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 |
|---|---|---|---|---|
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $96.74 | $96.74 | $11.01 – $11.01 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $1,008.58 | $1,008.58 | $164.28 – $164.28 | 1 |
| Iron CPT 83540 | $237.69 | $237.69 | $5.82 – $24.91 | 2 |
| Iron binding capacity CPT 83550 | $160.38 | $160.38 | $7.87 – $33.65 | 2 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $129.63 | $129.63 | $52.36 – $52.36 | 1 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.19 – $26.49 | 2 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $277.26 | $277.26 | $1.35 – $1.35 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $128.71 – $128.71 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $211.79 – $211.79 | 1 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $670.75 – $2,991.88 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $68.76 – $4,826.69 | 2 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $4,058.50 | $4,058.50 | $285.75 – $285.75 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $2,504.43 – $2,504.43 | 1 |
| Ivc venogram s&i CPT 75825 | not published | not published | $10,669.43 – $10,669.43 | 1 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $318.28 – $318.28 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $1,833.06 | $1,833.06 | $122.08 – $122.08 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $357.20 | $357.20 | $81.85 – $81.85 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $366.64 | $366.64 | $84.62 – $84.62 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $1,876.96 | $1,876.96 | $280.28 – $280.28 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $1,417.30 – $1,417.30 | 1 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $454.49 – $4,826.69 | 2 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $467.58 – $467.58 | 1 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $369.06 – $369.06 | 1 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $368.60 – $368.60 | 1 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $166.68 – $713.02 | 2 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| John cunningham antibody CPT 86711 | not published | not published | $15.20 – $65.03 | 2 |
| J-tube placement CPT 44015 | not published | not published | $186.05 – $4,826.69 | 2 |
| Keratomileusis CPT 65760 | not published | not published | $1,902.41 – $4,826.69 | 2 |
| Keratophakia CPT 65765 | not published | not published | $2,080.81 – $4,826.69 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $4,826.69 – $7,749.14 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $13.92 – $59.56 | 2 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $88.62 | $88.62 | $7.35 – $31.45 | 2 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $89.22 | $89.22 | $0.69 – $0.69 | 1 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $8,715.36 – $10,084.91 | 2 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $8,715.36 – $10,084.91 | 2 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Kidney function study CPT 78725 | not published | not published | $359.36 – $359.36 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $596.63 – $596.63 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $1,201.59 – $1,201.59 | 1 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $745.09 – $745.09 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,161.71 | $1,161.71 | $431.51 – $431.51 | 1 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $3,887.23 – $3,887.23 | 1 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $112.38 – $480.75 | 2 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $178.87 – $178.87 | 1 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $5,923.72 | $5,923.72 | $1,779.42 – $1,779.42 | 1 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $3,172.62 – $3,172.62 | 1 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| Knee X-ray CPT 73564 | $679.13 | $679.13 | $431.51 – $431.51 | 1 |
| Kras gene addl variants CPT 81276 | not published | not published | $173.93 – $744.01 | 2 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $173.93 – $744.01 | 2 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $3,612.26 – $3,612.26 | 1 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,815.10 – $4,826.69 | 2 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $3,221.00 – $4,826.69 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $154.96 | $154.96 | $1.04 – $1.04 | 1 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Lab pathology consultation CPT 80500 | not published | not published | $190.46 – $190.46 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $190.46 – $190.46 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $132.31 | $132.31 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $176.01 | $176.01 | $5.44 – $23.25 | 2 |
| Lactated ringers intravenous solution HCPCS J7120 | $116.56 | $116.56 | $22.87 – $22.87 | 1 |
| Lactic acid CPT 83605 | $255.68 | $255.68 | $10.41 – $44.54 | 2 |
| Lactoferrin fecal qualitative CPT 83630 | $99.46 | $99.46 | $17.73 – $75.85 | 2 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $17.67 – $75.58 | 2 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,599.33 – $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.