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 (93650) $14,956.25 $14,956.25 1.8×
Airway inhalation treatment (94640) $222.62 $222.62 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $170 $170 11.8×
Assessment of aphasia per hr (96105) $854.50 $854.50 8.8×
Bedside Swallowing Eval (92610) $715 $715 8.4×
Behavioral and qualitative analysis of voice and resonance (92524) $170 $170 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,592 $1,592 4.1×
Bundle of his recording (93600) $14,930 $14,930 1.8×
Cardiac Stress Tst,Tracing Only (93017) $9,197.88 $9,197.88 40.8×
Cardiopulmonary exercise testing (94621) $4,274.75 $4,274.75 11.0×
Cardioversion (92960) $2,566.50 $2,566.50 3.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $36.25 $36.25 0.9×
Cbt 1st hour (94644) $627 $627 4.5×
Chemo Admin Peritoneal Cavity (96446) $1,504 $1,504 4.4×
Chemo Hormon Antineopl Sq/Im (96402) $213.50 $213.50 2.8×
Chemo Ia Infuse Each Addl Hr (96423) $513.25 $513.25 10.5×
Chemo IV push addl drug (96411) $286.25 $286.25 3.8×
Chemo prolong 8+ hrs 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 infusion, ea add hr (96415) $201.50 $201.50 2.7×
Chemother,ia infusn tech,<1 hr (96422) $513.25 $513.25 1.5×
Chemother,Ia Push Technique (96420) $513.25 $513.25 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $282 $282 3.8×
Chemotherapy Administration Intralesional </7 (96405) $350.50 $350.50 4.7×
Chemotherapy into cns (96450) $862.75 $862.75 2.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $2,582 $2,582 7.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $286.25 $286.25 3.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $847.50 $847.50 2.5×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $513.25 $513.25 1.5×
Color/duplex Doppler, complete (93975) $4,113 $4,113 16.5×
Color/duplex Doppler, limited (93976) $1,379.25 $1,379.25 12.6×
Cpap/bipap (94660) $1,981.88 $1,981.88 8.7×
Cpt initial (94667) $2,765.25 $2,765.25 19.9×
Critical care (99291) $10,625.25 $10,625.25 12.3×
Debridement Open Wound 20 Sq Cm< (97597) $2,011.50 $2,011.50 9.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $3,873.75 $3,873.75 15.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $2,865 $2,865 26.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $4,113 $4,113 16.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $2,920.50 $2,920.50 26.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $3,961.25 $3,961.25 15.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,504 $1,504 13.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,844.75 $3,844.75 15.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,700 $1,700 15.6×
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 scan extracranial art compl bi study (93880) $4,498.50 $4,498.50 18.1×
Duplex Scan Hemodialysis Access (93990) $4,091.75 $4,091.75 37.5×
Echo Heart Xthoracic,Limited (93308) $5,633.50 $5,633.50 22.6×
Echo transesophageal (93312) $8,735.50 $8,735.50 15.3×
EEG awake and 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 evaluation (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 greater than 1 hour (95813) $2,910.75 $2,910.75 12.9×
Ekg Signal Averaging (93278) $2,090 $2,090 33.9×
Electrocardiogram Tracing (93005) $622 $622 10.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,465.50 $1,465.50 6.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $11,239 $11,239 1.4×
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×
Ep Analyze Pacer Sys (93724) $653.75 $653.75 2.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $43,997 $43,997 5.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $44,214 $44,214 5.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $4,289 $4,289 3.4×
Er level 1 (99281) $1,673.75 $1,673.75 19.0×
Er level ii (99282) $3,024.25 $3,024.25 18.9×
Er level iii (99283) $4,837.38 $4,837.38 17.0×
Er level IV (99284) $7,926.62 $7,926.62 18.2×
Er level v (99285) $11,078.12 $11,078.12 17.8×
Ergonovine provocation test (93024) $1,103.50 $1,103.50 2.4×
Eval speech sound production (92522) $170 $170 1.5×
Eval to use/fit voice prosth (92597) $369 $369 5.2×
Evaluate Pt Use Of Inhaler (94664) $241 $241 1.1×
Evaluation of speech fluency (92521) $170 $170 1.3×
External Ecg Scanning Analysis Report (93226) $4,625.75 $4,625.75 75.1×
Gastric motility studies (91020) $5,939 $5,939 15.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $6,168 $6,168 15.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,756 $4,756 5.3×
Group Therapeutic Procedures (97150) $238.25 $238.25 13.2×
Holter Monitor (93225) $6,059.50 $6,059.50 43.6×
Immunization Admin (90471) $531 $531 7.1×
Intra Atrial Recording (93602) $13,170.50 $13,170.50 1.6×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,053.25 $3,053.25 0.4×
Intralesional Chemo Admin,8+ Lesn (96406) $350.50 $350.50 1.6×
Intraventricular pacing (93612) $9,400 $9,400 1.2×
Iontophoresis 15 min (97033) $217.50 $217.50 11.4×
Irrig drug delivery device (96523) $192.50 $192.50 3.1×
IV infusion hydration each additional hour (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, therap/proph/diagnost,initial,1st hour (96365) $726.50 $726.50 3.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $693.62 $693.62 14.2×
IV push ea addl new drug (96375) $481.62 $481.62 9.8×
IV push initial (96374) $481.62 $481.62 2.2×
Manual therapy 15 min (97140) $361.38 $361.38 13.0×
Massage 15 min (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×
Motility study esophagus (91010) $5,939 $5,939 15.2×
Motion Fluor Eval Swlng Funcj C/V Rec (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 Junct Tstg Ea Nrv Any 1 Meth (95937) $1,042.25 $1,042.25 7.8×
Newborn resuscitation (99465) $1,836.25 $1,836.25 2.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,253.25 $1,253.25 9.0×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $849.50 $849.50 13.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $276.75 $276.75 8.6×
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 re-evaluation (97168) $304 $304 4.4×
Ot therapeutic activity 15 min (97530) $271.88 $271.88 7.8×
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×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $581.50 $581.50 2.5×
Peritoneal Dialysis (90945) $1,156.75 $1,156.75 2.7×
Phlebotomy therapeutic (99195) $925.75 $925.75 6.7×
Plethysmography (94726) $1,164.75 $1,164.75 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $17,255 $17,255 19.2×
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 eval mod complex 30 min (97162) $1,189.25 $1,189.25 12.2×
Pt gait training 15 min (97116) $257.25 $257.25 8.9×
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 re-evaluation (97164) $329.50 $329.50 4.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $279.50 $279.50 8.6×
Pt Whirlpool Therapy (97022) $185.25 $185.25 11.8×
Pt-focused hlth risk assmt (96160) $36.25 $36.25 0.9×
Pulm Funct Test Oscillometry (94728) $1,476 $1,476 11.0×
Pulm function test by gas (94727) $1,003.75 $1,003.75 4.5×
Pure Tone Audiometry Air Only (92552) $66.50 $66.50 0.5×
Respiratory flow volume loop (94375) $999 $999 4.4×
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×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $564.50 $564.50 2.7×
Rt Chest Wall Manipulation,Subsequent (94668) $532.50 $532.50 3.8×
Sensory Integration Ea 15 Min (97533) $212 $212 3.5×
Short-latency somatosens ep std upr limbs (95925) $4,710.75 $4,710.75 20.9×
Speech sound lang comprehen (92523) $170 $170 0.8×
Spirometry (94010) $165.88 $165.88 0.7×
Ssep lower limbs (95926) $4,710.75 $4,710.75 20.9×
Stress echo (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×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $3,174.50 $3,174.50 12.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,116.50 $2,116.50 19.4×
Tte w/doppler, complete (93306) $10,957 $10,957 19.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $6,307 $6,307 25.3×
Tx atrial fib pulm vein isol (93656) $116,827.50 $116,827.50 4.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $444 $444 5.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $257.25 $257.25 10.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $530.75 $530.75 6.3×
Unlisted Cardiovascular Service/Procedure (93799) $324.75 $324.75 2.4×
Upr/lxtr art stdy 3+ lvls (93923) $2,456.25 $2,456.25 10.9×
Vasc Duplex Scan Extracranial,Limited (93882) $1,676.75 $1,676.75 15.4×
Vent mgmt inpat init day (94002) $2,822.25 $2,822.25 4.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,799.38 $1,799.38 2.8×
Visual Evoked Potential Test (95930) $5,985 $5,985 26.5×
Vital capacity, total (94150) $301.75 $301.75 2.2×
Wheelchair Mgmt Ea 15 Min (97542) $182.50 $182.50 5.9×