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 |
|---|---|---|---|---|
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $2.23 – $2.23 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $189.61 – $189.61 | 1 |
| Injection, fulvestrant HCPCS J9395 | $1,744.39 | $1,744.39 | $317.24 – $317.24 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $359.94 – $359.94 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $19,311.68 | $19,311.68 | $43.89 – $43.89 | 1 |
| Injection into brain canal CPT 61026 | not published | not published | $781.31 – $4,826.69 | 2 |
| Injection into brain canal CPT 61055 | not published | not published | $327.21 – $4,826.69 | 2 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $294.59 – $4,826.69 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,015.06 – $4,826.69 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $472.36 – $4,826.69 | 2 |
| Injection intraop add-on CPT 48400 | not published | not published | $138.30 – $4,826.69 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $3.27 – $3.27 | 1 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection jugular CPT 36299 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $8.74 – $8.74 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $21.44 – $21.44 | 1 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $174.25 – $174.25 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | $83.00 – $4,826.69 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $22.48 – $22.48 | 1 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $400.28 – $400.28 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $6.08 – $6.08 | 1 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $6.66 – $6.66 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $87.51 – $4,826.69 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $460.16 – $4,826.69 | 2 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $274.74 – $274.74 | 1 |
| Injection, ruconest HCPCS J0596 | not published | not published | $110.23 – $110.23 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $781.31 – $781.31 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,829.10 | $1,829.10 | $60.45 – $4,826.69 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $831.95 | $831.95 | $60.45 – $4,826.69 | 2 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $781.31 – $4,826.69 | 2 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $781.31 – $4,826.69 | 2 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $412.53 – $412.53 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,426.83 | $1,426.83 | $32.48 – $4,826.69 | 2 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,016.18 | $1,016.18 | $37.90 – $4,826.69 | 2 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $44.21 – $4,826.69 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $429.30 | $429.30 | $65.22 – $65.22 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $541.16 | $541.16 | $91.59 – $91.59 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $307.07 | $307.07 | $152.61 – $152.61 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $350.96 | $350.96 | $232.81 – $232.81 | 1 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $51.13 – $51.13 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $7.93 – $7.93 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,527.33 – $6,108.74 | 2 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,149.19 – $4,231.41 | 2 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,149.19 – $4,231.41 | 2 |
| Injection treatment of nerve CPT 64681 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Injection treatment of nose CPT 30200 | not published | not published | $103.31 – $4,826.69 | 2 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $107.21 – $4,826.69 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $338.11 – $4,826.69 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $48.73 – $4,826.69 | 2 |
| Inject/treat eye socket CPT 67515 | not published | not published | $45.11 – $4,826.69 | 2 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $88,241.79 | $88,241.79 | $120.00 – $120.00 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $130.75 – $130.75 | 1 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $1,857.36 – $1,857.36 | 1 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $171.29 – $171.29 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $781.31 – $4,826.69 | 2 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $781.31 – $4,826.69 | 2 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.81 – $0.81 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $3.77 – $3.77 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $12.59 – $12.59 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $616.00 – $616.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $599.18 – $599.18 | 1 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $153.38 – $153.38 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $34.46 – $34.46 | 1 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $163.12 – $163.12 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $5.35 – $5.35 | 1 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $547.51 – $547.51 | 1 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.12 – $0.12 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $4.24 – $4.24 | 1 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $32.34 – $32.34 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $5.97 – $5.97 | 1 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $704.17 – $704.17 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $727.65 – $727.65 | 1 |
| Inj for ext venography CPT 36005 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $7.70 – $7.70 | 1 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $2,156.00 – $2,156.00 | 1 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $9.89 – $9.89 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $399.48 | $399.48 | $33.61 – $33.61 | 1 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $66.18 – $66.18 | 1 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $303.51 | $303.51 | $42.35 – $42.35 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $191.73 – $191.73 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $510.13 – $510.13 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $164.55 | $164.55 | $16.48 – $16.48 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $459.34 – $459.34 | 1 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $11,605.79 – $11,605.79 | 1 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $51.03 | $51.03 | $9.86 – $9.86 | 1 |
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.