8/100
#2,433 nationally
Central Florida Lake Monroe Hospital
1401 W Seminole Blvd, Sanford, FL 32771 · (407) 321-4500
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Central Florida Lake Monroe Hospital billed $9.41 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 9.4x
- volume-weighted across all its priced work
- Procedures priced
- 54
- inpatient and outpatient combined
- Rank in FL
- #108
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 9% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 4% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
128 | $121,316 | $16,170 | +86% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
76 | $175,077 | $11,906 | +180% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
73 | $44,974 | $2,452 | +131% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
49 | $36,259 | $1,668 | +209% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
46 | $208,782 | $24,124 | +68% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
44 | $117,586 | $14,511 | +92% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
42 | $77,703 | $11,844 | +79% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
36 | $222,741 | $21,459 | +68% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
34 | $77,434 | $11,506 | +66% |
|
Fainting
MS-DRG 312 · Inpatient stay |
31 | $84,154 | $8,081 | +130% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$57,190 | $1,456 | +409% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$57,430 | $1,813 | +344% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$121,030 | $4,687 | +341% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$82,025 | $3,158 | +297% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$36,259 | $1,668 | +209% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$133,656 | $8,879 | +193% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$175,077 | $11,906 | +180% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$108,966 | $6,136 | +173% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$92,098 | $15,506 | +18% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$321,060 | $43,012 | +20% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$147,697 | $25,560 | +30% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$46,502 | $9,778 | +34% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$198,932 | $21,762 | +38% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$27,811 | $2,766 | +46% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$82,078 | $11,729 | +46% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$73,176 | $13,055 | +46% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.