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 |
|---|---|---|---|---|
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | $138.18 | $329.00 | $72.54 – $72.54 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $464.52 | $1,106.00 | $92.34 – $92.34 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $341.04 | $812.00 | $238.74 – $238.74 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $386.46 – $386.46 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $250.74 | $597.00 | $84.80 – $92.23 | 4 |
| Ultrasound infant hips ltd without stress CPT 76886 | $250.74 | $597.00 | $84.80 – $92.23 | 4 |
| Ultrasound joint complete left CPT 76881 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $114.24 | $272.00 | $158.30 – $158.30 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $70.14 | $167.00 | $80.45 – $80.45 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $737.94 | $1,757.00 | $232.50 – $252.87 | 4 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound retroperitoneal limited CPT 76775 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound scrotum and contents CPT 76870 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound spinal canal and contents CPT 76800 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $408.90 – $408.90 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $339.95 – $369.74 | 4 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $662.17 – $662.17 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.01 – $16.30 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | $442.26 | $1,053.00 | $255.47 – $266.39 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $296.93 – $961.03 | 5 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $28.18 – $113.54 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $28.18 – $30.65 | 4 |
| Unlisted chemotherapy px CPT 96549 | $59.64 | $142.00 | $45.63 – $70.63 | 5 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.80 – $92.23 | 4 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $125.38 – $306.06 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $197.00 – $556.58 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.80 – $92.23 | 4 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $197.00 – $556.58 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,890.88 – $12,819.96 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,890.88 – $12,819.96 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,890.88 – $12,819.96 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,890.88 – $12,819.96 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,619.00 – $12,819.96 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted mr procedure CPT 76498 | not published | not published | $84.80 – $92.23 | 4 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $125.38 – $205.90 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $28.18 – $112.87 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $28.18 – $93.92 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $906.17 – $3,356.38 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $883.78 – $3,168.30 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $309.29 – $1,267.79 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $690.02 – $2,070.87 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $309.29 – $1,267.79 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $690.02 – $2,070.87 | 5 |
| Unlisted procedure rectum CPT 45999 | $1,105.02 | $2,631.00 | $906.17 – $1,880.38 | 5 |
| Unlisted procedure spine CPT 22899 | not published | not published | $240.36 – $11,057.33 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $3,290.02 – $7,187.00 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $36.51 – $39.71 | 4 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $240.36 – $7,057.42 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,248.79 – $3,196.27 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $240.36 – $9,142.74 | 5 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $883.78 – $7,791.12 | 5 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $158.34 – $543.36 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $309.29 – $1,267.79 | 5 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $3,870.12 – $13,214.51 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $690.02 – $1,608.63 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $309.29 – $6,521.34 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $240.36 – $718.52 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $240.36 – $718.52 | 5 |
| Unlisted px hands/fingers CPT 26989 | $275.52 | $656.00 | $240.36 – $718.52 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $309.29 – $1,267.79 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $240.36 – $718.52 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $243.46 – $481.15 | 5 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $3,870.12 – $13,214.51 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $130.97 – $142.45 | 4 |
| Unlisted px middle ear CPT 69799 | not published | not published | $230.79 – $551.22 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $230.79 – $551.22 | 5 |
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.