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 |
|---|---|---|---|---|
| Mitomycin instillation HCPCS J9281 | not published | not published | $1,209.36 – $1,209.36 | 1 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $144.03 – $144.03 | 1 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,651.66 – $4,826.69 | 2 |
| Mlh1 gene CPT 81288 | not published | not published | $173.09 – $740.43 | 2 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $182.16 – $779.24 | 2 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $607.86 – $2,600.29 | 2 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $297.90 – $1,274.35 | 2 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $88.82 – $88.82 | 1 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $24.99 – $24.99 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $307.27 – $307.27 | 1 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,694.24 – $4,231.41 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $321.65 – $4,826.69 | 2 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $113.77 – $113.77 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $158.13 – $4,826.69 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $419.77 – $419.77 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,763.21 – $4,826.69 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $757.28 – $4,826.69 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $33.96 – $46.39 | 2 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $72.15 – $72.15 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $43.93 – $43.93 | 1 |
| Monovisc inj per dose HCPCS J7327 | $3,287.89 | $3,287.89 | $3,074.42 – $3,074.42 | 1 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $57.56 – $246.25 | 2 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $135.30 – $578.77 | 2 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $247.35 – $1,058.10 | 2 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $271.22 – $1,160.20 | 2 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $254.59 – $1,089.09 | 2 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $761.64 – $3,258.14 | 2 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,800.00 – $7,700.00 | 2 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $805.10 | $805.10 | $0.27 – $0.27 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $57.47 | $57.47 | $31.96 – $31.96 | 1 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $13.17 – $13.17 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $17.94 – $17.94 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $552.48 – $552.48 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $556.75 | $556.75 | $552.48 – $552.48 | 1 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $2,277.97 – $2,277.97 | 1 |
| Motion analysis video/3d CPT 96000 | not published | not published | $377.42 – $377.42 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $506.43 – $506.43 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $419.77 – $419.77 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $184.53 – $184.53 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $552.48 – $552.48 | 1 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $305.27 – $305.27 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $552.48 – $552.48 | 1 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $135.30 – $578.77 | 2 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $18.05 – $77.19 | 2 |
| M.pneumon dna quant CPT 87582 | not published | not published | $272.36 – $1,165.09 | 2 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $471.82 – $471.82 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $1,442.64 – $1,442.64 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $1,425.82 – $1,425.82 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $897.20 – $897.20 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $1,435.89 – $1,435.89 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $1,437.56 – $1,437.56 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $897.20 – $897.20 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $1,489.66 – $1,489.66 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $1,434.21 – $1,434.21 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $897.20 – $897.20 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $897.20 – $897.20 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $897.20 – $897.20 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $897.20 – $897.20 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Mr elastography CPT 76391 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $777.01 – $777.01 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $1,914.76 – $1,914.76 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $777.01 – $777.01 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $1,372.09 – $1,372.09 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $1,365.38 – $1,365.38 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $897.20 – $897.20 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| MRI chest without contrast CPT 71550 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| MRI chest w IV cont CPT 71551 | not published | not published | $3,172.62 – $3,172.62 | 1 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $663.35 – $663.35 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $1,073.15 – $1,073.15 | 1 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,576.19 – $1,576.19 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $853.31 – $853.31 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $4,814.43 – $4,814.43 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,443.23 | $4,443.23 | $1,779.42 – $1,779.42 | 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.