Covenant Hospital Levelland
1900 College Ave, Levelland, TX · Providence · · NPI 1225146400
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $28.40 – $30.89 | 4 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.13 – $24.06 | 4 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.42 – $13.50 | 4 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $129.73 – $230.40 | 5 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $2,009.20 – $2,239.48 | 2 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $34.84 – $37.90 | 4 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $129.64 – $170.13 | 5 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $763.87 – $1,492.95 | 5 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $763.87 – $1,063.38 | 5 |
| 2nd order venous cath CPT 36012 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $125.38 – $136.37 | 4 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $125.38 – $136.37 | 4 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $96.29 – $96.29 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $828.78 – $1,466.91 | 4 |
| 3d recon without postprocess indpndt CPT 76376 | $31.50 | $75.00 | $27.97 – $48.79 | 2 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.82 – $11.76 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $107.52 | $256.00 | $64.54 – $64.54 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $90.30 | $215.00 | $168.54 – $186.90 | 2 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $94.08 | $224.00 | $180.18 – $199.83 | 2 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $95.34 | $227.00 | $191.05 – $211.90 | 2 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $80.64 | $192.00 | $153.78 – $170.55 | 2 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $86.52 | $206.00 | $168.54 – $186.90 | 2 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $86.10 | $205.00 | $168.54 – $186.90 | 2 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $94.50 | $225.00 | $191.05 – $211.90 | 2 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $102.90 | $245.00 | $226.00 – $248.06 | 2 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $11,791.12 – $13,961.93 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.38 – $47.18 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $11.65 – $12.67 | 4 |
| Abciximab injection HCPCS J0130 | not published | not published | $5,001.75 – $5,001.75 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $3,076.71 – $3,346.32 | 4 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $4,469.24 – $5,268.45 | 2 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $884.52 | $2,106.00 | $170.91 – $584.74 | 5 |
| Abdominal CT scan (with contrast) CPT 74160 | $836.22 | $1,991.00 | $170.91 – $522.32 | 5 |
| Abdominal CT scan (without contrast) CPT 74150 | $509.88 | $1,214.00 | $101.87 – $260.21 | 5 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,066.82 | $4,921.00 | $339.95 – $1,047.33 | 5 |
| Abdominal MRI (with contrast) CPT 74182 | $2,024.82 | $4,821.00 | $339.95 – $925.84 | 5 |
| Abdominal MRI (without contrast) CPT 74181 | $1,265.88 | $3,014.00 | $232.50 – $620.95 | 5 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,227.24 | $2,922.00 | $883.78 – $2,079.41 | 5 |
| Abdominal Ultrasound (complete) CPT 76700 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Abdominal Ultrasound (limited) CPT 76705 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,300.00 – $17,636.66 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,185.24 | $2,822.00 | $883.78 – $2,079.41 | 5 |
| Abl1 gene CPT 81170 | not published | not published | $291.00 – $316.50 | 4 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $953.72 – $2,613.00 | 3 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $5,070.50 – $6,011.29 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $7,249.64 – $8,638.64 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,433.33 – $2,910.50 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $6,898.70 – $8,194.17 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $4,837.00 – $15,990.26 | 5 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $2,613.00 – $18,582.47 | 5 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $1,356.80 – $8,266.14 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,000.00 – $5,383.32 | 6 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,845.90 | $4,395.00 | $1,000.00 – $2,747.88 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $6,794.00 – $19,072.60 | 5 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $5,890.88 – $17,404.82 | 5 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $125.38 – $244.36 | 5 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $883.78 – $9,713.61 | 5 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,613.00 – $18,015.54 | 5 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $275.52 | $656.00 | $240.36 – $718.52 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $10,357.92 – $17,404.82 | 5 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $429.89 – $1,263.33 | 5 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $240.36 – $2,600.00 | 6 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,357.92 – $11,265.58 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $361.62 | $861.00 | $299.10 – $897.50 | 5 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,609.35 – $1,750.38 | 4 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $4,837.00 – $10,032.63 | 4 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $5,619.00 – $13,982.52 | 4 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.64 – $9.39 | 4 |
| Abortion CPT 59850 | not published | not published | $1,314.72 – $4,837.00 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $296.93 – $961.03 | 5 |
| Abrasion lesion single CPT 15786 | not published | not published | $195.50 – $418.52 | 5 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,609.35 – $4,472.98 | 5 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $62.91 | $149.79 | $1.11 – $1.11 | 1 |
| Acetaminophen level CPT 80143 | not published | not published | $18.08 – $19.67 | 4 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $93.38 – $93.38 | 1 |
| Acetone qualitative CPT 82009 | $24.36 | $58.00 | $4.38 – $4.77 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $11.69 – $12.71 | 4 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.92 – $12.97 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $196.10 | $466.91 | $8.05 – $8.05 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | $131.58 | $313.29 | $5.68 – $5.68 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $197.27 – $395.48 | 5 |
| Acne surgery 10040 CPT 10040 | $240.24 | $572.00 | $195.50 – $418.52 | 5 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $141.12 | $336.00 | $167.87 – $182.58 | 4 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $95.34 | $227.00 | $132.78 – $144.42 | 4 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $77.53 – $116.47 | 5 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $69.76 – $69.76 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $41.17 – $63.74 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $82.32 – $188.11 | 5 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $129.73 – $230.40 | 5 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $18.90 | $45.00 | $36.51 – $39.71 | 4 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $12.15 – $33.39 | 5 |
| Acoustic immitance testing CPT 92570 | not published | not published | $125.38 – $255.72 | 5 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $36.40 – $63.39 | 5 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,750.00 – $15,990.26 | 6 |
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.