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 |
|---|---|---|---|---|
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $2,118.65 – $4,826.69 | 2 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,885.75 – $4,826.69 | 2 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,582.11 – $4,826.69 | 2 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,712.76 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55812 | not published | not published | $2,098.38 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55815 | not published | not published | $2,291.64 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,527.61 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,528.96 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,778.53 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,429.85 – $4,826.69 | 2 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,728.98 – $4,826.69 | 2 |
| Extensive removal of liver CPT 47122 | not published | not published | $4,490.03 – $4,826.69 | 2 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,571.75 – $4,826.69 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Extensive surgery of throat CPT 42844 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,897.54 – $4,826.69 | 2 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,773.18 – $4,826.69 | 2 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,168.65 – $4,826.69 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,832.59 – $4,826.69 | 2 |
| External cannula declotting CPT 36860 | not published | not published | $788.14 – $4,826.69 | 2 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $130.15 – $556.75 | 2 |
| External ocular photography CPT 92285 | not published | not published | $211.79 – $211.79 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $88.51 – $88.51 | 1 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| External recharg sys extern HCPCS L8695 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| External recharg sys intern HCPCS L8689 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $129.38 – $553.44 | 2 |
| Extnd color vision xm CPT 92283 | not published | not published | $211.79 – $211.79 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $435.73 | $435.73 | $16.14 – $69.03 | 2 |
| Extraction of lens CPT 66930 | not published | not published | $4,772.91 – $8,715.36 | 2 |
| Extraction of lens CPT 66940 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $419.77 – $419.77 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $419.77 – $419.77 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $157.86 – $675.29 | 2 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $254.59 – $1,089.09 | 2 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $750.75 – $750.75 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $10,956.98 – $10,956.98 | 1 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $1,535.77 – $1,535.77 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $540.00 – $2,310.00 | 2 |
| Face bone graft CPT 21210 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Facial bones <3 CPT 70140 | $601.90 | $601.90 | $307.27 – $307.27 | 1 |
| Facial nerve function test CPT 92516 | not published | not published | $90.21 – $90.21 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $6,631.36 – $6,631.36 | 1 |
| Factor ix CPT 85250 | not published | not published | $17.14 – $73.30 | 2 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $9.36 – $9.36 | 1 |
| Factor ix complex HCPCS J7194 | not published | not published | $3.62 – $3.62 | 1 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $16.75 – $16.75 | 1 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $3.20 – $3.20 | 1 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $15.86 – $15.86 | 1 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $4.31 – $4.31 | 1 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $4.97 – $4.97 | 1 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $9.97 – $9.97 | 1 |
| Factor viii CPT 85240 | not published | not published | $16.11 – $68.92 | 2 |
| Factor viii HCPCS J7190 | not published | not published | $2.73 – $2.73 | 1 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $6.51 – $6.51 | 1 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $4.70 – $4.70 | 1 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $5.81 – $5.81 | 1 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $3.58 – $3.58 | 1 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $4.70 – $4.70 | 1 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $11.36 – $11.36 | 1 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $35.42 – $35.42 | 1 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $59.37 – $59.37 | 1 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,544.14 – $4,826.69 | 2 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $105.18 – $105.18 | 1 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $32.44 | $32.44 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $103.68 – $103.68 | 1 |
| Fancc gene CPT 81242 | not published | not published | $32.96 – $140.99 | 2 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,187.94 – $4,826.69 | 2 |
| Fat/lipids feces qualitative CPT 82705 | $133.68 | $133.68 | $4.59 – $19.64 | 2 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $16.89 – $72.26 | 2 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.10 – $17.56 | 2 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $230.08 – $230.08 | 1 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $982.40 – $982.40 | 1 |
| #fecal-sodium CPT 84302 | not published | not published | $4.37 – $18.71 | 2 |
| Feeding tube reposition CPT 74355 | not published | not published | $149.84 – $149.84 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $163.74 – $163.74 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $394.05 – $394.05 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $16.78 – $71.76 | 2 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $308.59 – $4,826.69 | 2 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $8,715.36 – $12,385.60 | 2 |
| Feno poc CPT 95012 | not published | not published | $128.71 – $128.71 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $143.08 | $143.08 | $1.50 – $1.50 | 1 |
| Fern test HCPCS Q0114 | not published | not published | $8.77 – $37.50 | 2 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $320.72 | $320.72 | $5.35 – $5.35 | 1 |
| Ferritin CPT 82728 | $85.92 | $85.92 | $12.27 – $52.48 | 2 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,441.19 | $2,441.19 | $7.58 – $7.58 | 1 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $7.58 – $7.58 | 1 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $715.50 – $3,060.75 | 2 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $263.61 – $263.61 | 1 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $683.15 – $2,922.34 | 2 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $683.15 – $2,922.34 | 2 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $129.05 – $4,826.69 | 2 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $338.40 – $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.