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 |
|---|---|---|---|---|
| Partial removal of rectum CPT 45114 | not published | not published | $2,370.03 – $4,826.69 | 2 |
| Partial removal of rectum CPT 45116 | not published | not published | $2,032.60 – $4,826.69 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Partial removal of sternum CPT 21620 | not published | not published | $654.11 – $4,826.69 | 2 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Partial removal of toe CPT 28160 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,715.91 – $4,826.69 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,122.63 – $4,826.69 | 2 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,908.83 – $7,079.01 | 2 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $12.28 – $12.28 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,201.45 – $4,826.69 | 2 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,111.80 – $4,826.69 | 2 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $586.43 – $586.43 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $586.43 – $586.43 | 1 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $173.44 – $173.44 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $195.39 – $195.39 | 1 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $124.36 – $124.36 | 1 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $308.42 – $308.42 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $1,399.82 – $1,399.82 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $974.44 – $974.44 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $229.55 – $981.94 | 2 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $1,116.23 – $1,116.23 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $296.56 – $1,268.61 | 2 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $672.71 – $672.71 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $2,197.81 – $2,197.81 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $1,368.10 – $1,368.10 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $3,123.27 – $3,123.27 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $1,599.79 – $1,599.79 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $532.65 – $532.65 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $532.65 – $532.65 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $1,336.45 – $1,336.45 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $2,841.61 – $2,841.61 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $67,456.58 – $67,456.58 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $26,531.42 | $26,531.42 | $780.16 – $780.16 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $9,306.36 | $9,306.36 | $1,339.49 – $1,339.49 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $18,701.37 | $18,701.37 | $1,339.49 – $1,339.49 | 1 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $1,334.14 – $1,334.14 | 1 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $9,910.93 | $9,910.93 | $1,289.90 – $1,289.90 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $798.88 – $798.88 | 1 |
| Peginesatide injection HCPCS J0890 | not published | not published | $41.46 – $41.46 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $3,932.74 – $3,932.74 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $10,703.19 – $10,703.19 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $792.83 – $792.83 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $5,081.55 | $5,081.55 | $849.15 – $849.15 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $4,604.20 | $4,604.20 | $849.15 – $849.15 | 1 |
| Pelvic CT scan (without contrast) CPT 72192 | $3,981.50 | $3,981.50 | $522.29 – $522.29 | 1 |
| Pelvic exenteration CPT 45126 | not published | not published | $3,629.14 – $4,826.69 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $1,779.42 – $1,779.42 | 1 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $1,085.97 – $1,085.97 | 1 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,477.44 – $7,477.44 | 1 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,302.36 – $1,302.36 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,178.28 | $1,178.28 | $431.51 – $431.51 | 1 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,066.46 | $1,066.46 | $431.51 – $431.51 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $12,642.74 | $12,642.74 | $184.80 – $184.80 | 1 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $271.35 – $271.35 | 1 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $1,732.50 – $1,732.50 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.71 – $17.71 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $3,479.76 | $3,479.76 | $48.51 – $48.51 | 1 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $5.70 – $5.70 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $80.97 – $80.97 | 1 |
| Penile injection CPT 54235 | not published | not published | $54.59 – $4,826.69 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $245.59 – $245.59 | 1 |
| Penile vascular study CPT 93981 | $1,385.44 | $1,385.44 | $212.29 – $212.29 | 1 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,773.18 – $4,826.69 | 2 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Penis study CPT 54240 | not published | not published | $47.36 – $4,826.69 | 2 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $578.27 – $578.27 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $464.54 – $464.54 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $140.56 – $140.56 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $8,749.13 – $8,749.13 | 1 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $8,715.36 – $10,516.39 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $28,213.75 – $28,213.75 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $17,538.01 – $17,538.01 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $28,213.75 – $28,213.75 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $17,538.01 – $17,538.01 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $485.63 – $485.63 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $517.93 | $517.93 | $367.06 – $367.06 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $295.98 – $4,826.69 | 2 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,224.15 – $4,826.69 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $2,038.91 – $3,432.54 | 2 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,143.34 – $4,826.69 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,786.94 – $6,691.14 | 2 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $69.38 – $69.38 | 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.