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 |
|---|---|---|---|---|
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $518.60 – $518.60 | 1 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $50.51 – $50.51 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,158.21 – $4,826.69 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $128.71 – $128.71 | 1 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $128.71 – $128.71 | 1 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $214.29 – $214.29 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $6,546.61 – $8,715.36 | 2 |
| Immune complex assay CPT 86332 | not published | not published | $21.93 – $93.82 | 2 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,392.42 | $6,392.42 | $179.33 – $179.33 | 1 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $113.04 – $113.04 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $16,350.75 | $16,350.75 | $251.60 – $251.60 | 1 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $228.96 – $228.96 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $337.27 | $337.27 | $18.73 – $80.12 | 2 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $301.14 | $301.14 | $18.73 – $80.12 | 2 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $23.01 – $98.44 | 2 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $10.78 – $46.12 | 2 |
| Immunodiffusion nes CPT 86329 | not published | not published | $12.65 – $54.09 | 2 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $115.19 – $115.19 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $505.14 | $505.14 | $20.11 – $86.01 | 2 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $187.30 – $187.30 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Immunoglobulin assay CPT 86023 | not published | not published | $11.21 – $47.97 | 2 |
| Impedence cardiogram CPT 93701 | not published | not published | $419.77 – $419.77 | 1 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $515.36 – $4,826.69 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,084.41 – $4,826.69 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,588.88 – $4,826.69 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,002.88 – $4,826.69 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,074.50 – $4,826.69 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $8,715.36 – $41,385.40 | 2 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $8,715.36 – $16,095.16 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $454.49 – $4,826.69 | 2 |
| Implant nerve end CPT 64787 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $376.61 – $4,826.69 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $663.58 – $4,826.69 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,981.25 – $4,826.69 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $3,012.88 – $4,826.69 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $8,715.36 – $24,099.28 | 2 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $7,733.91 – $8,715.36 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $7,733.91 – $8,715.36 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $7,733.91 – $8,715.36 | 2 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,269.48 – $4,826.69 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,062.34 – $4,826.69 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $8,715.36 – $36,398.43 | 2 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $634.74 – $4,826.69 | 2 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,709.60 – $4,826.69 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $8,715.36 – $20,645.55 | 2 |
| Implant spine infusion pump CPT 62362 | not published | not published | $8,715.36 – $20,645.55 | 2 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,789.34 – $4,826.69 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,210.01 – $4,826.69 | 2 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $7,733.91 – $8,715.36 | 2 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $6,886.26 – $8,715.36 | 2 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $8,715.36 – $15,741.61 | 2 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $4,826.69 – $16,310.10 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,178.11 – $4,826.69 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $116.68 – $4,826.69 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $2,294.80 – $8,715.36 | 2 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $3,345.78 – $4,826.69 | 2 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $1,289.33 – $1,289.33 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $931.11 – $4,231.41 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,019.99 – $4,827.98 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,318.83 – $4,826.69 | 2 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $873.83 – $3,432.54 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $945.55 – $4,231.41 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $931.11 – $4,231.41 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $128.61 – $4,826.69 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,238.33 – $4,826.69 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $892.76 – $4,231.41 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $880.14 – $4,826.69 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $987.05 – $4,826.69 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $510.21 – $2,234.24 | 2 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $154.19 – $154.19 | 1 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $13,713.51 – $13,713.51 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $13,713.51 – $13,713.51 | 1 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $16,856.92 – $16,856.92 | 1 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $13,421.10 – $13,421.10 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $6,856.73 – $6,856.73 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $1,584.43 – $1,584.43 | 1 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $21,765.21 – $21,765.21 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $956.92 – $956.92 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $573.93 – $4,826.69 | 2 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,345.25 – $4,826.69 | 2 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,955.13 – $4,826.69 | 2 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,947.01 – $4,826.69 | 2 |
| Incis addl spine segment CPT 22216 | not published | not published | $477.96 – $4,826.69 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,653.75 – $4,826.69 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,149.19 – $4,231.41 | 2 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $85.71 – $4,826.69 | 2 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Incise hand/finger tendon CPT 26460 | 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.