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 |
|---|---|---|---|---|
| Assay of tyrosine CPT 84510 | not published | not published | $9.57 – $40.93 | 2 |
| Assay of urine sulfate CPT 84392 | not published | not published | $4.94 – $21.14 | 2 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $8.60 – $36.77 | 2 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.45 – $23.29 | 2 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $14.87 – $63.60 | 2 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $9.66 – $41.31 | 2 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.50 – $36.34 | 2 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $17.77 – $76.00 | 2 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $706.24 – $706.24 | 1 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $161.70 | $161.70 | $3.84 – $16.44 | 2 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $532.65 – $532.65 | 1 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $149.84 – $149.84 | 1 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $2,418.57 – $2,418.57 | 1 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $552.48 – $552.48 | 1 |
| Ast/sgot CPT 84450 | $83.96 | $83.96 | $4.66 – $19.94 | 2 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $11,254.66 | $11,254.66 | $290.71 – $290.71 | 1 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $8,715.36 – $12,385.60 | 2 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $8,715.36 – $19,924.96 | 2 |
| Atomic absorption CPT 82190 | not published | not published | $14.31 – $61.22 | 2 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $81.29 | $81.29 | $0.19 – $0.19 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,012.25 – $4,826.69 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $869.44 – $4,826.69 | 2 |
| Attach ocular implant CPT 65140 | not published | not published | $3,908.83 – $7,079.01 | 2 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $294.14 – $294.14 | 1 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $378.80 – $378.80 | 1 |
| Audiometry air + bone CPT 92553 | not published | not published | $532.65 – $532.65 | 1 |
| Auditory function 60 min CPT 92620 | not published | not published | $532.65 – $532.65 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Augmentation of facial bones CPT 21208 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $756.59 – $3,236.50 | 2 |
| Autologous blood op salvage CPT 86891 | not published | not published | $2,418.57 – $2,418.57 | 1 |
| Autologous blood process CPT 86890 | not published | not published | $552.48 – $552.48 | 1 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,186.58 – $2,186.58 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,028.43 – $2,028.43 | 1 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.82 – $24.91 | 2 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $419.77 – $419.77 | 1 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $148.46 – $148.46 | 1 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $419.77 – $419.77 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $316.51 – $316.51 | 1 |
| Av fistula revision CPT 36833 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,464.10 – $7,079.01 | 2 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,745.24 – $8,715.36 | 2 |
| Avul nail plate addl CPT 11732 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $514.22 | $514.22 | $218.41 – $4,826.69 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $1,364,247.50 – $1,364,247.50 | 1 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,042.14 – $8,715.36 | 2 |
| Azacitidine injection HCPCS J9025 | $166.03 | $166.03 | $4.00 – $4.00 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $2.35 – $2.35 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $450.45 – $450.45 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $101.40 | $101.40 | $15.98 – $15.98 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $11.13 – $11.13 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $514.36 – $514.36 | 1 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $126.93 – $126.93 | 1 |
| Baclofen eval charges CPT 97750 | not published | not published | $137.37 – $137.37 | 1 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $10.39 – $44.43 | 2 |
| Bacterial vaginosis pcr CPT 87801 | $210.60 | $210.60 | $63.18 – $270.27 | 2 |
| Bactericidal level serum CPT 87197 | not published | not published | $13.52 – $57.83 | 2 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $31.58 – $135.10 | 2 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,122.63 – $7,079.01 | 2 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $31.58 – $135.10 | 2 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $97.14 – $97.14 | 1 |
| Basiliximab HCPCS J0480 | not published | not published | $14,122.07 – $14,122.07 | 1 |
| B cells total count CPT 86355 | not published | not published | $33.96 – $145.26 | 2 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $11.70 – $11.70 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $85.49 – $365.71 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $143.57 – $143.57 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $14.55 – $14.55 | 1 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $163.97 – $163.97 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $117.85 – $117.85 | 1 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $69.11 – $69.11 | 1 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $2,584.84 | $2,584.84 | $69.11 – $69.11 | 1 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $142.84 – $142.84 | 1 |
| Benign lesion paring 2-4 CPT 11056 | $429.38 | $429.38 | $218.41 – $4,826.69 | 2 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $72.63 – $4,826.69 | 2 |
| #_benzodiazconfur CPT 80346 | $209.03 | $209.03 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $100.96 | $100.96 | $69.15 – $69.15 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $22.91 – $97.98 | 2 |
| Beta-2 microglobulin CPT 82232 | $290.34 | $290.34 | $14.56 – $62.29 | 2 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $122.37 | $122.37 | $21.29 – $21.29 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,439.40 | $3,439.40 | $304.69 – $304.69 | 1 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $636.47 | $636.47 | $268.61 – $268.61 | 1 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $243.24 – $243.24 | 1 |
| Bevacizumab injection HCPCS C9257 | $693.24 | $693.24 | not published | 0 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $174.83 – $174.83 | 1 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $97.14 – $97.14 | 1 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $15.18 – $64.95 | 2 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $1,015.06 – $2,234.24 | 2 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $41.50 – $4,826.69 | 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.