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 |
|---|---|---|---|---|
| X-ray hand 2 views (both sides) CPT 73120 | $495.15 | $495.15 | $431.51 – $431.51 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $461.06 | $461.06 | $307.27 – $307.27 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $842.65 | $842.65 | $431.51 – $431.51 | 1 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,412.06 | $1,412.06 | $165.13 – $165.13 | 1 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $383.85 | $383.85 | $307.27 – $307.27 | 1 |
| X-ray humerus >= 2 views left CPT 73060 | $536.20 | $536.20 | $307.27 – $307.27 | 1 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $558.73 | $558.73 | $307.27 – $307.27 | 1 |
| X-ray knee 3 views (both sides) CPT 73562 | $570.08 | $570.08 | $307.27 – $307.27 | 1 |
| X-ray knee ap standing bilateral CPT 73565 | $922.15 | $922.15 | $307.27 – $307.27 | 1 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $814.45 | $814.45 | $431.51 – $431.51 | 1 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $872.16 | $872.16 | $431.51 – $431.51 | 1 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,049.33 | $1,049.33 | $431.51 – $431.51 | 1 |
| X-ray male genital tract CPT 74440 | not published | not published | $897.20 – $897.20 | 1 |
| X-ray mandible complete > 4 views CPT 70110 | $654.13 | $654.13 | $431.51 – $431.51 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $426.98 | $426.98 | $307.27 – $307.27 | 1 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $642.77 | $642.77 | $307.27 – $307.27 | 1 |
| X-ray neck soft tissue CPT 70360 | $520.32 | $520.32 | $307.27 – $307.27 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $415.03 | $415.03 | $307.27 – $307.27 | 1 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $897.20 – $897.20 | 1 |
| X-ray optic foramina CPT 70190 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray pelvis 1-2 views CPT 72170 | $465.62 | $465.62 | $431.51 – $431.51 | 1 |
| X-ray pelvis complete > 3 views CPT 72190 | $622.03 | $622.03 | $431.51 – $431.51 | 1 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $677.10 – $677.10 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $777.01 – $777.01 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $178.99 – $178.99 | 1 |
| X-ray ribs 2 views left CPT 71100 | $452.21 | $452.21 | $307.27 – $307.27 | 1 |
| X-ray ribs 3 views bilateral CPT 71110 | $721.35 | $721.35 | $431.51 – $431.51 | 1 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $788.15 | $788.15 | $431.51 – $431.51 | 1 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $601.90 | $601.90 | $431.51 – $431.51 | 1 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $683.63 | $683.63 | $307.27 – $307.27 | 1 |
| X-ray scapula complete (both sides) CPT 73010 | $540.58 | $540.58 | $431.51 – $431.51 | 1 |
| X-ray sella turcica CPT 70240 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $440.62 | $440.62 | $307.27 – $307.27 | 1 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $888.07 | $888.07 | $307.27 – $307.27 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $1,854.08 – $1,854.08 | 1 |
| X-ray skull < 4 views CPT 70250 | $615.53 | $615.53 | $431.51 – $431.51 | 1 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $701.55 – $701.55 | 1 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $184.53 – $184.53 | 1 |
| X-ray spine single view CPT 72020 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray sternum > 2 views CPT 71120 | $513.31 | $513.31 | $307.27 – $307.27 | 1 |
| X-ray surgical specimen CPT 76098 | not published | not published | $1,854.08 – $1,854.08 | 1 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | not published | not published | $701.55 – $701.55 | 1 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $706.38 | $706.38 | $307.27 – $307.27 | 1 |
| X-ray thoracic spine 2 views CPT 72070 | $670.05 | $670.05 | $431.51 – $431.51 | 1 |
| X-ray thoracic spine 3 views CPT 72072 | $822.20 | $822.20 | $431.51 – $431.51 | 1 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $307.27 – $307.27 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $431.51 – $431.51 | 1 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $565.55 | $565.55 | $307.27 – $307.27 | 1 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $540.58 | $540.58 | $307.27 – $307.27 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $701.55 – $701.55 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $701.55 – $701.55 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $470.16 | $470.16 | $307.27 – $307.27 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $701.55 – $701.55 | 1 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $416.03 – $416.03 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $348.27 – $348.27 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.62 – $49.70 | 2 |
| Xyntha inj HCPCS J7185 | not published | not published | $3.89 – $3.89 | 1 |
| Yersinia antibody CPT 86793 | not published | not published | $11.87 – $50.78 | 2 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $209,960.94 – $209,960.94 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $21.48 – $21.48 | 1 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $5.47 – $5.47 | 1 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.12 – $1.12 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $46.18 – $197.54 | 2 |
| Zika virus igm antibody CPT 86794 | not published | not published | $15.17 – $64.87 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $95.63 – $95.63 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $61.18 – $61.18 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $606.83 | $606.83 | $25.99 – $25.99 | 1 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $818.78 – $818.78 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $173.93 – $2,924.19 | 2 |
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.