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 |
|---|---|---|---|---|
| Treprostinil injection HCPCS J3285 | not published | not published | $53.53 – $58.22 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $2,189.12 – $2,189.12 | 1 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $195.46 – $212.58 | 4 |
| Trh stimulation panel CPT 80439 | not published | not published | $65.19 – $70.91 | 4 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $56.70 | $135.00 | $4.71 – $4.71 | 1 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $13.95 – $19.81 | 4 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $13.13 – $13.13 | 1 |
| Trichinella antibody CPT 86784 | not published | not published | $12.18 – $13.25 | 4 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $14.83 – $16.13 | 4 |
| Triglycerides CPT 84478 | $31.08 | $74.00 | $5.57 – $6.06 | 4 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.32 – $5.79 | 4 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $122.58 – $122.58 | 1 |
| Trim nail(s) HCPCS G0127 | not published | not published | $57.48 – $222.54 | 5 |
| Trim nondyst nails CPT 11719 | $76.44 | $182.00 | $57.48 – $222.54 | 5 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $455.29 – $495.19 | 4 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $4,027.69 – $13,268.82 | 5 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $5,185.19 – $13,268.82 | 5 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $7,187.00 – $13,606.53 | 4 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $3,779.01 – $5,619.00 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $3,768.67 – $5,619.00 | 3 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $3,062.94 – $5,619.00 | 3 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $5,619.00 – $40,912.03 | 5 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $3,076.71 – $9,502.71 | 5 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $2,613.00 – $5,897.28 | 5 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $3,076.71 – $9,502.71 | 5 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $3,076.71 – $9,502.71 | 5 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,961.86 | $9,433.00 | $2,613.00 – $3,584.32 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $4,326.42 | $10,301.00 | $3,453.08 – $9,780.03 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $2,163.42 | $5,151.00 | $2,613.00 – $2,613.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,295.30 | $5,465.00 | $2,010.50 – $5,980.61 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,295.30 | $5,465.00 | $2,010.50 – $5,980.61 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,010.50 – $5,980.61 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,010.50 – $5,980.61 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $2,010.50 – $5,980.61 | 6 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $621.51 – $675.97 | 4 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,142.80 – $3,418.20 | 4 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $3,924.79 – $4,747.83 | 2 |
| Troponin quantitative CPT 84484 | $67.20 | $160.00 | $12.10 – $13.16 | 4 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $535.93 – $1,032.97 | 5 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,434.81 – $3,735.80 | 4 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $763.87 – $1,492.95 | 5 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $763.87 – $1,492.95 | 5 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $763.87 – $1,492.95 | 5 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $763.87 – $1,063.38 | 5 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $2,300.00 – $16,059.95 | 6 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $14.43 – $14.43 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $872.21 | $2,076.69 | $60.12 – $60.12 | 1 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.14 – $7.14 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $60.68 – $60.68 | 1 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.08 – $0.08 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.45 – $1.45 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $429.89 – $2,669.39 | 5 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,187.00 – $16,908.89 | 5 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $3,851.26 – $4,568.21 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $2,550.51 – $27,701.10 | 5 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $240.36 – $718.52 | 5 |
| Tx closed hip disl traumatic without anes CPT 27250 | $417.90 | $995.00 | $240.36 – $1,000.00 | 6 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $5,294.94 | $12,607.00 | $1,000.00 – $5,575.90 | 6 |
| Tx closed tib shaft fx without manip CPT 27750 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $306.20 – $783.27 | 5 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $214.48 – $783.27 | 5 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $3,469.34 – $3,673.13 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $3,286.15 – $3,878.63 | 2 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $952.96 – $2,613.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $3,958.50 | $9,425.00 | $2,750.00 – $8,679.91 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $5,294.94 | $12,607.00 | $2,600.00 – $8,679.91 | 6 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,958.50 | $9,425.00 | $2,150.00 – $8,679.91 | 6 |
| Tx open nsl fx uncomp CPT 21325 | $3,783.78 | $9,009.00 | $2,600.00 – $8,270.06 | 6 |
| Tx open nsl sptl fx CPT 21336 | $3,958.50 | $9,425.00 | $2,600.00 – $8,679.91 | 6 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $5,294.94 | $12,607.00 | $2,600.00 – $8,679.91 | 6 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,646.30 – $4,837.00 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Tympanic membrane repair CPT 69610 | not published | not published | $731.29 – $1,644.38 | 5 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,000.00 – $15,850.16 | 6 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $210.40 – $255.72 | 5 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $494.83 – $604.69 | 5 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,300.00 – $15,850.16 | 6 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,300.00 – $15,850.16 | 6 |
| Tyms gene com variants CPT 81346 | not published | not published | $169.57 – $184.42 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $154.74 – $154.74 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $187.45 – $203.88 | 4 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.90 – $4.24 | 4 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $66.68 – $72.53 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $226.98 – $246.87 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $17.17 – $110.80 | 4 |
| Ultrasound breast complete CPT 76641 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $200.76 | $478.00 | $84.80 – $92.23 | 4 |
| Ultrasound chest CPT 76604 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $125.32 – $125.32 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound encephalogram CPT 76506 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $410.21 – $410.21 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
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.