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 |
|---|---|---|---|---|
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $1,105.37 – $1,105.37 | 1 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $333.80 – $333.80 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pr application of long arm splint CPT 29105 | $1,046.59 | $1,046.59 | $62.25 – $4,826.69 | 2 |
| Pr application splint static short arm CPT 29125 | $843.54 | $843.54 | $136.29 – $4,826.69 | 2 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $128.71 – $128.71 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | $942.01 | $942.01 | $110.36 – $4,826.69 | 2 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $126.18 | $126.18 | $48.55 – $48.55 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $364.45 – $4,826.69 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $319.85 – $4,826.69 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $942.01 | $942.01 | $94.36 – $94.36 | 1 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $285.82 – $285.82 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $419.03 – $419.03 | 1 |
| Prealbumin CPT 84134 | $376.18 | $376.18 | $13.13 – $56.17 | 2 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $33.30 – $33.30 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $104.07 – $104.07 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $58.63 | $58.63 | $0.73 – $0.73 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.04 – $0.04 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $13.55 – $57.94 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,488.91 | $1,488.91 | $352.43 – $352.43 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,375.01 | $1,375.01 | $283.05 – $283.05 | 1 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $399.59 – $399.59 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $459.50 – $4,826.69 | 2 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $810.43 – $4,826.69 | 2 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $532.65 – $532.65 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $1,869.60 – $1,869.60 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $1,869.60 – $1,869.60 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $151.58 – $4,826.69 | 2 |
| Prepare donor heart CPT 33944 | not published | not published | $2,375.88 – $4,826.69 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $3,431.83 – $4,826.69 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,451.93 – $4,826.69 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $3,035.84 – $4,826.69 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,771.86 – $4,826.69 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $190.46 – $190.46 | 1 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $97.30 – $4,826.69 | 2 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,297.49 – $4,826.69 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,847.90 – $4,826.69 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $503.20 – $4,826.69 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $359.94 – $4,826.69 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,903.85 – $4,826.69 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $500.49 – $4,826.69 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,838.08 – $4,826.69 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $424.81 – $4,826.69 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $3,035.84 – $4,826.69 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $2,375.88 – $4,826.69 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $309.49 – $4,826.69 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,979.90 – $4,826.69 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $3,835.29 – $3,835.29 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $248.23 – $4,826.69 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $236.05 – $4,826.69 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $283.36 – $4,826.69 | 2 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $621.28 – $4,826.69 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $532.65 – $532.65 | 1 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $280.20 – $4,826.69 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $552.48 – $552.48 | 1 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $128.71 – $128.71 | 1 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $552.48 – $552.48 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $128.71 – $128.71 | 1 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Preventive counseling group CPT 99411 | not published | not published | $30.53 – $30.53 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $49.93 – $49.93 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $97.14 – $97.14 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $197.04 – $197.04 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $294.14 – $294.14 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $389.89 – $389.89 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $446.33 – $446.33 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $110.98 – $4,826.69 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,715.75 – $3,432.54 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $124.06 – $4,826.69 | 2 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,776.73 – $4,826.69 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $139.56 – $139.56 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $139.56 – $139.56 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $139.56 – $139.56 | 1 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $139.56 – $139.56 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $139.56 – $139.56 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $139.56 – $139.56 | 1 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $639.64 – $639.64 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $790.87 – $790.87 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $535.57 – $535.57 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $396.82 – $396.82 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $406.52 – $406.52 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $284.44 – $284.44 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $154.00 – $154.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $8,715.36 – $12,385.60 | 2 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $202.59 – $202.59 | 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.