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 |
|---|---|---|---|---|
| Peri-proc device eval icd CPT 93287 | not published | not published | $77.69 – $77.69 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $77.69 – $77.69 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $1,854.08 – $1,854.08 | 1 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $857.47 – $857.47 | 1 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.08 – $1.08 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,096.04 – $4,826.69 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $1,036.58 – $1,036.58 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $762.51 – $4,826.69 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $762.51 – $4,826.69 | 2 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $8,715.36 – $10,084.91 | 2 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $8,715.36 – $10,084.91 | 2 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $4,826.69 – $13,269.14 | 2 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $4,826.69 – $21,472.00 | 2 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $4,826.69 – $13,269.14 | 2 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $4,826.69 – $13,269.14 | 2 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $293.63 – $4,826.69 | 2 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,715.75 – $4,826.69 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $28,213.75 – $28,213.75 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $8,715.36 – $28,213.75 | 2 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $8,715.36 – $28,213.75 | 2 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $1,380.41 – $1,380.41 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $759.98 – $4,826.69 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Pertussis ag if CPT 87265 | not published | not published | $10.78 – $46.12 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $7,323.51 | $7,323.51 | $47.28 – $47.28 | 1 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $68,318.17 | $68,318.17 | $279.93 – $279.93 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $6,410.34 – $6,410.34 | 1 |
| Pet CT whole body initial CPT 78816 | not published | not published | $6,410.34 – $6,410.34 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $6,410.34 – $6,410.34 | 1 |
| Pet image full body CPT 78813 | not published | not published | $6,410.34 – $6,410.34 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $5,728.49 – $5,728.49 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $6,410.34 – $6,410.34 | 1 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $6,410.34 – $6,410.34 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $356.02 – $356.02 | 1 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $99.91 – $99.91 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $149.84 – $149.84 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $49.93 – $49.93 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Ph body fluid CPT 83986 | not published | not published | $3.22 – $13.78 | 2 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $98.52 – $98.52 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $384.66 | $384.66 | $107.53 – $107.53 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $292.48 | $292.48 | $13.77 – $58.91 | 2 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $1,151.77 – $1,151.77 | 1 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $95.12 | $95.12 | $0.04 – $0.04 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $447.56 – $447.56 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $64.54 | $64.54 | $1.27 – $1.27 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $272.21 | $272.21 | $11.93 – $51.01 | 2 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $136.29 – $136.29 | 1 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $309.93 – $4,826.69 | 2 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $341.50 – $4,826.69 | 2 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $99.91 – $99.91 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $149.84 – $149.84 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $49.93 – $49.93 | 1 |
| Phosphorus CPT 84100 | $89.75 | $89.75 | $4.27 – $18.25 | 2 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.20 – $22.25 | 2 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $211.79 – $211.79 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $211.79 – $211.79 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $542.50 – $542.50 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $115.15 – $115.15 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $205.36 – $205.36 | 1 |
| Photo patch test CPT 95052 | not published | not published | $128.71 – $128.71 | 1 |
| Photopheresis CPT 36522 | not published | not published | $4,772.95 – $8,715.36 | 2 |
| Photosensitivity tests CPT 95056 | not published | not published | $419.77 – $419.77 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $190.46 – $190.46 | 1 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $552.48 – $552.48 | 1 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $88.51 – $88.51 | 1 |
| Physician standby services CPT 99360 | not published | not published | $240.05 – $240.05 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $453.72 – $453.72 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $138.71 | $138.71 | $12.13 – $12.13 | 1 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $50.45 – $4,826.69 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $1,959.88 – $1,959.88 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $247.35 – $1,058.10 | 2 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $7,477.44 – $7,477.44 | 1 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $621.28 – $4,826.69 | 2 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $326.98 – $326.98 | 1 |
| Pinworm exam CPT 87172 | not published | not published | $3.84 – $16.44 | 2 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.84 – $16.44 | 2 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $214.98 | $214.98 | $8.89 – $8.89 | 1 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $521.53 – $2,231.00 | 2 |
| Place breast cath for rad CPT 19297 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,546.61 – $8,715.36 | 2 |
| Place cath intracranial art CPT 36228 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,255.28 – $2,991.88 | 2 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,556.68 – $1,556.68 | 1 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,946.75 – $3,432.54 | 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.