How many shoppable procedure prices are published for Lakeside Medical Center?

Lakeside Medical Center in Belle Glade, FL currently has 142 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lakeside Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lakeside Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 70 Beds · urban Updated: 12/2/2025

Lakeside Medical Center

39200 Hooker Hwy, Belle Glade, FL 33430 · 142 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.87×vs. Fair Market Price

Typical commercial prices here are 13% below the fair benchmark (0.87×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 75% of the Time

File Completeness66

Price Logic87

Peer Alignment70

Clean Billing83

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Lakeside Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.97× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 1.03× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#18 of 165 in FL · 10th State Percentile#493 of 3,385 in U.S. · 14th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
Self-pay cash beats commercial insurance on 75% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 61% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (3.2×) services average 1.09× higher multiples than routine shoppable care (1.1×)
Specialty infusion drugs (J-codes) average 1.8× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 10.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.09× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+6% Upper Tail

Q25 0.89× · Q50 0.97× · Q75 1.03×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.2× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

75% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Lakeside Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$42,923	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$31,365	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$30,577	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$29,792	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$19,211	$8,223	unverified
Total hip replacement CPT Code: `27130`	$12,915	$12,915	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$12,915	$12,915	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,856	$5,856	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$3,844	$3,844	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	$3,542	$3,542	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,257	$3,257	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$3,257	$3,257	$3,446	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$2,289	$2,289	$2,540	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$1,681	$2,975	0.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,520	$2,680	0.6×
Trauma team activation HCPCS Code: `G0390`	$1,328	$1,328	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,184	$1,184	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,021	$1,021	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$941	$941	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$915	$915	$981	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$695	$695	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$550	$550	$583	0.9×
Blood transfusion CPT Code: `36430`	$439	$439	$498	0.9×
Psychological testing by technician CPT Code: `96138`	$401	$401	$395	1.0×
Residential mental health treatment HCPCS Code: `H2036`	—	$383	$406	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$358	$358	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$358	$358	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	$313	$313	$231	1.4×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$338	$257	1.3×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$338	$269	1.3×
Behavioral health day treatment HCPCS Code: `H0010`	—	$338	$343	1.0×
Behavioral health residential care HCPCS Code: `H0011`	—	$338	$364	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$279	$110	2.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$243	$243	$272	0.9×
Rabies immune globulin HCPCS Code: `90375`	$266	$266	$322	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$243	$243	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$243	$243	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$243	$243	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$243	$243	$369	0.7×
Behavioral health day program HCPCS Code: `H2012`	—	$205	$100	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$196	$123	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$204	$204	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$179	$188	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$179	$188	$258	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$161	$161	$166	1.0×
Family therapy session CPT Code: `90847`	$161	$161	$173	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$134	$87	1.5×
Mental health services (assessment) HCPCS Code: `H0031`	—	$157	$140	1.1×
Behavioral health assessment HCPCS Code: `H0001`	—	$157	$157	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$131	$137	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$161	$161	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$161	$161	$185	0.9×
Psychological testing evaluation CPT Code: `96136`	$129	$129	$128	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	—	$148	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$98	$98	$86	1.1×
X-ray, pelvis CPT Code: `72170`	$107	$107	$110	1.0×
Care planning with family CPT Code: `90887`	—	$103	$107	1.0×
X-ray, chest (single view) CPT Code: `71045`	$88	$88	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$88	$88	$92	1.0×
X-ray, lower back CPT Code: `72110`	$107	$107	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$88	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$88	$88	$93	0.9×
Group therapy session CPT Code: `90853`	$93	$93	$100	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$107	$112	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$107	$112	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$107	$112	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$107	$112	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$107	$112	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$107	$112	$169	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$123	unverified
X-ray, foot CPT Code: `73630`	$88	$88	$92	1.0×
X-ray, hand CPT Code: `73130`	$88	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$88	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$88	$88	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$107	$107	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$107	$107	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$107	$107	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$107	$107	$134	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$312	$312	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$127	$56	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$97	$111	0.9×
Drug screening test HCPCS Code: `G0480`	—	—	$116	—
Flu vaccine (high dose) HCPCS Code: `90656`	—	$67	$25	2.7×
Behavioral health living support HCPCS Code: `H2019`	—	$78	$34	2.3×
Hepatitis B vaccine HCPCS Code: `90744`	—	$67	$37	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$83	$203	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$54	$35	1.5×
Orthotic fitting and training CPT Code: `97760`	$60	$60	$51	1.2×
Blood antibody screen CPT Code: `86850`	$54	$54	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$60	$63	$64	1.0×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$78	$88	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$43	$44	$38	1.2×
Prosthetic fitting and training CPT Code: `97761`	$52	$52	$45	1.2×
Physical therapy (gait training) CPT Code: `97116`	$37	$38	$33	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$45	$46	$40	1.1×
Speech therapy (group session) CPT Code: `92508`	$30	$30	$27	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$41	$42	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$41	$42	$38	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$38	$35	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$35	$35	$34	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$32	$33	1.0×
Review of medical records for care CPT Code: `90889`	—	$52	$114	0.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$14	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$10	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$9	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$26	$26	$27	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$46	$47	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$47	$49	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$46	$46	$48	1.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$52	$65	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$16	$14	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$8	$9	$9	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$6	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$7	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$15	$16	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$17	$25	0.7×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$19	$39	0.5×
Community mental health services HCPCS Code: `H0038`	—	$2	$16	0.1×
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—

Showing top 25 high-impact procedures of 142 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Lakeside Medical Center (Zero PHI Required)

CMS CCN: 100130

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $42,923

1. Amount on Your Bill or Quote ($) Pre-filled with Lakeside Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lakeside Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$72,240 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($103,015) is $72,240 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Lakeside Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite66/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait147 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (64 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lakeside Medical Center.

Price Index: 0.55× regional baseline

Quality: 53/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-52.1%

Blue Cross Blue Shield

+191.4%

Median Household Income$81,115U.S. Census ACS

Local Uninsured Share13.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 100130

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 100130) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/2/2025

Validated Rate Rows3,735 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100130

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy