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 |
|---|---|---|---|---|
| Device intraute mirena HCPCS J7298 | not published | not published | $3,499.53 – $3,499.53 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $228.92 – $228.92 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $90.21 – $90.21 | 1 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $518.63 – $518.63 | 1 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.58 – $4.58 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.04 – $0.04 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $40.07 | $40.07 | $0.08 – $0.08 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $733.39 – $4,826.69 | 2 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.27 – $2.27 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $729.81 – $729.81 | 1 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $102.14 – $102.14 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $137.39 | $137.39 | $6.47 – $6.47 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $137.39 | $137.39 | $19.06 – $19.06 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $39.88 | $39.88 | $29.18 – $29.18 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $137.39 | $137.39 | $58.37 – $58.37 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $349.42 | $349.42 | $20.01 – $85.59 | 2 |
| Diabetes (HbA1c) Test CPT 83036 | $193.18 | $193.18 | $8.74 – $37.38 | 2 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $105.26 – $105.26 | 1 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $59.68 – $59.68 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $136.29 – $4,826.69 | 2 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,255.28 – $4,826.69 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $136.29 – $4,826.69 | 2 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $298.70 | $298.70 | $362.13 – $362.13 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $362.13 – $362.13 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $80.30 – $4,826.69 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $98.88 – $4,826.69 | 2 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $981.60 | $981.60 | $463.42 – $463.42 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $362.13 – $362.13 | 1 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $307.27 – $307.27 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $27.76 – $27.76 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $510.98 | $510.98 | $0.35 – $0.35 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $70.99 | $70.99 | $23.87 – $23.87 | 1 |
| Dicyclomine injection HCPCS J0500 | $287.82 | $287.82 | $108.11 – $108.11 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.69 – $0.69 | 1 |
| Diffusing capacity CPT 94729 | not published | not published | $180.37 – $180.37 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $647.96 – $647.96 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $39.16 | $39.16 | $14.63 – $14.63 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $14,710.85 – $14,710.85 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $229.53 | $229.53 | $11.95 – $51.13 | 2 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $747.36 – $747.36 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $982.40 – $2,234.24 | 2 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $443.28 – $4,826.69 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $221.64 – $4,826.69 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $631.14 – $4,826.69 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $454.49 – $4,826.69 | 2 |
| Dilate urethra stricture CPT 53600 | not published | not published | $49.18 – $4,826.69 | 2 |
| Dilate urethra stricture CPT 53601 | not published | not published | $136.29 – $2,234.24 | 2 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Dilate urethra stricture CPT 53621 | not published | not published | $111.88 – $4,826.69 | 2 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $55.04 – $4,826.69 | 2 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,255.28 – $2,991.88 | 2 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $50.53 – $4,826.69 | 2 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,255.28 – $2,991.88 | 2 |
| Dilation of salivary duct CPT 42660 | not published | not published | $94.29 – $4,826.69 | 2 |
| Dilation of urethra CPT 53661 | not published | not published | $136.29 – $2,234.24 | 2 |
| Dilation of urethra CPT 53665 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Dilation of vagina CPT 57400 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $61.80 – $4,826.69 | 2 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $109.18 – $4,826.69 | 2 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $217.22 – $217.22 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $38.62 – $38.62 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $2,381.57 – $2,381.57 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.08 – $0.08 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $31.58 | $31.58 | $2.66 – $2.66 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $144.61 – $144.61 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $128.71 – $128.71 | 1 |
| Disability dlco CPT 94727 | not published | not published | $532.65 – $532.65 | 1 |
| Disaccharidases CPT 82657 | not published | not published | $19.95 – $85.35 | 2 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,992.96 – $4,826.69 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $273.00 – $4,826.69 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $6,619.50 – $6,619.50 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $106.58 – $4,826.69 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $494.64 – $494.64 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,826.69 – $5,745.24 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $421.21 – $4,826.69 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $390.13 – $4,826.69 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $251.10 – $1,074.15 | 2 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $123.30 – $527.45 | 2 |
| Dna antibody native/double stranded CPT 86225 | $505.14 | $505.14 | $12.37 – $52.90 | 2 |
| Dna gardnerella CPT 87510 | not published | not published | $18.05 – $77.19 | 2 |
| Dna probe chlamydia CPT 87490 | not published | not published | $20.48 – $87.59 | 2 |
| Dna probe gc CPT 87590 | not published | not published | $24.19 – $103.49 | 2 |
| Dna trichomonas CPT 87660 | not published | not published | $18.05 – $77.19 | 2 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $554.84 | $554.84 | $10.97 – $10.97 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $225.82 | $225.82 | $9.32 – $9.32 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $4.27 – $4.27 | 1 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $22.48 – $22.48 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $367.71 – $367.71 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $173.84 | $173.84 | $0.96 – $4,826.69 | 2 |
| Doppler echo complete CPT 93320 | $943.47 | $943.47 | $137.37 – $137.37 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,410.47 | $1,410.47 | $437.05 – $437.05 | 1 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $954.58 | $954.58 | $419.77 – $419.77 | 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.