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 |
|---|---|---|---|---|
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,598.34 – $4,826.69 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,504.19 – $4,826.69 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $247.35 – $1,058.10 | 2 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $123.30 – $527.45 | 2 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $247.35 – $1,058.10 | 2 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $166.68 – $713.02 | 2 |
| G0180 home health certification HCPCS G0180 | not published | not published | $208.13 – $208.13 | 1 |
| G6pc gene CPT 81250 | not published | not published | $52.64 – $225.19 | 2 |
| G6pd full gene sequence CPT 81249 | not published | not published | $540.00 – $2,310.00 | 2 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $157.33 – $673.02 | 2 |
| G6pd known familial variant CPT 81248 | not published | not published | $337.73 – $1,444.71 | 2 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $460.81 – $460.81 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $248.56 – $248.56 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $233.48 | $233.48 | $1.50 – $1.50 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $386.61 | $386.61 | $6.81 – $6.81 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $551.33 | $551.33 | $0.77 – $0.77 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $705.38 | $705.38 | $63.33 – $63.33 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $18.96 – $81.12 | 2 |
| Galactokinase - sendout CPT 82759 | not published | not published | $19.33 – $82.70 | 2 |
| Galactose transferase test CPT 82776 | not published | not published | $10.57 – $45.20 | 2 |
| Galectin-3 CPT 82777 | not published | not published | $39.83 – $170.36 | 2 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $33.26 – $33.26 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $248.56 – $248.56 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $248.56 – $248.56 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $2,574.65 – $2,574.65 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $3,067.68 – $3,067.68 | 1 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $7.66 – $7.66 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $1,433.28 – $1,433.28 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $1,144.72 – $1,144.72 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $114.46 – $114.46 | 1 |
| Gammaglobulin iga CPT 82784 | $505.14 | $505.14 | $8.37 – $35.81 | 2 |
| Gammaglobulin ige CPT 82785 | $265.41 | $265.41 | $14.81 – $63.37 | 2 |
| Gamma glutamyltransferase CPT 82977 | $128.99 | $128.99 | $6.48 – $27.72 | 2 |
| Gammagraft HCPCS Q4111 | not published | not published | $29.84 – $29.84 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $245.48 – $245.48 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $15,365.19 | $15,365.19 | $174.60 – $174.60 | 1 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $159.66 – $159.66 | 1 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $61,353.60 – $61,353.60 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $31.58 – $135.10 | 2 |
| Gardner vag dna quant CPT 87512 | not published | not published | $37.58 – $160.78 | 2 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.04 – $25.83 | 2 |
| Gastric emptying imag study CPT 78265 | not published | not published | $1,361.13 – $1,361.13 | 1 |
| Gastric emptying imag study CPT 78266 | not published | not published | $1,674.71 – $1,674.71 | 1 |
| Gastric motility studies CPT 91020 | not published | not published | $677.10 – $677.10 | 1 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $695.16 – $695.16 | 1 |
| Gastrin test CPT 82938 | not published | not published | $15.92 – $68.11 | 2 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,324.89 – $4,826.69 | 2 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $833.87 – $833.87 | 1 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $546.66 – $546.66 | 1 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,938.54 – $4,826.69 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $3,528.68 – $4,826.69 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,755.55 – $4,826.69 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,706.45 – $4,826.69 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,545.26 – $4,826.69 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $982.40 – $4,826.69 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $874.14 – $874.14 | 1 |
| Gba gene CPT 81251 | not published | not published | $42.53 – $181.91 | 2 |
| Gefitinib oral HCPCS J8565 | not published | not published | $1,029.57 – $1,029.57 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $2,032.80 – $2,032.80 | 1 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $3.81 – $3.81 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $142.21 | $142.21 | $19.64 – $19.64 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $743.55 – $743.55 | 1 |
| General health panel CPT 80050 | $531.10 | $531.10 | $135.98 – $135.98 | 1 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $180.37 – $180.37 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,203.70 – $9,426.96 | 2 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,103.89 – $8,999.95 | 2 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,528.08 – $19,370.12 | 2 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,438.96 – $10,433.31 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $121.92 | $121.92 | $6.35 – $6.35 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $14.74 – $63.06 | 2 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $29.49 – $29.49 | 1 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $1,567.87 – $1,567.87 | 1 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $5,016.20 | $5,016.20 | $954.85 – $2,234.24 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.83 – $37.77 | 2 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $15.40 – $65.87 | 2 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $92.03 – $393.70 | 2 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $419.77 – $419.77 | 1 |
| Ghs antibodies (torch) igm CPT 86694 | $115.73 | $115.73 | $12.95 – $55.40 | 2 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $48.73 – $4,826.69 | 2 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,655.93 | $1,655.93 | $87.39 – $4,826.69 | 2 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.34 – $18.56 | 2 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $93.84 – $4,826.69 | 2 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $2,038.91 – $3,432.54 | 2 |
| Ghs change cysto/gastrost CPT 43762 | $559.69 | $559.69 | $293.63 – $4,826.69 | 2 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $552.24 – $552.24 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $713.17 – $713.17 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $228.92 – $228.92 | 1 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $31.58 – $135.10 | 2 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,683.61 | $1,683.61 | $269.55 – $4,826.69 | 2 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,849.58 | $1,849.58 | $269.55 – $4,826.69 | 2 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $269.55 – $4,826.69 | 2 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $1,694.24 – $4,231.41 | 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.