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 |
|---|---|---|---|---|
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $40.96 – $40.96 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $5,241.89 – $5,241.89 | 1 |
| Lidocaine injection HCPCS J2001 | $51.23 | $51.23 | $0.08 – $0.08 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $102.25 | $102.25 | $0.04 – $0.04 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.04 – $0.04 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $13.22 – $56.56 | 2 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,992.96 – $4,826.69 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $724.89 – $3,432.54 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $97.75 – $4,826.69 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,891.60 – $4,826.69 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,715.01 – $4,826.69 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,464.10 – $4,826.69 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,464.10 – $4,826.69 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,038.91 – $4,826.69 | 2 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,443.81 – $4,826.69 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $500.49 – $4,826.69 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,038.91 – $4,826.69 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,749.70 – $4,826.69 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,826.69 – $5,745.24 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,464.10 – $4,826.69 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Ligation of shunt CPT 49428 | not published | not published | $563.56 – $4,826.69 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $2,885.19 – $2,885.19 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $285.82 – $285.82 | 1 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $1,789.87 – $1,789.87 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $1,454.11 – $1,454.11 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $211.79 – $211.79 | 1 |
| Lincomycin injection HCPCS J2010 | not published | not published | $29.38 – $29.38 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $294.41 | $294.41 | $55.44 – $55.44 | 1 |
| Lipase CPT 83690 | $326.49 | $326.49 | $6.20 – $26.53 | 2 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $30.47 – $130.36 | 2 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $30.77 – $131.63 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $7.37 – $31.53 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $43.92 | $43.92 | $9.45 – $40.43 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $30.77 – $131.63 | 2 |
| Lip surgery procedure CPT 40799 | not published | not published | $254.55 – $4,826.69 | 2 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $1,573,336.38 – $1,573,336.38 | 1 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.87 – $50.78 | 2 |
| Lithium therapeutic drug level CPT 80178 | $136.09 | $136.09 | $5.95 – $25.45 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,203.70 – $4,826.69 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,433.90 – $4,826.69 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,584.38 – $4,826.69 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $158.57 – $1,938.09 | 2 |
| Liver elastography 91200 CPT 91200 | not published | not published | $532.65 – $532.65 | 1 |
| Liver Function Test CPT 80076 | $363.81 | $363.81 | $7.35 – $31.45 | 2 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,897.46 – $4,826.69 | 2 |
| Liver imaging CPT 78201 | not published | not published | $678.49 – $678.49 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $714.56 – $714.56 | 1 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $682.64 – $682.64 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $402.36 – $402.36 | 1 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,419.00 – $2,419.00 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $44.10 | $44.10 | $2.58 – $2.58 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $333.10 – $333.10 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $800.72 – $800.72 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $36.76 | $36.76 | $1.42 – $1.42 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $532.65 – $532.65 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $621.28 – $621.28 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $2,028.43 – $2,028.43 | 1 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $621.28 – $621.28 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $621.28 – $621.28 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,081.55 | $5,081.55 | $849.15 – $849.15 | 1 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,302.62 | $4,302.62 | $1,779.42 – $1,779.42 | 1 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,007.51 | $4,007.51 | $522.29 – $522.29 | 1 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,565.11 | $5,565.11 | $1,779.42 – $1,779.42 | 1 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,346.09 | $4,346.09 | $1,085.97 – $1,085.97 | 1 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $620.07 | $620.07 | $431.51 – $431.51 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $672.71 – $672.71 | 1 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $57.75 – $57.75 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $4,826.69 – $10,516.39 | 2 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $8,715.36 – $10,516.39 | 2 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $4,826.69 – $10,516.39 | 2 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.79 – $84.66 | 2 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $6,619.50 – $6,619.50 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Lumizyme injection HCPCS J0221 | not published | not published | $609.96 – $609.96 | 1 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $211.79 – $211.79 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $532.65 – $532.65 | 1 |
| Lung perfusion imaging CPT 78580 | not published | not published | $808.92 – $808.92 | 1 |
| Lung transplant double CPT 32853 | not published | not published | $4,826.69 – $6,014.93 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $4,295.41 – $4,826.69 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,669.76 – $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.