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 |
|---|---|---|---|---|
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $1,306.12 | $1,306.12 | $218.41 – $4,826.69 | 2 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $729.12 | $729.12 | $218.41 – $4,826.69 | 2 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $506.21 | $506.21 | $218.41 – $4,826.69 | 2 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $1,351.30 – $1,351.30 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,028.43 – $4,827.98 | 2 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $165.13 – $165.13 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $485.05 – $485.05 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,754.69 | $1,754.69 | $2,038.91 – $4,826.69 | 2 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $67.99 – $67.99 | 1 |
| PSA (Prostate) Test CPT 84153 | $371.58 | $371.58 | $16.55 – $70.80 | 2 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $88.51 – $88.51 | 1 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $532.65 – $532.65 | 1 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $327.44 – $327.44 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $88.51 – $88.51 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $88.51 – $88.51 | 1 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $76.31 – $76.31 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $149.84 – $149.84 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $58.29 – $58.29 | 1 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $24.99 – $24.99 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $81.85 – $81.85 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $54.13 – $54.13 | 1 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $58.29 – $58.29 | 1 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $205.36 – $205.36 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $270.00 – $1,155.00 | 2 |
| Pten gene full sequence CPT 81321 | not published | not published | $540.00 – $2,310.00 | 2 |
| Pten gene known fam variant CPT 81322 | not published | not published | $41.94 – $179.41 | 2 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,808.19 – $8,715.36 | 2 |
| Pt evaluation high complexity patient/family CPT 97163 | $554.20 | $554.20 | $332.99 – $332.99 | 1 |
| Pt evaluation low complexity patient/family CPT 97161 | $554.20 | $554.20 | $332.99 – $332.99 | 1 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $554.20 | $554.20 | $332.99 – $332.99 | 1 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $12.47 – $12.47 | 1 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $99.91 – $99.91 | 1 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $226.15 – $226.15 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $148.46 – $148.46 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $55.52 – $55.52 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $219.86 | $219.86 | $119.31 – $119.31 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $112.38 – $112.38 | 1 |
| Pt wheelchair management each 15 minutes CPT 97542 | $196.97 | $196.97 | $130.44 – $130.44 | 1 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $17,538.01 – $17,538.01 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,900.50 – $21,175.00 | 2 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $4,826.69 – $5,548.68 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,292.00 – $4,826.69 | 2 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $649.34 – $649.34 | 1 |
| Pulse ox continuous overnight monitoring CPT 94762 | $259.39 | $259.39 | $532.65 – $532.65 | 1 |
| Pulse ox multiple CPT 94761 | $476.04 | $476.04 | $16.63 – $16.63 | 1 |
| Pulse ox single CPT 94760 | $244.08 | $244.08 | $9.70 – $9.70 | 1 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $781.31 – $4,826.69 | 2 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $287.08 | $287.08 | $136.29 – $136.29 | 1 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $104.21 – $4,826.69 | 2 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,274.11 – $6,108.74 | 2 |
| Puncture spinal lumbar diagnostic CPT 62270 | $3,192.12 | $3,192.12 | $781.31 – $4,826.69 | 2 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $2,152.56 | $2,152.56 | $4,826.69 – $4,826.69 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $781.31 – $4,826.69 | 2 |
| Pvb thoracic single inj site CPT 64461 | $3,567.48 | $3,567.48 | $781.31 – $4,826.69 | 2 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,462.74 – $4,826.69 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,280.74 – $4,826.69 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,237.04 – $4,826.69 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,345.61 – $4,826.69 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,215.88 – $4,826.69 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $29.76 – $29.76 | 1 |
| Pyruvate CPT 84210 | not published | not published | $13.03 – $55.75 | 2 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.50 – $36.34 | 2 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $447.02 – $447.02 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $1,058.67 – $1,058.67 | 1 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $663.24 – $663.24 | 1 |
| Quest t3 uptake CPT 84479 | $198.59 | $198.59 | $5.82 – $24.91 | 2 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,561.87 – $1,561.87 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $1,460.46 – $1,460.46 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | $12,732.94 | $12,732.94 | $1,460.46 – $1,460.46 | 1 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $12,741.35 | $12,741.35 | $1,247.86 – $1,247.86 | 1 |
| Rabies vaccine id CPT 90676 | not published | not published | $611.38 – $611.38 | 1 |
| Radial keratotomy CPT 65771 | not published | not published | $832.95 – $4,826.69 | 2 |
| Radiation handling CPT 77790 | not published | not published | $59.68 – $59.68 | 1 |
| Radiation physics consult CPT 77336 | not published | not published | $313.58 – $313.58 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $133.21 – $133.21 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $410.72 – $410.72 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $112.38 – $112.38 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $274.74 – $274.74 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $266.42 – $266.42 | 1 |
| Radiation treatment delivery CPT 77401 | $1,270.08 | $1,270.08 | $97.14 – $97.14 | 1 |
| Radiation treatment delivery CPT 77402 | $1,305.36 | $1,305.36 | $542.50 – $542.50 | 1 |
| Radiation treatment delivery CPT 77412 | not published | not published | $935.17 – $935.17 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $745.09 – $745.09 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,406.51 – $4,826.69 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,965.94 – $4,826.69 | 2 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,537.60 – $4,826.69 | 2 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,309.20 – $4,826.69 | 2 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,596.09 – $4,826.69 | 2 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,898.61 – $4,827.98 | 2 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Radiology port images(s) CPT 77417 | $415.73 | $415.73 | $44.39 – $44.39 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $17,408.24 | $17,408.24 | $5,984.32 – $5,984.32 | 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.