Adventhealth Rollins Brook
608 North Key Avenue, Lampasas, TX · AdventHealth · · NPI 1750392916
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $26.35 – $112.73 | 2 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $20.53 – $87.82 | 2 |
| 17-ketosteroids CPT 83586 | not published | not published | $11.52 – $49.28 | 2 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $446.33 – $446.33 | 1 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $3,607.53 – $3,607.53 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $32.33 – $138.29 | 2 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $419.77 – $419.77 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| 2nd order venous cath CPT 36012 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $101.29 – $101.29 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $1,046.16 – $1,046.16 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $51.32 – $51.32 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.04 – $42.93 | 2 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $65.22 – $65.22 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $301.07 – $301.07 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $321.90 – $321.90 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $341.34 – $341.34 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $274.74 – $274.74 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $301.07 – $301.07 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $301.07 – $301.07 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $341.34 – $341.34 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $399.59 – $399.59 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $4,117.01 – $4,826.69 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $166.01 – $166.01 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $10.81 – $46.24 | 2 |
| Abciximab injection HCPCS J0130 | not published | not published | $5,190.49 – $5,190.49 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $10,669.43 – $10,669.43 | 1 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,560.49 – $4,826.69 | 2 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $5,079.39 | $5,079.39 | $849.15 – $849.15 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $4,701.85 | $4,701.85 | $849.15 – $849.15 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $4,079.16 | $4,079.16 | $522.29 – $522.29 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $982.40 – $2,234.24 | 2 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,356.39 | $1,356.39 | $431.51 – $431.51 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,242.44 | $1,242.44 | $431.51 – $431.51 | 1 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,546.61 – $8,715.36 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $982.40 – $2,234.24 | 2 |
| Abl1 gene CPT 81170 | not published | not published | $270.00 – $1,155.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $1,720.49 – $1,720.49 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,770.43 – $4,826.69 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,531.30 – $4,826.69 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $849.63 – $4,826.69 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,408.76 – $4,826.69 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,357.14 – $7,357.14 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $4,826.69 – $6,042.14 | 2 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,826.69 – $6,042.14 | 2 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $532.65 – $532.65 | 1 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $982.40 – $4,826.69 | 2 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,826.69 – $6,042.14 | 2 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $269.55 – $4,826.69 | 2 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $485.05 – $4,826.69 | 2 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $269.55 – $4,826.69 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $327.21 – $4,826.69 | 2 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $5,517.38 – $5,517.38 | 1 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $32.57 – $32.57 | 1 |
| Abortion CPT 59850 | not published | not published | $459.05 – $4,826.69 | 2 |
| Abortion (mpr) CPT 59866 | not published | not published | $338.40 – $4,826.69 | 2 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $218.41 – $4,826.69 | 2 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $139.05 | $139.05 | $1.16 – $1.16 | 1 |
| Acetaminophen level CPT 80143 | $302.10 | $302.10 | $16.78 – $71.76 | 2 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $246.40 | $246.40 | $96.90 – $96.90 | 1 |
| Acetone qualitative CPT 82009 | not published | not published | $4.07 – $17.40 | 2 |
| Acetylcholine receptor modulating antibody CPT 86043 | $149.46 | $149.46 | $10.85 – $46.39 | 2 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.06 – $47.32 | 2 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $110.18 | $110.18 | $8.35 – $8.35 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $5.89 – $5.89 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $355.20 – $355.20 | 1 |
| Acne surgery 10040 CPT 10040 | not published | not published | $218.41 – $4,826.69 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $124.89 – $124.89 | 1 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $112.38 – $112.38 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $102.68 – $102.68 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $203.97 – $203.97 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $446.33 – $446.33 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $62.45 – $62.45 | 1 |
| Acoustic immitance testing CPT 92570 | not published | not published | $532.65 – $532.65 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $128.71 – $128.71 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Actigraphy testing CPT 95803 | not published | not published | $211.79 – $211.79 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $128.71 – $128.71 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $130.44 – $130.44 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $120.70 – $120.70 | 1 |
| Acute hepatitis panel CPT 80074 | $841.45 | $841.45 | $42.87 – $183.38 | 2 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,047.59 – $1,047.59 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.