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 |
|---|---|---|---|---|
| MRI orbit/face/neck without contrast CPT 70540 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| MRI tmj CPT 70336 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $701.55 – $701.55 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $1,470.12 – $1,470.12 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | $254.79 | $254.79 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $267.09 | $267.09 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $142.29 | $142.29 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $169.68 | $169.68 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $71.15 | $71.15 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $702.07 | $702.07 | not published | 0 |
| Mr spectroscopy CPT 76390 | not published | not published | $1,734.82 – $1,734.82 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $191.97 – $821.21 | 2 |
| Msh2 gene full seq CPT 81295 | not published | not published | $343.53 – $1,469.55 | 2 |
| Msh2 gene known variants CPT 81296 | not published | not published | $303.96 – $1,300.26 | 2 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $214.20 – $916.30 | 2 |
| Msh6 gene full seq CPT 81298 | not published | not published | $577.67 – $2,471.12 | 2 |
| Msh6 gene known variants CPT 81299 | not published | not published | $277.20 – $1,185.80 | 2 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $3,591.75 – $4,826.69 | 2 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $58.81 – $251.56 | 2 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $24.19 – $103.49 | 2 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $38.56 – $164.93 | 2 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.27 – $22.56 | 2 |
| Mucopolysaccharides CPT 83864 | not published | not published | $25.65 – $109.73 | 2 |
| Mucormycosis antibody CPT 86732 | not published | not published | $13.50 – $57.75 | 2 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $105.18 – $105.18 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $224.76 – $224.76 | 1 |
| Multiple sleep latency test CPT 95805 | not published | not published | $1,413.87 – $1,413.87 | 1 |
| Mumps antibody igg CPT 86735 | $410.67 | $410.67 | $11.75 – $50.24 | 2 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $248.36 – $248.36 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $532.65 – $532.65 | 1 |
| Muscle test larynx CPT 95865 | not published | not published | $419.77 – $419.77 | 1 |
| Muscle test one fiber CPT 95872 | not published | not published | $170.67 – $170.67 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $43.42 – $185.72 | 2 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $18.05 – $77.19 | 2 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $38.56 – $164.93 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $203.05 | $203.05 | $2.19 – $2.19 | 1 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $7.58 – $7.58 | 1 |
| Mycoplasma antibody igm CPT 86738 | $75.48 | $75.48 | $11.92 – $50.97 | 2 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $157.86 – $675.29 | 2 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| Myelography l-s spine CPT 72265 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| Myelography neck spine CPT 72240 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| Myelography thoracic spine CPT 72255 | not published | not published | $2,621.16 – $2,621.16 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $851.03 – $4,826.69 | 2 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $851.03 – $4,826.69 | 2 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $851.03 – $4,826.69 | 2 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $851.03 – $4,826.69 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $993.85 | $993.85 | $10.38 – $44.39 | 2 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $3,433.18 – $4,826.69 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $5,296.10 – $5,296.10 | 1 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $328.83 – $328.83 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $387.12 – $387.12 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $423.19 – $423.19 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $5,296.10 – $5,296.10 | 1 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $363.52 – $363.52 | 1 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $312.20 – $312.20 | 1 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,466.34 – $4,826.69 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,179.38 – $4,826.69 | 2 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Myringoplasty CPT 69620 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Nabilone oral HCPCS J8650 | not published | not published | $150.92 – $150.92 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $58.84 | $58.84 | $6.93 – $6.93 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $12.67 – $12.67 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $98.88 – $4,826.69 | 2 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $704.92 | $704.92 | $254.55 – $4,826.69 | 2 |
| Nasal function studies CPT 92512 | not published | not published | $111.00 – $111.00 | 1 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $6,800.45 – $8,715.36 | 2 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,478.05 – $4,826.69 | 2 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,574.46 – $4,826.69 | 2 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $6,800.45 – $8,715.36 | 2 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $6,800.45 – $8,715.36 | 2 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $6,800.45 – $8,715.36 | 2 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $6,800.45 – $8,715.36 | 2 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $472.36 – $4,826.69 | 2 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,788.26 – $3,432.54 | 2 |
| Nasal sinus therapy CPT 30210 | not published | not published | $133.54 – $4,826.69 | 2 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $149.84 – $149.84 | 1 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $44,401.04 | $44,401.04 | $81.54 – $81.54 | 1 |
| Natriuretic peptide CPT 83880 | $360.87 | $360.87 | $35.33 – $151.15 | 2 |
| Natural killer cells total count CPT 86357 | not published | not published | $33.96 – $145.26 | 2 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $326.98 – $326.98 | 1 |
| N block inj common digit CPT 64632 | not published | not published | $53.24 – $4,826.69 | 2 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $1,015.06 – $2,234.24 | 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.