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 |
|---|---|---|---|---|
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $12.24 – $12.24 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $144.94 | $144.94 | $214.83 – $214.83 | 1 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $1.58 – $1.58 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $1.42 – $1.42 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $120.86 | $120.86 | $24.95 – $24.95 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $357.20 | $357.20 | $52.71 – $52.71 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $1,833.06 | $1,833.06 | $148.46 – $148.46 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $38.27 – $38.27 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $705.89 | $705.89 | $0.35 – $0.35 | 1 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $96.17 – $96.17 | 1 |
| Hydromorphone injection HCPCS J1170 | $68.52 | $68.52 | $1.54 – $1.54 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.04 – $0.04 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $2.85 – $2.85 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $183.04 | $183.04 | $2.62 – $2.62 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.15 – $0.15 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $16.11 – $68.92 | 2 |
| Hymenotomy CPT 56442 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $55.21 – $55.21 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Hyoscyamine sulfate inj HCPCS J1980 | $659.92 | $659.92 | $114.77 – $114.77 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | $955.10 | $955.10 | $442.98 – $442.98 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $9.16 – $39.19 | 2 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $2,654.31 – $2,654.31 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $1,490.18 – $1,490.18 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $1,694.15 – $1,694.15 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $2,450.33 – $2,450.33 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $3,796.22 – $3,796.22 | 1 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $878.30 – $878.30 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $47.86 – $47.86 | 1 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,330.29 – $4,826.69 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,257.76 – $4,826.69 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,339.30 – $4,826.69 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,158.21 – $4,826.69 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $364.00 – $4,826.69 | 2 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $897.20 – $897.20 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,339.43 – $8,715.36 | 2 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,339.43 – $8,715.36 | 2 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,339.43 – $8,715.36 | 2 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,339.43 – $8,715.36 | 2 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $2,270.45 – $4,826.69 | 2 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $649.53 – $649.53 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $22,640.16 – $22,640.16 | 1 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $9,463.80 – $9,463.80 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $693.50 – $693.50 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $134.21 – $134.21 | 1 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $1,085.70 – $1,085.70 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $2,834.29 – $2,834.29 | 1 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $79.66 – $79.66 | 1 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $37.19 – $37.19 | 1 |
| I131 max 100uci HCPCS A9531 | not published | not published | $36.92 – $36.92 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $303.57 – $303.57 | 1 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $419.65 – $419.65 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $12.08 – $51.67 | 2 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $31.58 – $135.10 | 2 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $16.28 – $69.65 | 2 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $40.75 – $174.33 | 2 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $753.66 | $753.66 | $46.12 – $46.12 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,203.70 – $9,426.96 | 2 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $7.74 – $7.74 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $722.88 | $722.88 | $1,653.81 – $1,653.81 | 1 |
| Icatibant injection HCPCS J1744 | not published | not published | $704.55 – $704.55 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $621.62 – $621.62 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $128.71 – $128.71 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $211.79 – $211.79 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $88.51 – $88.51 | 1 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,234.34 – $4,826.69 | 2 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $152.81 – $152.81 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $226.01 – $4,826.69 | 2 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $1,608,614.70 – $1,608,614.70 | 1 |
| Identify sperm tissue CPT 89264 | not published | not published | $190.46 – $190.46 | 1 |
| Idet 1 or more levels CPT 22527 | not published | not published | $207.68 – $4,826.69 | 2 |
| Idet single level CPT 22526 | not published | not published | $439.68 – $4,826.69 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Idh1 common variants CPT 81120 | not published | not published | $173.93 – $744.01 | 2 |
| Idh2 common variants CPT 81121 | not published | not published | $266.21 – $1,138.79 | 2 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,930.23 – $6,108.74 | 2 |
| I&d lacrimal gland CPT 68400 | not published | not published | $290.08 – $4,826.69 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $307.21 – $4,826.69 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Idursulfase injection HCPCS J1743 | not published | not published | $1,992.03 – $1,992.03 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $1,242.93 – $4,827.98 | 2 |
| Ifnl3 gene CPT 81283 | not published | not published | $66.03 – $282.47 | 2 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $95.40 – $95.40 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $186.58 – $798.14 | 2 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $61.70 – $263.92 | 2 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $178.19 – $762.26 | 2 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $265.07 – $1,133.90 | 2 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $155.46 – $665.01 | 2 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $541.08 | $541.08 | $248.36 – $248.36 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $541.08 | $541.08 | $552.48 – $552.48 | 1 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $61.06 – $61.06 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $35.38 – $151.34 | 2 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,362.28 – $4,826.69 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,429.13 – $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.