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Orlando Health South Lake Hospital

1900 Don Wickham Dr, Clermont, FL 34711 · (352) 394-4071

Acute Care HospitalsGovernment - Hospital District or AuthorityCMS rating 3/5Orlando, FL metroPart of Orlando Health · 12 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-04-01

11,096 price rows for 54 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 16 lines · metro median $35

$7
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 16 lines · metro median $2,582

$2,582
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 16 lines · metro median $1,202

$1,095
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 16 lines · metro median $1,805

$1,805
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 48 lines · metro median $20

$20
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 8 lines · metro median $2,996

$3,344
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 16 lines · metro median $3,344

$3,344
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 16 lines · metro median $3,344

$3,344
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 16 lines · metro median $23

$6
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 16 lines · metro median $25

$9
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines · metro median $499

$499
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 32 lines · metro median $23

$22
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 8 lines · metro median $1,294

$1,294
cash
Left heart catheterization

CPT 93452 · lowest of 8 lines · metro median $6,894

$6,894
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 40 lines · metro median $24

$11
cash
Liver function panel

CPT 80076 · lowest of 16 lines · metro median $24

$7
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 16 lines · metro median $2,215

$2,215
cash
—
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 16 lines · metro median $1,607

$1,360
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 16 lines · metro median $1,607

$1,360
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 8 lines · metro median $2,203

$2,203
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 8 lines · metro median $126

$102
cash
PSA test (prostate)

CPT 84153 · lowest of 40 lines · metro median $14

$8
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 64 lines · metro median $8

$5
cash
—
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines · metro median $807

$807
cash
Prostate biopsy

CPT 55700 · lowest of 8 lines · metro median $5,788

$5,788
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 32 lines · metro median $12

$4
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 8 lines · metro median $3,535

$3,535
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 8 lines · metro median $475

$93
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 8 lines · metro median $3,144

$2,488
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 8 lines · metro median $2,696

$3,183
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 8 lines · metro median $2,632

$4,186
cash
TSH test (thyroid)

CPT 84443 · lowest of 24 lines · metro median $44

$14
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 8 lines · metro median $755

$755
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 8 lines · metro median $804

$804
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 16 lines · metro median $2,138

$2,138
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 16 lines · metro median $2,278

$1,995
cash
Urinalysis with microscope

CPT 81001 · lowest of 16 lines · metro median $9

$3
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 8 lines · metro median $471

$471
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.