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 |
|---|---|---|---|---|
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $85.52 | $85.52 | $17.42 – $74.50 | 2 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $12.36 – $52.86 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $150.94 | $150.94 | $3.84 – $16.44 | 2 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $188.03 – $804.34 | 2 |
| Mayo tgrp testosterone free CPT 84402 | $96.05 | $96.05 | $22.92 – $98.06 | 2 |
| Mayo tgrp testosterone total CPT 84403 | $431.53 | $431.53 | $23.23 – $99.37 | 2 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $19.95 – $85.35 | 2 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $14.45 – $61.83 | 2 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $9.16 – $39.19 | 2 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $11.15 – $47.70 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $46.15 – $197.43 | 2 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $12.74 – $54.52 | 2 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $125.69 | $125.69 | $12.19 – $52.13 | 2 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $31.80 – $136.02 | 2 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $18.22 – $77.92 | 2 |
| Mayo vitamin b3 (niacin) CPT 84591 | $262.26 | $262.26 | $15.35 – $65.68 | 2 |
| Mayo vitamin k CPT 84597 | $741.20 | $741.20 | $12.35 – $52.82 | 2 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $243.75 | $243.75 | $11.93 – $51.01 | 2 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,099.64 – $4,826.69 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $35.38 – $151.34 | 2 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $81.85 – $81.85 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $36.07 – $36.07 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $34.69 – $34.69 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $76.31 – $76.31 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $695.66 – $4,826.69 | 2 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $68.76 – $4,826.69 | 2 |
| Measure ureter pressure CPT 50686 | not published | not published | $87.39 – $4,826.69 | 2 |
| Mecasermin injection HCPCS J2170 | not published | not published | $429.66 – $429.66 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $1,228.15 – $1,228.15 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $135.00 – $577.50 | 2 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $475.08 – $2,032.30 | 2 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $108.00 – $462.00 | 2 |
| Medial canthopexy CPT 21280 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,826.69 – $6,042.14 | 2 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,826.69 – $6,042.14 | 2 |
| Medical testimony CPT 99075 | not published | not published | $527.26 – $527.26 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $3,452.10 – $3,452.10 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $553.31 | $553.31 | $0.81 – $0.81 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.35 – $0.35 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $740.93 – $740.93 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $847.77 – $847.77 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $1,674.71 – $1,674.71 | 1 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $27.07 – $27.07 | 1 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $146,989.15 – $146,989.15 | 1 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $881.96 – $881.96 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $63.51 | $63.51 | $7.01 – $7.01 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $20,649.04 | $20,649.04 | $109.22 – $109.22 | 1 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $9.09 – $9.09 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $116.29 | $116.29 | $8.51 – $8.51 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $41.44 | $41.44 | $27.26 – $27.26 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $334.52 | $334.52 | $7.61 – $32.57 | 2 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $460.40 | $460.40 | $9.50 – $40.66 | 2 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $12.36 – $52.86 | 2 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $2.89 – $2.89 | 1 |
| Methadone injection HCPCS J1230 | $1,162.70 | $1,162.70 | $46.59 – $46.59 | 1 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.08 – $0.08 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $84.13 | $84.13 | $48.47 – $48.47 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $7.89 – $7.89 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $32.02 | $32.02 | $4.58 – $4.58 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $34.71 – $148.49 | 2 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $302.73 – $302.73 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $154.00 – $154.00 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $983.93 | $983.93 | $4.47 – $4.47 | 1 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $52.59 – $52.59 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $893.13 | $893.13 | $3.70 – $3.70 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $1.42 – $1.42 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $101.45 | $101.45 | $0.58 – $0.58 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $1.19 – $1.19 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $53.91 | $53.91 | $5.85 – $5.85 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $108.72 | $108.72 | $0.08 – $0.08 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $82.04 – $350.97 | 2 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $112.18 – $479.86 | 2 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $7.20 – $7.20 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.61 – $23.99 | 2 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $36.15 – $154.65 | 2 |
| Microdissection laser CPT 88380 | not published | not published | $303.88 – $303.88 | 1 |
| Microdissection manual CPT 88381 | not published | not published | $500.89 – $500.89 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $20.23 – $86.55 | 2 |
| Microsatellite instability CPT 81301 | not published | not published | $313.70 – $1,341.96 | 2 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $441.21 – $441.21 | 1 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $10,313.13 – $10,313.13 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $216.25 | $216.25 | $0.31 – $0.31 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $528.84 | $528.84 | $1.31 – $1.31 | 1 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $431.51 – $431.51 | 1 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $255.64 – $255.64 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $131.14 | $131.14 | $6.78 – $6.78 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $6.24 – $6.24 | 1 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $1.42 – $1.42 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $654.07 | $654.07 | $282.01 – $282.01 | 1 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $2.93 – $2.93 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,991.60 – $12,797.40 | 2 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $381.64 | $381.64 | $327.02 – $327.02 | 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.