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 |
|---|---|---|---|---|
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $5,976.04 – $8,715.36 | 2 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $5,976.04 – $8,715.36 | 2 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $5,976.04 – $8,715.36 | 2 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $18.33 – $18.33 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,632.94 | $1,632.94 | $446.52 – $446.52 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $268.61 | $268.61 | $129.82 – $129.82 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $409.49 | $409.49 | $268.04 – $268.04 | 1 |
| ER Visit (level 2) CPT 99282 | $873.97 | $873.97 | $492.65 – $492.65 | 1 |
| ER Visit (level 3) CPT 99283 | $1,470.35 | $1,470.35 | $859.86 – $859.86 | 1 |
| ER Visit (level 4) CPT 99284 | $2,386.19 | $2,386.19 | $1,354.39 – $1,354.39 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $3,127.54 | $3,127.54 | $1,942.36 – $1,942.36 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $437.42 | $437.42 | $286.44 – $286.44 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,054.24 – $3,054.24 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $1,288.06 | $1,288.06 | $2.08 – $2.08 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $937.54 | $937.54 | $1.08 – $1.08 | 1 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $111.00 – $111.00 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $151.81 – $4,826.69 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $734.00 – $734.00 | 1 |
| Esophageal recording CPT 93615 | not published | not published | $3,802.11 – $3,802.11 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $3,802.11 – $3,802.11 | 1 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $445.41 – $445.41 | 1 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,743.39 – $4,826.69 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,744.74 – $4,826.69 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $180.45 – $4,826.69 | 2 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $5,976.04 – $8,715.36 | 2 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $982.40 – $2,234.24 | 2 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $169.18 – $4,826.69 | 2 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $3,748.85 – $7,079.01 | 2 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esophagus motility study CPT 91010 | not published | not published | $481.48 – $481.48 | 1 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $1,678.87 – $1,678.87 | 1 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,070.36 – $4,826.69 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,468.59 – $4,826.69 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $63.83 – $63.83 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $445.41 – $445.41 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $1,516.55 – $1,516.55 | 1 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,691.39 – $4,826.69 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $5,339.43 – $8,715.36 | 2 |
| Establish access to aorta CPT 36160 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,367.69 – $4,826.69 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $256.64 | $256.64 | $36.07 – $36.07 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $314.35 | $314.35 | $99.91 – $99.91 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $361.22 | $361.22 | $199.82 – $199.82 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $439.04 | $439.04 | $308.04 – $308.04 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $450.00 | $450.00 | $434.28 – $434.28 | 1 |
| Estradiol total CPT 82670 | $450.96 | $450.96 | $25.15 – $107.57 | 2 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $26.53 – $26.53 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $19.53 – $83.55 | 2 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,096.56 – $2,096.56 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $1,645.91 – $1,645.91 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $13.41 – $57.37 | 2 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $3,599.06 – $3,599.06 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $110.15 | $110.15 | $2.50 – $2.50 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $222.72 – $222.72 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $957.36 | $957.36 | $658.70 – $658.70 | 1 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.57 – $32.38 | 2 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $532.65 – $532.65 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $511.97 – $511.97 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $336.11 | $336.11 | $88.30 – $377.72 | 2 |
| Evaluation heart device CPT 93640 | not published | not published | $721.49 – $721.49 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $445.41 – $445.41 | 1 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $725.29 – $4,826.69 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $315.79 – $4,826.69 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,625.36 – $4,826.69 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,615.00 – $4,826.69 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,411.91 – $4,826.69 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $3,012.88 – $4,826.69 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $582.94 – $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.