Supplies, drugs & other prices at UCF Lake Nona Hospital
Orlando, FL · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $709.17 | $709.17 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $305.60 | $305.60 | 6.2× |
| Admin influenza virus vac (G0008) | $269.44 | $269.44 | 5.5× |
| Admin pneumococcal vaccine (G0009) | $269.44 | $269.44 | 5.5× |
| Catheterize for urine spec (P9612) | $314.19 | $314.19 | 33.6× |
| Direct refer hospital observ (G0379) | $153.88 | $153.88 | 0.2× |
| Drug test def 1-7 classes (G0480) | $4.98 | $4.98 | 0.0× |
| Drug test def 15-21 classes (G0482) | $35.05 | $35.05 | 0.2× |
| Drug test def 22+ classes (G0483) | $35.05 | $35.05 | 0.1× |
| Drug test def 8-14 classes (G0481) | $35.05 | $35.05 | 0.2× |
| Hiv combination assay (G0475) | $557.87 | $557.87 | 23.2× |
| Lev 1 hosp type b ed visit (G0380) | $736.53 | $736.53 | 9.5× |
| Lev 2 hosp type b ed visit (G0381) | $912.01 | $912.01 | 9.4× |
| Lev 3 hosp type b ed visit (G0382) | $784.38 | $784.38 | 4.4× |
| Lev 4 hosp type b ed visit (G0383) | $1,219.13 | $1,219.13 | 4.4× |
| Lev 5 hosp type b ed visit (G0384) | $1,387.96 | $1,387.96 | 3.2× |
| Mra w/o cont, abd (C8901) | $12,728.92 | $12,728.92 | 51.1× |
| Mra w/o fol w/cont, abd (C8902) | $6,204.08 | $6,204.08 | 17.0× |
| Mra w/o fol w/cont, chest (C8911) | $18,059.37 | $18,059.37 | 49.6× |
| Mri w/cont, breast, bi (C8906) | $1,467.20 | $1,467.20 | 4.0× |
| Mri w/cont, breast, uni (C8903) | $700.96 | $700.96 | 3.8× |
| Mri w/o fol w/cont, breast, (C8908) | $1,467.20 | $1,467.20 | 4.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,467.20 | $1,467.20 | 4.0× |
| Pathogen test for platelets (P9100) | $795.96 | $795.96 | 12.9× |
| Psa screening (G0103) | $47.85 | $47.85 | 2.5× |
| Tomosynthesis, mammo (G0279) | $296.99 | $296.99 | 23.4× |
| Unsched dialysis esrd pt hos (G0257) | $2,220.57 | $2,220.57 | 3.1× |
| Wet mounts/ w preparations (Q0111) | $473.48 | $473.48 | 25.5× |