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 |
|---|---|---|---|---|
| Drug assay posaconazole CPT 80187 | not published | not published | $24.40 – $104.37 | 2 |
| Drug assay rufinamide CPT 80210 | not published | not published | $24.40 – $104.37 | 2 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $34.71 – $148.49 | 2 |
| Drug assay voriconazole CPT 80285 | not published | not published | $24.40 – $104.37 | 2 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.78 – $71.76 | 2 |
| Drug of abuse screen urine CPT 80305 | $225.74 | $225.74 | $11.34 – $48.51 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $24.40 – $104.37 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $178.87 – $765.15 | 2 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $102.99 – $440.56 | 2 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $222.23 – $950.64 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $140.93 – $602.87 | 2 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $15.43 – $65.99 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,170.94 | $1,170.94 | $55.93 – $239.24 | 2 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $16.18 – $69.22 | 2 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $205.71 – $4,826.69 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $398.34 – $4,826.69 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $201.81 – $4,826.69 | 2 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $179.55 – $4,826.69 | 2 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $198.04 – $4,826.69 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $235.94 – $4,826.69 | 2 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $320.18 – $4,826.69 | 2 |
| Ductogram sgl duct CPT 77053 | not published | not published | $897.20 – $897.20 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $369.06 – $369.06 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $892.16 – $892.16 | 1 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $507.82 – $507.82 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $431.51 – $431.51 | 1 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $550.86 – $550.86 | 1 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,124.64 | $2,124.64 | $650.73 – $650.73 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,536.49 | $13,536.49 | $286.36 – $286.36 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $431.51 – $431.51 | 1 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $573.00 – $573.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $1,399.82 – $1,399.82 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $982.40 – $4,826.69 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $982.40 – $2,234.24 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $316.38 – $4,826.69 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $172.94 – $4,826.69 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $472.36 – $4,826.69 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $80.75 – $4,826.69 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $87.40 – $87.40 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $552.15 – $552.15 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $137.14 – $4,826.69 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Ear irrigation 69209 CPT 69209 | $461.34 | $461.34 | $68.76 – $4,826.69 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $128.71 – $128.71 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $1,887.62 – $1,887.62 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $423.07 | $423.07 | $211.79 – $211.79 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $27.76 – $27.76 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $211.79 – $211.79 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $654.89 – $654.89 | 1 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $419.77 – $419.77 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $419.77 – $419.77 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $130.28 – $130.28 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $214.29 – $214.29 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,328.88 | $3,328.88 | $521.71 – $521.71 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $649.89 | $649.89 | $86.01 – $86.01 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $974.85 | $974.85 | $284.44 – $284.44 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $76.31 – $76.31 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $431.51 – $431.51 | 1 |
| Echo exam of eye CPT 76519 | not published | not published | $431.51 – $431.51 | 1 |
| Echo exam of eye CPT 76529 | not published | not published | $307.27 – $307.27 | 1 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $88.51 – $88.51 | 1 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $750.63 – $750.63 | 1 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $478.67 – $478.67 | 1 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $431.51 – $431.51 | 1 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $431.51 – $431.51 | 1 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $897.20 – $897.20 | 1 |
| Echograp trans r pros study CPT 76873 | not published | not published | $373.26 – $373.26 | 1 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $97.14 – $97.14 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $51.32 – $51.32 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $670.17 – $670.17 | 1 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $130.44 – $130.44 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $273.35 – $273.35 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $137.37 – $137.37 | 1 |
| Echo stress CPT 93350 | not published | not published | $456.49 – $456.49 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $109.61 – $109.61 | 1 |
| Echo tee guidance CPT 93355 | not published | not published | $911.60 – $911.60 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $6,224.83 | $6,224.83 | $535.57 – $535.57 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $45.78 – $45.78 | 1 |
| Echo transesophageal CPT 93314 | not published | not published | $571.65 – $571.65 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $1,914.76 – $1,914.76 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $1,914.76 – $1,914.76 | 1 |
| Echo transthoracic CPT 93303 | not published | not published | $671.56 – $671.56 | 1 |
| Echo transthoracic CPT 93304 | not published | not published | $484.25 – $484.25 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $373.26 – $373.26 | 1 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $302.73 – $4,826.69 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $311.29 – $4,826.69 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $449.14 – $4,826.69 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $404.99 – $4,826.69 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,092.89 – $4,826.69 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,091.09 – $4,826.69 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $623.48 – $4,826.69 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $557.70 – $4,826.69 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $625.28 – $4,826.69 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $559.96 – $4,826.69 | 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.