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 |
|---|---|---|---|---|
| Chloride CPT 82435 | $120.30 | $120.30 | $4.14 – $17.71 | 2 |
| Chloride 24 hour urine CPT 82436 | $129.84 | $129.84 | $5.18 – $22.14 | 2 |
| Chloroprocaine hcl injection HCPCS J2401 | $56.07 | $56.07 | $0.15 – $0.15 | 1 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $86.93 – $86.93 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $117.87 | $117.87 | $553.28 – $553.28 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $221.89 | $221.89 | $80.16 – $80.16 | 1 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.39 – $0.39 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $495.34 – $495.34 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,886.68 – $4,826.69 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $72.15 – $72.15 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,652.39 – $4,826.69 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,468.59 – $4,826.69 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,505.99 – $4,826.69 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,886.68 – $4,826.69 | 2 |
| Cholesterol CPT 82465 | $185.22 | $185.22 | $3.92 – $16.75 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $324.18 | $324.18 | $12.05 – $51.55 | 2 |
| Choline c-11 HCPCS A9515 | not published | not published | $19,173.00 – $19,173.00 | 1 |
| Cholinesterase CPT 82480 | not published | not published | $7.08 – $30.30 | 2 |
| Cholinesterase challenge CPT 95857 | not published | not published | $117.93 – $117.93 | 1 |
| Chorion biopsy CPT 59015 | not published | not published | $77.14 – $4,826.69 | 2 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $83.08 – $83.08 | 1 |
| Chrom analysis CPT 88273 | not published | not published | $31.33 – $134.02 | 2 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $35.10 – $150.15 | 2 |
| Chromatography CPT 83021 | not published | not published | $16.25 – $69.53 | 2 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.70 – $45.78 | 2 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $51.34 – $219.60 | 2 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $156.29 – $668.59 | 2 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $155.85 – $666.70 | 2 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $112.94 – $483.14 | 2 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $155.85 – $666.70 | 2 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $135.26 – $578.62 | 2 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $237.91 – $1,017.71 | 2 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $155.85 – $666.70 | 2 |
| Chromosome analys placenta CPT 88267 | not published | not published | $169.71 – $725.99 | 2 |
| Chromosome banding study CPT 88283 | not published | not published | $61.74 – $264.11 | 2 |
| Chromosome count additional CPT 88285 | not published | not published | $24.22 – $103.60 | 2 |
| Chromosome karyotype study CPT 88280 | not published | not published | $30.12 – $128.86 | 2 |
| Chromosome study additional CPT 88289 | not published | not published | $30.99 – $132.56 | 2 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.21 – $47.97 | 2 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $55.35 – $236.78 | 2 |
| Cidofovir injection HCPCS J0740 | not published | not published | $1,969.24 – $1,969.24 | 1 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $13.28 – $13.28 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,419.00 – $4,827.98 | 2 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $1,783,089.00 – $1,783,089.00 | 1 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.27 – $2.27 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $431.51 – $431.51 | 1 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $55.52 – $55.52 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $141.07 | $141.07 | $6.04 – $6.04 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $109.03 – $109.03 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $695.66 – $4,826.69 | 2 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $127.11 | $127.11 | $9.43 – $9.43 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $296.56 – $1,268.61 | 2 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $718.76 | $718.76 | $93.13 – $93.13 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Claviculectomy total CPT 23125 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $196.69 – $4,826.69 | 2 |
| Clearance of airways CPT 31720 | not published | not published | $229.95 – $4,826.69 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $170.85 – $4,826.69 | 2 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $419.77 – $419.77 | 1 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $419.77 – $419.77 | 1 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $211.79 – $211.79 | 1 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $128.71 – $128.71 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $191.70 | $191.70 | $6.89 – $6.89 | 1 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $308.92 – $308.92 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $36.14 | $36.14 | $52.17 – $52.17 | 1 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,651.21 – $4,826.69 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $136.20 – $4,826.69 | 2 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $965.85 – $4,826.69 | 2 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $269.55 – $4,826.69 | 2 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $136.20 – $4,826.69 | 2 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $111.43 – $4,826.69 | 2 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $552.15 – $4,826.69 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $93.84 – $4,826.69 | 2 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $136.20 – $4,826.69 | 2 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $1,350.29 | $1,350.29 | $254.55 – $4,826.69 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $887.91 – $4,826.69 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $170.85 – $4,826.69 | 2 |
| Close tear duct opening CPT 68761 | not published | not published | $121.80 – $4,826.69 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $2,419.00 – $4,827.98 | 2 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $14.40 – $61.60 | 2 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,132.53 – $4,826.69 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,091.63 – $4,826.69 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,325.79 – $4,826.69 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,831.24 – $4,826.69 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $552.15 – $4,826.69 | 2 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,008.71 – $2,234.24 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,274.11 – $6,108.74 | 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.