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 |
|---|---|---|---|---|
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.77 – $2.77 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $159.27 – $159.27 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $12,330.89 | $12,330.89 | $921.96 – $921.96 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $79.40 | $79.40 | $13.44 – $13.44 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,855.35 | $1,855.35 | $1,289.33 – $1,289.33 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $157.33 – $673.02 | 2 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $207.96 – $4,826.69 | 2 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $216.54 – $4,826.69 | 2 |
| Drainage external ear complex 69005 CPT 69005 | $8,856.88 | $8,856.88 | $167.36 – $4,826.69 | 2 |
| Drainage external ear simple 69000 CPT 69000 | $565.76 | $565.76 | $162.85 – $4,826.69 | 2 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $254.55 – $4,826.69 | 2 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drainage of eye CPT 65800 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Drainage of eye CPT 65810 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Drainage of eye CPT 65815 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $762.51 – $4,826.69 | 2 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $254.55 – $4,826.69 | 2 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Drainage of mouth lesion CPT 41008 | $16,752.58 | $16,752.58 | $3,274.11 – $6,108.74 | 2 |
| Drainage of mouth lesion CPT 41009 | $2,935.92 | $2,935.92 | $552.15 – $4,826.69 | 2 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $552.15 – $4,826.69 | 2 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $128.61 – $4,826.69 | 2 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $250.38 – $4,826.69 | 2 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,255.28 – $2,991.88 | 2 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,930.23 – $6,108.74 | 2 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Drainage of salivary gland CPT 42320 | not published | not published | $552.15 – $4,826.69 | 2 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $102.40 – $4,826.69 | 2 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $695.66 – $4,826.69 | 2 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,214.44 – $4,826.69 | 2 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $131.73 – $4,826.69 | 2 |
| Drain blood from under nail 11740 CPT 11740 | $257.18 | $257.18 | $136.29 – $4,826.69 | 2 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,715.75 – $4,826.69 | 2 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $781.31 – $4,826.69 | 2 |
| Drain chest lesion CPT 21502 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | $1,295.65 | $1,295.65 | $110.36 – $4,826.69 | 2 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,474.90 – $4,826.69 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,432.10 – $4,826.69 | 2 |
| Drain penis lesion CPT 54015 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $963.60 – $4,826.69 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $218.41 – $4,826.69 | 2 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $751.19 | $751.19 | $218.41 – $4,826.69 | 2 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $399.39 – $4,826.69 | 2 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $621.28 – $4,826.69 | 2 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $150.07 – $150.07 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,172.63 – $4,826.69 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $414.45 – $4,826.69 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,009.55 – $4,826.69 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,672.59 | $1,672.59 | $170.85 – $4,826.69 | 2 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $80.30 – $4,826.69 | 2 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $552.15 – $4,826.69 | 2 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,255.28 – $2,991.88 | 2 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,434.35 – $4,826.69 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,301.91 – $4,826.69 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $892.41 – $4,826.69 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,078.10 – $4,826.69 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $552.15 – $4,826.69 | 2 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $6.24 – $6.24 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $45.09 | $45.09 | $6.43 – $6.43 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $5.93 – $5.93 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $45.12 – $45.12 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $73.50 – $73.50 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $154.85 – $154.85 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $391.28 – $391.28 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $34.71 – $148.49 | 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.