Adventhealth Rollins Brook
Lampasas, TX · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Cataract removal with lens insertion (66984) | $19,639.33 | $19,639.33 | 8.5× |
| CT head/brain without contrast (70450) | $3,436.17 | $3,436.17 | 32.7× |
| MRI brain without contrast (70551) | $4,391.63 | $4,391.63 | 18.3× |
| MRI brain without and with contrast (70553) | $5,941.03 | $5,941.03 | 17.0× |
| X-ray lower spine, 4+ views (72110) | $872.16 | $872.16 | 8.3× |
| MRI lumbar spine without contrast (72148) | $4,346.09 | $4,346.09 | 18.1× |
| CT pelvis with contrast (72193) | $4,604.20 | $4,604.20 | 26.1× |
| CT abdomen and pelvis with contrast (74177) | $7,414.63 | $7,414.63 | 21.2× |
| Ultrasound, abdomen complete (76700) | $1,356.39 | $1,356.39 | 12.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,488.91 | $1,488.91 | 14.2× |
| Ultrasound, transvaginal (76830) | $1,130.64 | $1,130.64 | 10.8× |
| Mammography, both breasts (diagnostic) (77066) | $981.60 | $981.60 | 8.9× |
| Mammography, screening (bilateral) (77067) | $792.81 | $792.81 | 8.7× |
| Basic metabolic panel (80048) | $334.52 | $334.52 | 39.5× |
| Comprehensive metabolic panel (80053) | $460.40 | $460.40 | 43.6× |
| Lipid panel (80061) | $324.18 | $324.18 | 24.2× |
| Renal function panel (80069) | $377.61 | $377.61 | 43.5× |
| Hepatic function panel (80076) | $363.81 | $363.81 | 44.5× |
| PSA, total (84153) | $348.70 | $348.70 | 19.0× |
| Thyroid stimulating hormone (TSH) (84443) | $287.34 | $287.34 | 17.1× |
| CBC with automated differential (85025) | $268.66 | $268.66 | 34.6× |
| CBC, automated (85027) | $185.46 | $185.46 | 28.7× |
| Prothrombin time (PT) (85610) | $206.42 | $206.42 | 48.1× |
| Partial thromboplastin time (PTT) (85730) | $230.64 | $230.64 | 38.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $274.83 | $274.83 | 9.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $567.95 | $567.95 | 4.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $820.97 | $820.97 | 6.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $1,075.78 | $1,075.78 | 8.0× |
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 157 codes with posted prices and Medicare benchmarks
- Lab & pathology: 343 codes with posted prices and Medicare benchmarks
- Visits & medical services: 74 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 136 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 4 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 10.3 MB) ↓ — captured 2026-07-18
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