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 |
|---|---|---|---|---|
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,773.18 – $4,826.69 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,773.18 – $4,826.69 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $78.84 – $4,826.69 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $295.08 – $4,826.69 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,351.30 – $1,351.30 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $46.45 | $46.45 | $2.54 – $2.54 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $38.14 – $163.16 | 2 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $36.63 – $156.70 | 2 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,044.00 – $4,466.00 | 2 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $810.00 – $3,465.00 | 2 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $176.49 | $176.49 | $12.95 – $55.40 | 2 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $206.67 | $206.67 | $15.17 – $64.87 | 2 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.08 – $51.67 | 2 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $4,452.53 – $4,452.53 | 1 |
| Cyto/molecular report CPT 88291 | not published | not published | $130.44 – $130.44 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.83 – $97.67 | 2 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $13.19 – $56.40 | 2 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $88.51 – $88.51 | 1 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | not published | not published | $190.46 – $190.46 | 1 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $23.95 – $102.45 | 2 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $18.23 – $78.00 | 2 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $128.71 – $128.71 | 1 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $128.71 – $128.71 | 1 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $27.76 – $27.76 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $552.48 – $552.48 | 1 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $190.46 – $190.46 | 1 |
| Cytopath smear other source CPT 88160 | not published | not published | $88.51 – $88.51 | 1 |
| Cytopath smear other source CPT 88162 | not published | not published | $190.46 – $190.46 | 1 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $88.51 – $88.51 | 1 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $16.37 – $58.21 | 2 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $70.79 – $302.80 | 2 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.71 – $114.27 | 2 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $21.83 – $21.83 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $4,041.77 – $4,041.77 | 1 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $59.10 – $59.10 | 1 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $71.49 – $71.49 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $2.16 – $2.16 | 1 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $1.42 – $1.42 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $11,334.49 | $11,334.49 | $187.96 – $187.96 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $11,880.86 | $11,880.86 | $7.16 – $7.16 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $7.16 – $7.16 | 1 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $740.12 – $740.12 | 1 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $178.49 – $178.49 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $672.71 – $672.71 | 1 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Dch glucoscan CPT 82948 | not published | not published | $4.54 – $19.40 | 2 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $357.97 – $357.97 | 1 |
| Dch validity tests CPT 81002 | not published | not published | $3.13 – $13.40 | 2 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,149.19 – $4,231.41 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,274.11 – $4,826.69 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,149.19 – $4,231.41 | 2 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Deamidated gliadin antibody iga CPT 86258 | $154.94 | $154.94 | $10.85 – $44.39 | 2 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $920.80 – $4,826.69 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $42.86 – $4,826.69 | 2 |
| Debridement (>20 cm) charge pt CPT 97598 | $942.01 | $942.01 | $44.39 – $44.39 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,747.44 | $3,747.44 | $1,715.75 – $3,432.54 | 2 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,415.06 | $1,415.06 | $4,826.69 – $4,826.69 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $3,747.44 | $3,747.44 | $4,826.69 – $4,826.69 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,415.06 | $1,415.06 | $399.39 – $4,826.69 | 2 |
| Debride nail1-5 11720 CPT 11720 | $514.22 | $514.22 | $68.76 – $4,826.69 | 2 |
| Debride nail6 or more 11721 CPT 11721 | $514.22 | $514.22 | $68.76 – $4,826.69 | 2 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $762.51 – $4,826.69 | 2 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $751.86 – $4,826.69 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,019.91 – $4,826.69 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,415.06 | $1,415.06 | $4,826.69 – $4,826.69 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $218.41 – $4,826.69 | 2 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $762.51 – $4,826.69 | 2 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,415.06 | $1,415.06 | $621.28 – $4,826.69 | 2 |
| Decalcification CPT 88311 | $127.58 | $127.58 | $34.69 – $34.69 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $30.49 – $30.49 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $39.25 – $4,826.69 | 2 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Decompression of leg CPT 27892 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Decompression of leg CPT 27893 | not published | not published | $7,477.44 – $8,715.36 | 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.