South Lake Hospital, Inc.
South Lake Hospital, Inc. in Clermont, FL publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1900 Don Wickham Dr, Clermont, FL 34711,22316 US Hwy. 27, Leesburg, FL 34748,16966 Cagan Ridge Blvd., Clermont, FL 34714 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $2,581.60 | $6,454.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $2,581.60 | $6,454.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hb Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $1,095.20 | $2,738.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hb Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $1,095.20 | $2,738.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $1,804.80 | $4,512.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $1,804.80 | $4,512.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hb Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $499.20 | $1,248.00 | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hb Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $499.20 | $1,248.00 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right | $397.20 | $993.00 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left | $397.20 | $993.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left | $397.20 | $993.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right | $397.20 | $993.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hb Mri Lower Extremity Joint - Left Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hb Mri Lower Extremity Joint - Left Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hb Mri Lower Extremity Joint - Right W&Wo Contrst | $2,214.80 | $5,537.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hb Mri Lower Extremity Joint - Left W&Wo Contrst | $2,214.80 | $5,537.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hb Mri Lower Extremity Joint - Left W&Wo Contrst | $2,214.80 | $5,537.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hb Mri Lower Extremity Joint - Right W&Wo Contrst | $2,214.80 | $5,537.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast | $2,214.80 | $5,537.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast | $2,214.80 | $5,537.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $1,360.00 | $3,400.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus | $807.20 | $2,018.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus | $807.20 | $2,018.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Right | $92.80 | $232.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Left | $92.80 | $232.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | $92.80 | $232.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Right | $92.80 | $232.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Left | $92.80 | $232.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | $92.80 | $232.00 | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 Hb Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $2,487.60 | $6,219.00 | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hb Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $2,487.60 | $6,219.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Hb Us Endovaginal Sono Non-Ob | $754.80 | $1,887.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Us Endovaginal Sono Non-Ob | $754.80 | $1,887.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete | $804.00 | $2,010.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete | $804.00 | $2,010.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 Hb X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $470.80 | $1,177.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hb X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $470.80 | $1,177.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel | $10.80 | $27.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel (Lmpp)-Exc | $15.20 | $38.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel-Ref | $17.60 | $44.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel | $10.80 | $27.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel (Lmpp)-Exc | $15.20 | $38.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel-Ref | $17.60 | $44.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge | $6.40 | $16.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge | $6.40 | $16.00 | 60% |
| Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc - Cbc | $5.20 | $13.00 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc - Cbc | $5.20 | $13.00 | 60% |
| Obstetric blood test panel CPT 80055 Hb Obstetric Panel | $38.40 | $96.00 | 60% |
| Obstetric blood test panel inpatient CPT 80055 Hb Obstetric Panel | $38.40 | $96.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Assay Of Psa, Free-(Psaft)-Exc | $8.00 | $20.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Free Psa | $14.80 | $37.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Psa, Free (800066)-Ref | $29.20 | $73.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Free Psa-Ref | $32.80 | $82.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Assay Of Psa, Free-(Psaft)-Exc | $8.00 | $20.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Free Psa | $14.80 | $37.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Psa, Free (800066)-Ref | $29.20 | $73.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Free Psa-Ref | $32.80 | $82.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Prostate Specific Antigen,Total - Psa | $14.80 | $37.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Psa,Ultrasensitive-Ref | $108.80 | $272.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Prostate Specific Antigen,Total - Psa | $14.80 | $37.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Psa,Ultrasensitive-Ref | $108.80 | $272.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Thromboplas Time Partial - Aptt | $5.20 | $13.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Aptt Heparin Therapy | $5.20 | $13.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Ptt-Ref | $24.00 | $60.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Kaolin Clot Time (Kct)-Ref | $26.40 | $66.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Inhibitor Screen-Ref | $100.00 | $250.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Vonwillebrand Disease Panel-Ref | $334.40 | $836.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Aptt Heparin Therapy | $5.20 | $13.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Thromboplas Time Partial - Aptt | $5.20 | $13.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Ptt-Ref | $24.00 | $60.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Kaolin Clot Time (Kct)-Ref | $26.40 | $66.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Inhibitor Screen-Ref | $100.00 | $250.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Vonwillebrand Disease Panel-Ref | $334.40 | $836.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time - Protime-Inr | $3.60 | $9.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time-Ref | $8.80 | $22.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time - Protime-Inr-Poct | $58.80 | $147.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time - Protime-Inr | $3.60 | $9.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time-Ref | $8.80 | $22.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time - Protime-Inr-Poct | $58.80 | $147.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $13.60 | $34.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Tsh 3Rd Generation-Ref | $32.40 | $81.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $13.60 | $34.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Tsh 3Rd Generation-Ref | $32.40 | $81.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Hb Urinalysis, Auto, W/O Scope - Urinalysis Chem-Poct | $83.60 | $209.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urinalysis, Auto, W/O Scope - Urinalysis Chem-Poct | $83.60 | $209.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 Hb Urine Non-Automated | $2.80 | $7.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urine Non-Automated | $2.80 | $7.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Hb Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) | $3,344.00 | $8,360.00 | 60% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hb Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) | $3,344.00 | $8,360.00 | 60% |
| Colonoscopy with polyp removal CPT 45385 Hb Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy | $3,597.60 | $8,994.00 | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 Hb Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy | $3,597.60 | $8,994.00 | 60% |
| Colonoscopy with tissue sample CPT 45380 Hb Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $3,597.60 | $8,994.00 | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 Hb Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $3,597.60 | $8,994.00 | 60% |
| Colonoscopy, diagnostic CPT 45378 Hb Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $3,344.00 | $8,360.00 | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 Hb Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $3,344.00 | $8,360.00 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hb Yag Post/Laser Capsulotomy | $1,294.40 | $3,236.00 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hb Yag Post/Laser Capsulotomy | $1,294.40 | $3,236.00 | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 Hb Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp | $6,894.00 | $17,235.00 | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hb Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp | $6,894.00 | $17,235.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $4,186.40 | $10,466.00 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $4,186.40 | $10,466.00 | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $3,182.80 | $7,957.00 | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $3,182.80 | $7,957.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level | $2,203.20 | $5,508.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level | $2,203.20 | $5,508.00 | 60% |
| Prostate biopsy CPT 55700 Hb Biopsy Of Prostate,Needle/Punch | $5,788.40 | $14,471.00 | 60% |
| Prostate biopsy inpatient CPT 55700 Hb Biopsy Of Prostate,Needle/Punch | $5,788.40 | $14,471.00 | 60% |
| Removal of a breast lump, open surgery CPT 19120 Hb Excise Breast Cyst | $3,535.20 | $8,838.00 | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hb Excise Breast Cyst | $3,535.20 | $8,838.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hb Gastroscopy W Biopsy | $2,140.40 | $5,351.00 | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hb Gastroscopy W Biopsy | $2,140.40 | $5,351.00 | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hb Gastroscopy Diag | $2,294.00 | $5,735.00 | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hb Gastroscopy Diag | $2,294.00 | $5,735.00 | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 Hb Office/Outpatient New | $102.40 | $256.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb Office/Outpatient New | $102.40 | $256.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Pt Therapeutic Exercises | $95.60 | $239.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Ot Therapeutic Exercises | $95.60 | $239.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Pt Therapeutic Exercises | $95.60 | $239.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Ot Therapeutic Exercises | $95.60 | $239.00 | 60% |
Source file: https://hospitalpricedisclosure.com/download.aspx?pi=bMxquK2F0SAP1VuYiDuxgw*-*