AdventHealth Rollins Brook — price list
← Hospital overviewVerified from AdventHealth Rollins Brook’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 12 hour decongestant 0.05 % na soln Inpatient & outpatient | 259 RC | $33.38 | $33.38 | — | — | |
| 7 day vaginal 2 % va crea Inpatient & outpatient | 259 RC | $46.79 | $46.79 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0131 HCPCS | $115 | $115 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0134 HCPCS | $63.40 | $63.40 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0137 HCPCS | $123 | $123 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0136 HCPCS | $74.91 | $74.91 | — | — | |
| Acetaminophen 160 mg/5ml po soln Inpatient & outpatient | 259 RC | $60.75 | $60.75 | — | — | |
| Acetaminophen 500 mg/50 ml IV soln Inpatient & outpatient | J0136 HCPCS | $96.52 | $96.52 | — | — | |
| Acetaminophen 650 mg/20.3ml po soln Inpatient & outpatient | 259 RC | $24.14 | $24.14 | — | — | |
| Acetazolamide sodium 500 mg ij solr Inpatient & outpatient | J1120 HCPCS | $243 | $243 | — | — | |
| Acetic acid 3 % soln Inpatient & outpatient | 259 RC | $3.29 | $3.29 | — | — | |
| Acetylcysteine 20 % in soln Inpatient & outpatient | 259 RC | $86.44 | $86.44 | — | — | |
| Acetylcysteine 200 mg/ml IV soln Inpatient & outpatient | J0132 HCPCS | $110 | $110 | — | — | |
| Actemra 200 mg/10ml IV soln Inpatient & outpatient | J3262 HCPCS | $554 | $554 | — | — | |
| Actemra 400 mg/20ml IV soln Inpatient & outpatient | J3262 HCPCS | $4,712 | $4,712 | — | — | |
| Actemra 80 mg/4ml IV soln Inpatient & outpatient | J3262 HCPCS | $554 | $554 | — | — | |
| Actidose with sorbitol 25 gm/120ml po susp Inpatient & outpatient | 259 RC | $322 | $322 | — | — | |
| Actidose-aqua 25 gm/120ml po liqd Inpatient & outpatient | 259 RC | $322 | $322 | — | — | |
| Acyclovir sodium 50 mg/ml IV soln Inpatient & outpatient | J0133 HCPCS | $50.85 | $50.85 | — | — | |
| Adacel 5-2-15.5 lf-mcg/0.5 IM susp Inpatient & outpatient | 90715 HCPCS | $395 | $395 | — | — | |
| Adenosine (diagnostic) 3 mg/ml IV soln Inpatient & outpatient | J0153 HCPCS | $762 | $762 | — | — | |
| Adenosine 12 mg/4ml IV soln Inpatient & outpatient | J0153 HCPCS | $138 | $138 | — | — | |
| Adenosine 6 mg/2ml IV soln Inpatient & outpatient | J0153 HCPCS | $62.17 | $62.17 | — | — | |
| Adrenalin 0.1 % na soln Inpatient & outpatient | 259 RC | $948 | $948 | — | — | |
| Adrenalin-nacl 4-0.9 mg/250ml-% IV soln Inpatient & outpatient | J3490 HCPCS | $461 | $461 | — | — | |
| Afluria preservative free 0.5 ml IM susy Inpatient & outpatient | 90656 HCPCS | $136 | $136 | — | — | |
| Afrin nodrip extra moisture 0.05 % na soln Inpatient & outpatient | 259 RC | $92.21 | $92.21 | — | — | |
| Akten 3.5 % op gel Inpatient & outpatient | 259 RC | $154 | $154 | — | — | |
| Alaway 0.035 % op soln Inpatient & outpatient | 259 RC | $112 | $112 | — | — | |
| Albuked 25 25 % IV soln Inpatient & outpatient | P9046 HCPCS | $572 | $572 | — | — |