Imaging prices at Adventhealth Rollins Brook

Lampasas, TX · every code in this section with a posted price and a Medicare benchmark.

157 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $493.50 $493.50 5.6×
Abdomen 2 views (74019) $850.70 $850.70 8.1×
Ankle 2 views (73600) $479.22 $479.22 5.5×
Bone survey infant (77076) $1,137.92 $1,137.92 10.8×
Brachytx isodose complex (77318) $2,599.35 $2,599.35 6.9×
Brachytx isodose intermed (77317) $4,380.20 $4,380.20 11.6×
Brachytx Isodose Plan Simple (77316) $4,163.04 $4,163.04 11.1×
Chest 1 view (71045) $687.73 $687.73 7.9×
Chest 2 views (71046) $923.84 $923.84 10.6×
Clavicle complete (73000) $392.91 $392.91 4.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,731.74 $1,731.74 16.5×
CT abdomen and pelvis without and with contrast (74178) $8,083.29 $8,083.29 23.1×
CT abdomen and pelvis without contrast (74176) $6,422.46 $6,422.46 26.8×
CT abdomen w contrast (74160) $4,701.85 $4,701.85 26.7×
CT abdomen w wo contrast (74170) $5,079.39 $5,079.39 28.8×
CT abdomen w/o contrast (74150) $4,079.16 $4,079.16 38.8×
CT Angio Abdomen and Pelvis (74174) $8,210.32 $8,210.32 23.4×
CT Angio Chest (71275) $4,925.32 $4,925.32 28.0×
CT Angio Head (70496) $4,540.19 $4,540.19 25.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $5,118.42 $5,118.42 29.0×
CT Angio Neck (70498) $3,532.17 $3,532.17 20.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $5,118.42 $5,118.42 29.0×
CT cervical spine w/ contrast (72126) $4,651.93 $4,651.93 13.3×
CT cervical spine w/o contrast (72125) $4,291.76 $4,291.76 40.9×
CT cervical spine w/wo cont (72127) $5,116.27 $5,116.27 29.0×
CT chest w contrast (71260) $4,293.93 $4,293.93 24.4×
CT chest w/wo contrast (71270) $4,690.98 $4,690.98 26.6×
CT head/brain with contrast (70460) $3,494.18 $3,494.18 19.8×
CT head/brain without and with contrast (70470) $3,802.18 $3,802.18 21.6×
CT iac w contrast (70481) $3,714.15 $3,714.15 21.1×
CT l-spine w&w/o contrast (72133) $5,081.55 $5,081.55 28.8×
CT lower ext w/o (73700) $3,692.90 $3,692.90 35.2×
CT lower extremity w/contrast material (73701) $4,003.20 $4,003.20 22.7×
CT lumbar spine w contrast (72132) $4,302.62 $4,302.62 12.3×
CT lumbar spine w/o contrast (72131) $4,007.51 $4,007.51 38.2×
CT maxillofacial w contrast (70487) $3,250.16 $3,250.16 18.4×
CT maxillofacial wo contrast (70486) $3,020.14 $3,020.14 28.8×
CT neck tissue combo (70492) $3,610.16 $3,610.16 20.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $4,088.20 $4,088.20 23.2×
CT orbits w/o contrast (70480) $3,348.14 $3,348.14 31.9×
CT pelvis w&w/o contrast (72194) $5,081.55 $5,081.55 28.8×
CT pelvis w/o contrast (72192) $3,981.50 $3,981.50 37.9×
CT scan of leg combo (73702) $4,573.84 $4,573.84 26.0×
CT scans face/jaw combo (70488) $3,486.14 $3,486.14 19.8×
CT soft tissue neck w contrast (70491) $3,662.15 $3,662.15 20.8×
CT soft tissue neck w/o contrast (70490) $2,886.14 $2,886.14 27.5×
CT thoracic spine w/o contrast (72128) $3,708.09 $3,708.09 35.3×
CT thoracic spine w/wo cont (72130) $5,294.19 $5,294.19 30.0×
CT thorax w/o contrast (71250) $3,738.47 $3,738.47 35.6×
CT upper ext wo (73200) $3,977.14 $3,977.14 37.9×
CT upper extremity w/o & w/contrast material (73202) $5,732.50 $5,732.50 32.5×
CT upper extremity with contrast (73201) $4,549.97 $4,549.97 13.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,351.99 $2,351.99 13.3×
Cta Abdomen (74175) $3,831.80 $3,831.80 21.7×
Dxa Bone Density Axial (77080) $567.84 $567.84 5.4×
Foot 2 views (73620) $440.62 $440.62 5.0×
Forearm 2 views (73090) $522.39 $522.39 6.0×
Hand 2 views (73120) $495.15 $495.15 4.7×
Intracavitary Radiation Source Applic Complex (77763) $9,218.31 $9,218.31 13.2×
Intracavitary Radiation Source Applic Intermed (77762) $7,013.06 $7,013.06 12.6×
Intracavitary radiation source applic simple (77761) $7,013.06 $7,013.06 12.6×
Knee 3 Views (73562) $570.08 $570.08 6.5×
Mr safety determination physician/other qhp (76016) $254.79 $254.79 2.9×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $71.15 $71.15 2.4×
Mr safety implt electronics prepj supvj phys/qhp (76018) $267.09 $267.09 2.8×
Mr safety implt pos&/immoblj (76019) $169.68 $169.68 2.9×
Mr safety med physics xm customization plng&mntr (76017) $702.07 $702.07 2.9×
MRA head w/o contrast (70544) $3,908.13 $3,908.13 16.3×
MRA neck w contrast (70548) $4,165.30 $4,165.30 11.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,923.72 $5,923.72 16.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,443.23 $4,443.23 12.7×
Mri Neck Spine W/O & W/Dye (72156) $5,897.22 $5,897.22 16.8×
MRI, dorsal spine combo (72157) $4,609.30 $4,609.30 13.2×
MRI, lumbar spine combo (72158) $5,565.11 $5,565.11 15.9×
Myocardial Spect Multiple Studies (78452) $8,441.82 $8,441.82 6.5×
Neck soft tissue (70360) $520.32 $520.32 6.0×
Ntsty modul radthx pln dose-vol histos (77301) $17,408.24 $17,408.24 12.5×
Pelvis 1 or 2 views (72170) $465.62 $465.62 4.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $920.90 $920.90 8.8×
Radex Ankle Complete Minimum 3 Views (73610) $663.23 $663.23 7.6×
Radex Calcaneus Minimum 2 Views (73650) $461.06 $461.06 5.3×
Radex elbow complete minimum 3 views (73080) $613.26 $613.26 7.0×
Radex fingr minimum 2 views (73140) $463.32 $463.32 5.3×
Radex foot complete minimum 3 views (73630) $613.26 $613.26 7.0×
Radex Hand Minimum 3 Views (73130) $586.01 $586.01 6.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $642.77 $642.77 7.4×
Radex Ribs Unilateral 2 Views (71100) $452.21 $452.21 5.2×
Radex shoulder complete minimum 2 views (73030) $692.77 $692.77 7.9×
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines
$522.39–$830.26 $522.39–$830.26 varies
Radex Sternum Minimum 2 Views (71120) $513.31 $513.31 5.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $706.38 $706.38 8.1×
Radex Toe Minimum 2 Views (73660) $540.58 $540.58 6.2×
Radex Wrist Complete Minimum 3 Views (73110) $533.77 $533.77 6.1×
Radiation treatment delivery level 1 (77402) $1,305.36 $1,305.36 12.7×
Radiation treatment delivery level 2 (77407) $1,913.64 $1,913.64 4.9×
Radiolog exam mandible compl minimum 4 views (70110) $654.13 $654.13 6.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $646.31 $646.31 6.2×
Radiologic exam knee complete 4/more views (73564) $679.13 $679.13 6.5×
Radiologic exam pelvis compl minimum 3 views (72190) $622.03 $622.03 5.9×
Radiologic examination femur 1 view (73551) $383.85 $383.85 4.4×
Radiologic examination femur minimum 2 views (73552) $590.52 $590.52 6.8×
Radiologic examination knee 1/2 views (73560) $558.73 $558.73 6.4×
Radiologic examination tibia & fibula 2 views (73590) $565.55 $565.55 6.5×
Ribs bilateral 3 views (71110) $721.35 $721.35 6.9×
Scapula (73010) $540.58 $540.58 5.1×
Screening Digital Breast Tomosynthesis Bi (77063) $318.28 $318.28 13.6×
Shoulder 1 view (73020) $440.62 $440.62 5.0×
Skull less than 4 views (70250) $615.53 $615.53 5.9×
Srs Multisource (77371) $98,343.21 $98,343.21 13.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,794.37 $1,794.37 4.8×
Telethx isodose pln smpl w/dosimetry calculation (77306) $3,663.61 $3,663.61 9.7×
Thoracic spine 2 views (72070) $670.05 $670.05 6.4×
Thoracic spine 3 views (72072) $822.20 $822.20 7.8×
Ultrasound Breast Limited (76642) $688.16 $688.16 7.9×
Ultrasound Exam Aaa Screen (76706) $950.10 $950.10 9.0×
Ultrasound, abdomen limited (76705) $1,242.44 $1,242.44 11.8×
Us chest (76604) $956.71 $956.71 9.1×
Us complete joint (76881) $1,399.39 $1,399.39 13.3×
Us exam, pelvic, limited (76857) $1,066.46 $1,066.46 10.2×
Us head (76506) $873.85 $873.85 8.3×
Us kidney transplant (76776) $2,288.27 $2,288.27 21.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $932.95 $932.95 8.9×
Us ob detailed single fetus (76811) $1,702.20 $1,702.20 7.1×
Us ob limited 1 or more fetuses (76815) $915.27 $915.27 8.7×
Us ob transvaginal (76817) $954.63 $954.63 9.1×
Us pelvic non ob complete (76856) $1,178.28 $1,178.28 11.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,375.01 $1,375.01 13.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $743.40 $743.40 7.1×
Us retroperitoneal complete (76770) $1,161.71 $1,161.71 11.1×
Us retroperitoneal limited (76775) $1,068.52 $1,068.52 10.2×
Us scrotum and contents (76870) $1,180.35 $1,180.35 11.2×
Us thyroid (76536) $1,093.37 $1,093.37 10.4×
Wrist 2 views (73100) $470.16 $470.16 5.4×
X-Ray Bend Only L-S Spine (72120) $814.45 $814.45 7.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $575.95 $575.95 6.6×
X-Ray Exam Hip Uni 1 View (73501) $383.85 $383.85 4.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $656.42 $656.42 7.5×
X-Ray Exam Hips Bi 2 Views (73521) $842.65 $842.65 8.0×
X-Ray Exam Hips Bi 5/> Views (73523) $1,412.06 $1,412.06 13.4×
X-Ray Exam L-S Spine Bending (72114) $1,049.33 $1,049.33 10.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $735.88 $735.88 8.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,087.95 $1,087.95 10.4×
X-Ray Exam Unilat Ribs/Chest (71101) $788.15 $788.15 7.5×
X-ray humerus (73060) $536.20 $536.20 6.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $426.98 $426.98 4.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $922.15 $922.15 10.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $620.07 $620.07 5.9×
X-ray nose-rectum child f.b. (76010) $415.03 $415.03 4.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $601.90 $601.90 5.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $627.75 $627.75 6.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $683.63 $683.63 7.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $888.07 $888.07 10.2×
X-ray thoracic spine 4 vw (72074) $872.16 $872.16 8.3×
X-Rays Bone Length Studies (77073) $679.13 $679.13 6.5×
X-Rays Bone Survey Complete (77075) $1,533.13 $1,533.13 14.6×
Xr c-spine 4 or 5 views (72050) $942.59 $942.59 9.0×
Xr facial bones less than 3 views (70140) $601.90 $601.90 6.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.