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 |
|---|---|---|---|---|
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $781.31 – $4,826.69 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $111.88 – $4,826.69 | 2 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $54.14 – $4,826.69 | 2 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $454.49 – $4,826.69 | 2 |
| Ghs o2 saturation CPT 82810 | $203.48 | $203.48 | $8.79 – $37.61 | 2 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $532.65 – $532.65 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $128.71 – $128.71 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $146.72 – $146.72 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $788.14 – $4,826.69 | 2 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $2,038.91 – $3,432.54 | 2 |
| Ghs optokenetic CPT 92544 | not published | not published | $11.09 – $11.09 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $11.09 – $11.09 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $94.40 – $94.40 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $94.40 – $94.40 | 1 |
| Ghs ot dds rom CPT 95851 | not published | not published | $30.53 – $30.53 | 1 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $87.40 – $87.40 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $160.97 – $160.97 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $167.90 – $167.90 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $181.76 – $181.76 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $670.58 – $670.58 | 1 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $124.89 – $124.89 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,646.52 | $1,646.52 | $254.55 – $4,826.69 | 2 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.95 – $21.18 | 2 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $788.14 – $4,826.69 | 2 |
| Ghs plngl fx pm cl CPT 26725 | $1,738.12 | $1,738.12 | $136.20 – $4,826.69 | 2 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.88 – $16.59 | 2 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $3,062.21 – $3,062.21 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $419.77 – $419.77 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $136.40 | $136.40 | $88.51 – $88.51 | 1 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.69 – $37.19 | 2 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.05 – $21.60 | 2 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $12.92 – $55.25 | 2 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $76.31 – $76.31 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.03 – $47.16 | 2 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $360.75 – $360.75 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $13.14 – $56.21 | 2 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $363.52 – $363.52 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $793.37 | $793.37 | $136.29 – $4,826.69 | 2 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $454.49 – $4,826.69 | 2 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $14.30 – $61.18 | 2 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.88 – $16.59 | 2 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $208.68 | $208.68 | $12.52 – $53.55 | 2 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.84 – $16.44 | 2 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $11.08 – $47.39 | 2 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.86 – $37.88 | 2 |
| Ghs sensitivity (per antimicro) CPT 87184 | $99.71 | $99.71 | $6.73 – $28.80 | 2 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $2,273.04 | $2,273.04 | $399.39 – $4,826.69 | 2 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $399.39 – $4,826.69 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $399.39 – $4,826.69 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $399.39 – $4,826.69 | 2 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $218.41 – $4,826.69 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,142.40 | $1,142.40 | $218.41 – $4,826.69 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $218.41 – $4,826.69 | 2 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $218.41 – $4,826.69 | 2 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $218.41 – $4,826.69 | 2 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $498.11 – $498.11 | 1 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $392.66 – $392.66 | 1 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $1,175.21 – $1,175.21 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $203.97 – $203.97 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $89.33 – $4,826.69 | 2 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $419.77 – $419.77 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $427.35 – $427.35 | 1 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $128.71 – $128.71 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $136.29 – $4,826.69 | 2 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $285.82 – $285.82 | 1 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $61.06 – $61.06 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $650.73 – $650.73 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $621.28 – $4,826.69 | 2 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $399.39 – $4,826.69 | 2 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.57 – $28.11 | 2 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $269.55 – $4,826.69 | 2 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $269.55 – $4,826.69 | 2 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.87 – $93.56 | 2 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $13.24 – $56.63 | 2 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,122.63 – $4,826.69 | 2 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $1,869.60 – $1,869.60 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $40.60 – $4,826.69 | 2 |
| Giardia ag if CPT 87269 | not published | not published | $12.25 – $52.40 | 2 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.25 – $56.67 | 2 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $897.20 – $897.20 | 1 |
| Gi inhouse confirmation CPT 87045 | $288.06 | $288.06 | $8.50 – $36.34 | 2 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $418.64 – $4,826.69 | 2 |
| Gi protein loss CPT 78282 | not published | not published | $1,361.13 – $1,361.13 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $2,931.81 – $2,931.81 | 1 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $3,249.55 – $3,249.55 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $2,931.81 – $2,931.81 | 1 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $4,538.53 – $4,538.53 | 1 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $91.01 – $389.31 | 2 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $55.37 – $236.85 | 2 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $31.50 – $134.75 | 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.