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 |
|---|---|---|---|---|
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $1,359.99 | $1,359.99 | $708.25 – $708.25 | 1 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $446.33 – $446.33 | 1 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $1,366.71 – $1,366.71 | 1 |
| Initial observation care CPT 99218 | not published | not published | $389.89 – $389.89 | 1 |
| Initial observation care CPT 99219 | not published | not published | $531.42 – $531.42 | 1 |
| Initial observation care CPT 99220 | not published | not published | $725.65 – $725.65 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $2,597.51 | $2,597.51 | $708.25 – $708.25 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $246.98 – $246.98 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $500.89 – $500.89 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $155.39 – $155.39 | 1 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $25.22 – $25.22 | 1 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $21.68 – $21.68 | 1 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.92 – $0.92 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $96.52 | $96.52 | $0.23 – $0.23 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | $63.40 | $63.40 | $0.58 – $0.58 | 1 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $122.85 | $122.85 | $0.31 – $0.31 | 1 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $17,529.47 – $17,529.47 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $616,000.00 – $616,000.00 | 1 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $50.90 – $50.90 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $148.65 – $148.65 | 1 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $1,464.66 – $1,464.66 | 1 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $6.35 – $6.35 | 1 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $11.01 – $11.01 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $24.91 – $24.91 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $275.54 – $275.54 | 1 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $34.50 – $34.50 | 1 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $1,054.52 – $1,054.52 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $69.45 – $69.45 | 1 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $12,580.38 – $12,580.38 | 1 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $7.20 – $7.20 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $11.43 – $11.43 | 1 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $173.60 – $173.60 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $2,064.79 – $2,064.79 | 1 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $168.32 – $168.32 | 1 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $467.47 – $467.47 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $277.16 – $277.16 | 1 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $184.18 – $184.18 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $27,298.41 | $27,298.41 | $621.39 – $621.39 | 1 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $58.33 – $58.33 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $6,126.42 | $6,126.42 | $146.30 – $146.30 | 1 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $747.75 – $747.75 | 1 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.81 – $0.81 | 1 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $46.97 – $46.97 | 1 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $11.51 – $11.51 | 1 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $30.57 – $30.57 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $285.67 – $285.67 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $1,731.85 – $1,731.85 | 1 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $6,927.38 – $6,927.38 | 1 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $1,361.13 – $1,361.13 | 1 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $3.77 – $3.77 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $255.64 – $255.64 | 1 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $2.89 – $2.89 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $78.85 – $78.85 | 1 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $5.01 – $5.01 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $69.94 | $69.94 | $4.47 – $4.47 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $4.62 – $4.62 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $23.25 – $23.25 | 1 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $21.71 – $21.71 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $7.28 – $7.28 | 1 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $21.95 – $21.95 | 1 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $343.04 – $343.04 | 1 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $57.52 – $57.52 | 1 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $1,043.00 – $1,043.00 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $329.87 – $329.87 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $117.87 | $117.87 | $16.67 – $16.67 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $308.96 – $308.96 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $4,697.00 – $4,697.00 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $51.55 – $51.55 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $58.52 – $58.52 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $14.01 – $14.01 | 1 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $14.05 – $14.05 | 1 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $4.24 – $4.24 | 1 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $7.55 – $7.55 | 1 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.31 – $0.31 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.27 – $0.27 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.23 – $0.23 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $16.29 – $16.29 | 1 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $6.78 – $6.78 | 1 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $99.64 – $99.64 | 1 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.81 – $0.81 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $15.44 – $15.44 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $56.39 – $4,826.69 | 2 |
| Inj, durolane 1 mg HCPCS J7318 | $2,894.84 | $2,894.84 | $30.03 – $30.03 | 1 |
| Inj dx for sinogram CPT 20501 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $197.59 – $4,826.69 | 2 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $156.35 – $156.35 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $1,307.69 – $1,307.69 | 1 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $2,654.15 – $2,654.15 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,970.86 | $1,970.86 | $51.88 – $4,826.69 | 2 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $613.54 – $613.54 | 1 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $9.16 – $9.16 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $3,331.63 | $3,331.63 | $202.51 – $202.51 | 1 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $1.89 – $1.89 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $2.66 – $2.66 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $72.50 – $72.50 | 1 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $781.31 – $4,826.69 | 2 |
| Injection eye drug CPT 67028 | not published | not published | $59.10 – $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.