CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$204
about 1.7× the $118 Medicare rate · typically $81–$283
modeled estimate · not a bill or quote
What this hospital charges insurers
$253
Above the fair price
about $49 over the fair price · 2.1× Medicare
Medicare pays $118 Fair price $204 This hospital $253 Cash price $1,207 Hospital's list price $1,207

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $253

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $204 (about 1.7× the $118 Medicare rate). Central Florida Lake Monroe Hospital charges insurers about $253, or about $1,207 in cash — above the fair price. Located in Sanford, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $204. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $186 - $835 158%
Blue Cross Blue Shieldmajor $40 - $394 34%
Aetnamajor $38 - $557 32%
Cignamajor $97 - $323 83%
Humanamajor $112 - $371 95%
AvMed $279 - $928 237%
Molina $106 - $594 90%
+ 9 smaller / regional plans $40 - $15,000
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals