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 |
|---|---|---|---|---|
| Clot factor xii hageman CPT 85280 | not published | not published | $18.77 – $20.41 | 4 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.84 – $9.61 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $15.85 – $17.24 | 4 |
| Clotting assay whole blood CPT 85396 | not published | not published | $79.63 – $79.63 | 1 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.74 – $1.74 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $345.24 | $822.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $417.90 | $995.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,907.64 | $4,542.00 | $1,000.00 – $5,575.90 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,907.64 | $4,542.00 | $1,000.00 – $3,030.84 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $417.90 | $995.00 | $240.36 – $393.70 | 5 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $417.90 | $995.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $337.26 | $803.00 | $200.27 – $381.33 | 5 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,044.14 | $4,867.00 | $1,566.86 – $5,575.90 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,907.64 | $4,542.00 | $1,566.86 – $5,219.59 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | $417.90 | $995.00 | $240.36 – $393.70 | 5 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $275.52 | $656.00 | $240.36 – $446.69 | 5 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $288.54 | $687.00 | $240.36 – $497.90 | 5 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $652.68 | $1,554.00 | $1,566.86 – $3,030.84 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $417.90 | $995.00 | $240.36 – $393.70 | 5 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $527.52 | $1,256.00 | $908.63 – $2,150.00 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $275.52 | $656.00 | $240.36 – $497.90 | 5 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $264.18 | $629.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $417.90 | $995.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $417.90 | $995.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $319.20 | $760.00 | $272.54 – $519.90 | 5 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $607.74 | $1,447.00 | $525.53 – $2,300.00 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $275.52 | $656.00 | $240.36 – $497.90 | 5 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $291.90 | $695.00 | $240.36 – $497.90 | 5 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $382.62 | $911.00 | $240.36 – $2,150.00 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,958.50 | $9,425.00 | $2,150.00 – $5,575.90 | 6 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $417.90 | $995.00 | $240.36 – $497.90 | 5 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $275.52 | $656.00 | $240.36 – $497.90 | 5 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,066.04 | $12,062.00 | $2,150.00 – $5,383.32 | 6 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $551.22 – $2,150.00 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,621.64 | $6,242.00 | $1,566.86 – $5,575.90 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $382.62 | $911.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx pelvic ring fx CPT 27197 | $275.52 | $656.00 | $240.36 – $848.81 | 5 |
| Clsd tx pelvic ring fx CPT 27198 | $275.52 | $656.00 | $240.36 – $848.81 | 5 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,621.64 | $6,242.00 | $1,000.00 – $3,030.84 | 6 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $275.52 | $656.00 | $240.36 – $497.90 | 5 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,907.64 | $4,542.00 | $908.63 – $1,704.16 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,907.64 | $4,542.00 | $1,566.86 – $3,030.84 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,907.64 | $4,542.00 | $908.63 – $2,150.00 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,752.68 | $6,554.00 | $1,000.00 – $4,889.63 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $3,958.50 | $9,425.00 | $1,000.00 – $5,575.90 | 6 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $245.28 | $584.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $275.52 | $656.00 | $240.36 – $288.66 | 5 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,621.64 | $6,242.00 | $1,000.00 – $3,030.84 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $371.70 | $885.00 | $240.36 – $497.90 | 5 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $359.94 | $857.00 | $240.36 – $497.90 | 5 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $275.52 | $656.00 | $240.36 – $2,150.00 | 6 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $275.52 | $656.00 | $240.36 – $497.90 | 5 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $347.34 | $827.00 | $240.36 – $1,000.00 | 6 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $275.52 | $656.00 | $240.36 – $3,030.84 | 6 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,907.64 | $4,542.00 | $1,566.86 – $3,030.84 | 6 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,907.64 | $4,542.00 | $1,566.86 – $5,575.90 | 6 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,907.64 | $4,542.00 | $908.63 – $1,704.16 | 6 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,907.64 | $4,542.00 | $1,000.00 – $5,575.90 | 6 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $7,101.36 | $16,908.00 | $2,300.00 – $15,850.16 | 6 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,845.90 | $4,395.00 | $1,511.89 – $5,383.32 | 6 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,783.78 | $9,009.00 | $1,826.91 – $3,513.75 | 5 |
| Cltx palatal/max fx wire fix CPT 21421 | $3,783.78 | $9,009.00 | $2,600.00 – $15,850.16 | 6 |
| Cltx post ankle fx CPT 27767 | $275.52 | $656.00 | $240.36 – $393.70 | 5 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,621.64 | $6,242.00 | $718.52 – $1,704.16 | 5 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,907.64 | $4,542.00 | $908.63 – $1,704.16 | 6 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $275.52 | $656.00 | $240.36 – $1,000.00 | 6 |
| Cltx thigh fx CPT 27267 | $3,958.50 | $9,425.00 | $2,613.00 – $5,575.90 | 5 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,511.89 – $8,270.06 | 6 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,750.00 – $16,908.89 | 6 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $205.90 – $395.48 | 5 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $338.50 – $910.10 | 5 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $833.35 – $910.10 | 5 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $57.48 – $112.87 | 5 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $57.48 – $112.87 | 5 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $13.65 – $14.84 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.54 – $9.28 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $36.12 | $86.00 | $18.97 – $20.64 | 4 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $34.04 – $37.02 | 4 |
| Co2 monitor per day CPT 94681 | not published | not published | $349.66 – $395.48 | 5 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.56 – $2.79 | 4 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.15 – $4.52 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.36 – $4.74 | 4 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $4.49 – $4.49 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $125.38 – $255.72 | 5 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $125.38 – $255.72 | 5 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $4.67 – $4.67 | 1 |
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.