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 |
|---|---|---|---|---|
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $25,544.09 – $25,544.09 | 1 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $230.58 – $230.58 | 1 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Epidurography CPT 72275 | not published | not published | $328.83 – $328.83 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,665.01 – $4,826.69 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $98.75 – $2,203.70 | 2 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $3,802.11 – $3,802.11 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $5.35 – $5.35 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $139.85 – $4,826.69 | 2 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $6.16 – $6.16 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $779.13 | $779.13 | $41.27 – $41.27 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,819.74 | $1,819.74 | $61.45 – $61.45 | 1 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $6.93 – $6.93 | 1 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $6.93 – $6.93 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $34.69 – $34.69 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $299.37 | $299.37 | $11.81 – $50.51 | 2 |
| Epstein barr nuclear antigen antibody CPT 86664 | $216.36 | $216.36 | $13.76 – $58.87 | 2 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $236.46 | $236.46 | $16.33 – $69.84 | 2 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $427.26 | $427.26 | $58.52 – $58.52 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,576.90 | $10,576.90 | $57.33 – $57.33 | 1 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $178.99 – $178.99 | 1 |
| 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 |
| Erwinaze injection HCPCS J9019 | not published | not published | $1,551.86 – $1,551.86 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $437.42 | $437.42 | $286.44 – $286.44 | 1 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $106.31 – $4,826.69 | 2 |
| 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 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $3,573.28 – $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 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,696.99 – $4,826.69 | 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 |
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.