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 |
|---|---|---|---|---|
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $602.18 – $602.18 | 1 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $745.09 – $745.09 | 1 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $267.81 – $267.81 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $3.81 – $3.81 | 1 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $10.70 – $10.70 | 1 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $105.45 – $105.45 | 1 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $167.90 – $167.90 | 1 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $51.32 – $51.32 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $15,857.67 | $15,857.67 | $138.72 – $138.72 | 1 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,845.20 – $4,826.69 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $461.75 – $4,826.69 | 2 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,259.19 – $9,664.31 | 2 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $6,473.70 – $27,693.05 | 2 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,804.40 – $11,996.60 | 2 |
| Oncology colorectal scr CPT 81528 | not published | not published | $457.98 – $1,959.15 | 2 |
| Oncology gynecologic CPT 81535 | not published | not published | $521.51 – $2,230.92 | 2 |
| Oncology gynecologic CPT 81536 | not published | not published | $159.80 – $683.61 | 2 |
| Oncology lung CPT 81538 | not published | not published | $2,583.90 – $11,053.35 | 2 |
| Oncology prostate prob score CPT 81539 | not published | not published | $684.00 – $2,926.00 | 2 |
| Oncology thyroid CPT 81545 | not published | not published | $13,860.00 – $13,860.00 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $468.00 – $468.00 | 1 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,375.00 – $14,437.50 | 2 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $807.30 – $807.30 | 1 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $234.45 – $234.45 | 1 |
| Oncoprotein dcp CPT 83951 | not published | not published | $57.97 – $247.98 | 2 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $57.97 – $247.98 | 2 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,827.00 – $7,815.50 | 2 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,485.70 – $14,911.05 | 2 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,240.00 – $13,860.00 | 2 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $6,998.40 – $7,507.50 | 2 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $3.47 – $3.47 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.89 – $0.89 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $45.38 | $45.38 | $2.27 – $2.27 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $552.48 – $552.48 | 1 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,540.23 – $4,826.69 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,913.23 – $4,826.69 | 2 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,884.85 – $4,826.69 | 2 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,288.49 – $4,826.69 | 2 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,430.84 – $4,826.69 | 2 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,522.29 – $4,826.69 | 2 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,786.94 – $4,826.69 | 2 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $989.73 – $4,826.69 | 2 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $300.48 – $4,826.69 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $3,786.94 – $6,691.14 | 2 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,743.03 – $4,826.69 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $351.43 – $4,826.69 | 2 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,786.64 – $4,826.69 | 2 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $937.91 – $937.91 | 1 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,787.54 – $1,787.54 | 1 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,694.24 – $4,826.69 | 2 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $702.31 – $4,826.69 | 2 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,045.14 – $4,826.69 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,044.69 – $4,826.69 | 2 |
| Ophthalmic biometry CPT 92136 | not published | not published | $419.77 – $419.77 | 1 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $1,382.15 – $1,382.15 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $128.71 – $128.71 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $419.77 – $419.77 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $431.51 – $431.51 | 1 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $431.51 – $431.51 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,584.83 – $4,826.69 | 2 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $527.98 – $4,826.69 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $8,715.36 – $36,398.43 | 2 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $8,715.36 – $24,099.28 | 2 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $8,715.36 – $24,099.28 | 2 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $7,733.91 – $8,715.36 | 2 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $8,715.36 – $37,579.35 | 2 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,648.34 – $4,826.69 | 2 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,388.41 – $4,826.69 | 2 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,307.78 – $4,826.69 | 2 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,398.76 – $4,826.69 | 2 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $4,826.69 – $6,063.16 | 2 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,063.16 – $8,715.36 | 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.