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 |
|---|---|---|---|---|
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $385.29 – $4,826.69 | 2 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $17.02 – $72.80 | 2 |
| Folic acid CPT 82746 | $210.03 | $210.03 | $13.23 – $56.60 | 2 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $29.50 | $29.50 | not published | 0 |
| Follow-up angiography CPT 75898 | not published | not published | $4,211.09 – $4,211.09 | 1 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $446.33 – $446.33 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,419.00 – $4,827.98 | 2 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,076.23 | $2,076.23 | $39.92 – $39.92 | 1 |
| Fondaparinux sodium HCPCS J1652 | $118.57 | $118.57 | $8.97 – $8.97 | 1 |
| Foot X-ray CPT 73630 | $613.26 | $613.26 | $307.27 – $307.27 | 1 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $5,407.09 – $5,407.09 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $190.46 – $190.46 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $293.63 – $4,826.69 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | $72.86 | $72.86 | $65.49 – $65.49 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $5.54 – $5.54 | 1 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $298.80 – $298.80 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $174.66 | $174.66 | $12.63 – $12.63 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $25.65 – $109.73 | 2 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $307.27 – $307.27 | 1 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $40.40 – $172.83 | 2 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,977.28 – $4,826.69 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,430.75 – $4,826.69 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,840.34 – $4,826.69 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,982.69 – $4,826.69 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,111.89 – $4,826.69 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,078.10 – $4,826.69 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,951.15 – $4,826.69 | 2 |
| Frenectomy 41115 CPT 41115 | not published | not published | $235.04 – $4,826.69 | 2 |
| Frenotomy 40806 CPT 40806 | not published | not published | $111.88 – $4,826.69 | 2 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $49.93 – $49.93 | 1 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $128.71 – $128.71 | 1 |
| Frozen blood prep CPT 86930 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Frozen blood thaw CPT 86931 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.88 – $46.55 | 2 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $308.54 – $308.54 | 1 |
| Fructosamine glycated protein CPT 82985 | $277.78 | $277.78 | $15.08 – $64.53 | 2 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,338.63 – $1,338.63 | 1 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $62.57 – $62.57 | 1 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $138.15 – $138.15 | 1 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $49.99 – $49.99 | 1 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $48.87 – $48.87 | 1 |
| Full field erg w/i&r CPT 92273 | not published | not published | $377.42 – $377.42 | 1 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $897.20 – $897.20 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Functional brain mapping CPT 96020 | not published | not published | $647.96 – $647.96 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $419.77 – $419.77 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $102.03 | $102.03 | $5.58 – $5.58 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $4,254.41 – $4,826.69 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,796.10 – $4,826.69 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,828.99 – $4,826.69 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,822.68 – $4,826.69 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,701.05 – $4,826.69 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,926.74 – $4,826.69 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,997.91 – $4,826.69 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,962.95 – $4,826.69 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,172.26 – $4,826.69 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,705.55 – $4,826.69 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,422.64 – $4,826.69 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,772.68 – $4,826.69 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of big toe joint CPT 28755 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,657.35 – $4,826.69 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Fusion of foot bones CPT 28730 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Fusion of foot bones CPT 28735 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of hand joint CPT 26843 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of knee CPT 27580 | not published | not published | $1,873.14 – $4,826.69 | 2 |
| Fusion of knuckle CPT 26850 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of skull arteries CPT 61711 | not published | not published | $3,415.15 – $4,826.69 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,214.44 – $4,826.69 | 2 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,773.18 – $4,826.69 | 2 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of thumb CPT 26841 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Fusion of toes CPT 28280 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,827.64 – $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.