $1,586.25 $1,586.25 16.2×
Pt eval low complex 20 min (97161) $793 $793 8.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $287.12 $287.12 8.8×
Pt Physical Performance Test (97750) $802 $802 23.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $1,189.25 $1,189.25 12.2×
Pt re-eval est plan care (97164) $329.50 $329.50 4.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $279.50 $279.50 8.6×
Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) $271.88 $271.88 7.8×
Pt Whirlpool Therapy (97022) $185.25 $185.25 11.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $36.25 $36.25 0.9×
Pulm funct tst plethysmograp (94726) $1,164.75 $1,164.75 3.0×
Pure tone audiometry, air only (92552) $66.50 $66.50 0.5×
Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) $705.50 $705.50 2.2×
Right ventricular recording (93603) $13,170.50 $13,170.50 10.4×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) $4,710.75 $4,710.75 20.9×
Signal average EKG (93278) $2,090 $2,090 33.9×
Slp evaloral pharyngeal swallow function (92610) $715 $715 8.4×
Speech sound lang comprehen (92523) $170 $170 0.8×
Spirometry (94010) $165.88 $165.88 0.7×
Spirometry with bronchodilator (94060) $1,592 $1,592 4.1×
Ssep upper limbs (95925) $4,710.75 $4,710.75 20.9×
Stress echocardiogram (93350) $7,563.50 $7,563.50 13.3×
Therapeutic prophylactic/dx injection subq/im (96372) $356.12 $356.12 4.7×
Tilt table evaluation (93660) $2,621.75 $2,621.75 6.7×
Transcranial doppler stdy intracranial art compl (93886) $3,174.50 $3,174.50 12.7×
Treat swallowing dysfunction (92526) $530.75 $530.75 6.3×
Tte f-up or lmtd (93308) $5,633.50 $5,633.50 22.6×
Tte W/Doppler Complete - Tte Complete (93306) $10,957 $10,957 19.2×
Tte w/o doppler complete (93307) $6,307 $6,307 25.3×
Tx atrial fib pulm vein isol (93656) $116,827.50 $116,827.50 4.3×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $444 $444 5.8×
Tx speech language voice commj auditry 2/>indiv (92508) $257.25 $257.25 10.7×
Ultrasound therapy ea 15 mins (97035) $170 $170 11.8×
Upr/l xtremity art 2 levels (93922) $1,253.25 $1,253.25 9.0×
Us transcranial doppler lmtd (93888) $2,116.50 $2,116.50 19.4×
Ventilator initial day (94002) $2,822.25 $2,822.25 4.4×
Ventilator subsequent day (94003) $1,799.38 $1,799.38 2.8×
Visual ep testing cns except glaucoma w/i&r (95930) $5,985 $5,985 26.5×
Vital capacity total (94150) $301.75 $301.75 2.2×
Wound care non-selective (97602) $564.50 $564.50 2.7×