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 |
|---|---|---|---|---|
| CT scan for therapy guide CPT 77014 | not published | not published | $296.91 – $296.91 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $8,083.29 | $8,083.29 | $1,779.42 – $1,779.42 | 1 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $7,414.63 | $7,414.63 | $1,779.42 – $1,779.42 | 1 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $6,422.46 | $6,422.46 | $1,085.97 – $1,085.97 | 1 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $849.15 – $849.15 | 1 |
| CT thoracic spine without contrast CPT 72128 | $3,708.09 | $3,708.09 | $522.29 – $522.29 | 1 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,731.74 | $1,731.74 | $398.21 – $398.21 | 1 |
| CT t-spine w /wo contrast CPT 72130 | $5,294.19 | $5,294.19 | $849.15 – $849.15 | 1 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $4,549.97 | $4,549.97 | $1,779.42 – $1,779.42 | 1 |
| CT upper extremity without contrast (both sides) CPT 73200 | $3,977.14 | $3,977.14 | $522.29 – $522.29 | 1 |
| CT uppr extremity w/o&w/dye CPT 73202 | $5,732.50 | $5,732.50 | $849.15 – $849.15 | 1 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $552.48 – $552.48 | 1 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $552.48 – $552.48 | 1 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $153.26 | $153.26 | $7.27 – $31.11 | 2 |
| Culture afb any source CPT 87116 | $206.88 | $206.88 | $9.72 – $41.58 | 2 |
| Culture anaerobic additional method definitive id each CPT 87076 | $38.79 | $38.79 | $7.27 – $31.11 | 2 |
| Culture anaerobic except blood CPT 87075 | $265.91 | $265.91 | $8.52 – $36.46 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | $160.44 | $160.44 | $8.50 – $36.34 | 2 |
| Culture body fluid CPT 87070 | $456.65 | $456.65 | $7.76 – $33.19 | 2 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $9.29 – $39.73 | 2 |
| Culture fungi definitive id yeast CPT 87106 | $179.94 | $179.94 | $9.29 – $39.73 | 2 |
| Culture fungi other (except blood) CPT 87102 | $249.31 | $249.31 | $7.57 – $32.38 | 2 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $6.94 – $29.68 | 2 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $13.15 – $56.25 | 2 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $13.85 – $59.25 | 2 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $8.90 – $38.08 | 2 |
| Culture screening strep group a CPT 87081 | $216.05 | $216.05 | $5.97 – $25.53 | 2 |
| Culture typing added method CPT 87158 | not published | not published | $6.97 – $29.80 | 2 |
| Culture typing immunologic CPT 87147 | not published | not published | $4.66 – $19.94 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,783.10 | $1,783.10 | $196.25 – $839.53 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $31.58 – $135.10 | 2 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.28 – $31.15 | 2 |
| Culture virus isolation CPT 87250 | not published | not published | $17.60 – $75.31 | 2 |
| Curette/treat cornea CPT 65435 | not published | not published | $60.00 – $4,826.69 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $261.20 – $4,826.69 | 2 |
| Cv line/pic reposition CPT 36597 | not published | not published | $2,038.91 – $3,432.54 | 2 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $58.29 – $58.29 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $87.40 – $87.40 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.89 – $55.13 | 2 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $56.74 | $56.74 | $13.28 – $13.28 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $280.76 | $280.76 | $11.66 – $49.86 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $3.97 – $3.97 | 1 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $18.67 – $18.67 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $104.07 – $104.07 | 1 |
| Cyclosporine 2 hour CPT 80158 | $432.65 | $432.65 | $16.25 – $69.49 | 2 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $3.04 – $3.04 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $42.33 | $42.33 | $12.20 – $12.20 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $262.22 – $1,121.74 | 2 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $157.33 – $673.02 | 2 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $405.82 – $1,736.00 | 2 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $157.33 – $673.02 | 2 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $157.33 – $673.02 | 2 |
| Cystatin c CPT 82610 | $116.33 | $116.33 | $16.67 – $71.30 | 2 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $449.10 – $1,921.15 | 2 |
| Cystine urine quantitative CPT 82131 | not published | not published | $20.68 – $88.47 | 2 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,715.36 – $10,084.91 | 2 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $5,289.53 – $5,289.53 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $305.86 – $4,826.69 | 2 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,169.01 – $4,826.69 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,826.69 – $5,289.53 | 2 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,826.69 – $6,162.60 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $339.69 – $4,826.69 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $695.66 – $4,826.69 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $695.66 – $4,826.69 | 2 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $695.66 – $4,826.69 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,773.18 – $7,079.01 | 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.