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 |
|---|---|---|---|---|
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $61.35 – $4,826.69 | 2 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $32.34 – $32.34 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $3,886.68 – $7,079.01 | 2 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $788.14 – $4,826.69 | 2 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $18.29 – $18.29 | 1 |
| Insulin suppression panel CPT 80432 | not published | not published | $149.05 – $637.60 | 2 |
| Insulin tolerance panel CPT 80434 | not published | not published | $256.53 – $1,097.37 | 2 |
| Insulin tolerance panel CPT 80435 | not published | not published | $92.70 – $396.55 | 2 |
| Insulin total CPT 83525 | $189.02 | $189.02 | $10.29 – $44.01 | 2 |
| Ins vag brachytx device CPT 57156 | not published | not published | $338.40 – $4,826.69 | 2 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $6,310.07 – $6,310.07 | 1 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $455.11 – $455.11 | 1 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $455.11 – $455.11 | 1 |
| Intercalary algrft compl CPT 20934 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $670.75 – $2,991.88 | 2 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $762.51 – $4,826.69 | 2 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $89.82 – $89.82 | 1 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $37.04 – $37.04 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $113.07 – $113.07 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $221.30 – $221.30 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $6,666.04 – $6,666.04 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $1,710.13 – $1,710.13 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $25,935.26 – $25,935.26 | 1 |
| Intermediate visual field xm CPT 92082 | not published | not published | $211.79 – $211.79 | 1 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $139.56 – $139.56 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $183.14 – $183.14 | 1 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $139.56 – $139.56 | 1 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $88.51 – $88.51 | 1 |
| Interrog device eval heart CPT 93289 | not published | not published | $139.56 – $139.56 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $139.56 – $139.56 | 1 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $355.09 – $355.09 | 1 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $1,095.67 – $1,095.67 | 1 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $355.09 – $355.09 | 1 |
| Interstitial brachy inter CPT 77799 | not published | not published | $472.43 – $472.43 | 1 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,800.60 – $4,826.69 | 2 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,402.83 – $4,826.69 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $3,995.39 – $4,826.69 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $1,375.25 – $6,108.74 | 2 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $2,930.23 – $6,108.74 | 2 |
| Intra-atrial pacing CPT 93610 | not published | not published | $7,357.14 – $7,357.14 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $7,357.14 – $7,357.14 | 1 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $564.72 – $564.72 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,919.54 – $4,826.69 | 2 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,830.79 – $4,826.69 | 2 |
| Intracranial complete study CPT 93886 | not published | not published | $878.30 – $878.30 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $432.89 – $432.89 | 1 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,977.73 – $4,826.69 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $4,826.69 – $5,563.54 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $3,745.81 – $4,826.69 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $4,826.69 – $6,146.01 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,868.26 – $4,826.69 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $4,826.69 – $4,901.76 | 2 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $133.99 – $4,826.69 | 2 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,594.25 – $1,594.25 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $109.61 – $109.61 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $2,935.92 | $2,935.92 | $137.14 – $4,826.69 | 2 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $708.25 – $708.25 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $485.05 – $4,826.69 | 2 |
| Intraventricular pacing CPT 93612 | not published | not published | $7,357.14 – $7,357.14 | 1 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $13.57 – $58.06 | 2 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $446.33 – $446.33 | 1 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $716.83 – $3,432.54 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $6,192.39 – $8,715.36 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $8,715.36 – $12,385.60 | 2 |
| Intro catheter aorta CPT 36200 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $982.40 – $2,234.24 | 2 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $106.84 – $106.84 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,189.22 | $1,189.22 | $254.55 – $4,826.69 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $136.29 – $136.29 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $6,934.89 – $6,934.89 | 1 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $1,158.04 – $1,158.04 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $45.31 – $45.31 | 1 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $129.05 – $129.05 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $713.17 – $713.17 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $492.98 | $492.98 | $1.08 – $1.08 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $768.29 | $768.29 | $1.23 – $1.23 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $1,248.75 – $1,248.75 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $1,007.31 – $1,007.31 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $929.62 – $929.62 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $1.23 – $1.23 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $13,338.91 | $13,338.91 | $563.87 – $563.87 | 1 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $450.95 – $450.95 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $654.89 – $654.89 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $788.10 – $788.10 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $292.75 – $292.75 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $6.92 | $6.92 | $1.96 – $1.96 | 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.