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 |
|---|---|---|---|---|
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,434.81 – $8,859.23 | 6 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,150.00 – $13,231.42 | 6 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,224.64 – $8,859.23 | 5 |
| Cystoscopy removal of clots CPT 52001 | $3,706.92 | $8,826.00 | $2,150.00 – $5,213.72 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,036.91 – $5,213.72 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,036.91 – $8,859.23 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,600.00 – $8,859.23 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | $2,145.36 | $5,108.00 | $2,036.91 – $8,859.23 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,467.08 | $5,874.00 | $2,036.91 – $8,859.23 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,600.00 – $8,859.23 | 6 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,434.81 – $8,859.23 | 5 |
| Cystouretero & or pyeloscope CPT 52351 | $3,706.92 | $8,826.00 | $2,300.00 – $8,859.23 | 6 |
| Cysto/uretero stricture tx CPT 52344 | $3,706.92 | $8,826.00 | $2,300.00 – $8,859.23 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,600.00 – $8,859.23 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,600.00 – $8,859.23 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,224.64 – $13,231.42 | 5 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,600.00 – $13,231.42 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,600.00 – $8,859.23 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,001.30 | $4,765.00 | $2,036.91 – $5,213.72 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,036.91 – $8,859.23 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $225.79 – $2,613.00 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $845.09 – $5,619.00 | 3 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $3,870.12 – $4,837.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $2.45 – $2.45 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $41.11 – $44.71 | 4 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $39.48 – $42.94 | 4 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,125.20 – $1,223.80 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $873.00 – $949.50 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $120.54 | $287.00 | $13.96 – $15.18 | 4 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $110.46 | $263.00 | $16.34 – $17.78 | 4 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.02 – $14.16 | 4 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,754.35 – $1,908.08 | 4 |
| Cyto/molecular report CPT 88291 | not published | not published | $129.08 – $129.08 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $24.61 – $26.77 | 4 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.21 – $15.46 | 4 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $28.18 – $30.65 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $254.94 | $607.00 | $50.78 – $55.23 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $25.81 – $28.07 | 4 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $19.65 – $21.37 | 4 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $36.40 – $39.58 | 4 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $173.46 | $413.00 | $36.40 – $39.58 | 4 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $27.47 – $27.47 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $764.40 | $1,820.00 | $166.01 – $180.56 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $254.94 | $607.00 | $50.78 – $55.23 | 4 |
| Cytopath smear other source CPT 88160 | $126.42 | $301.00 | $28.18 – $30.65 | 4 |
| Cytopath smear other source CPT 88162 | not published | not published | $50.78 – $55.23 | 4 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $28.18 – $30.65 | 4 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $17.98 – $19.56 | 4 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $76.29 – $82.98 | 4 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $28.79 – $31.31 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $166.01 – $180.56 | 4 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $21.04 – $21.04 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $327.54 – $356.24 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $14.55 – $15.83 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $68.89 – $68.89 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $112.98 | $268.99 | $2.08 – $2.08 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $53.38 – $58.06 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.98 – $3.24 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.98 – $3.24 | 4 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $253.36 – $275.56 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $172.00 – $172.00 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $195.50 – $366.25 | 5 |
| D&c after delivery 59160 CPT 59160 | $3,760.68 | $8,954.00 | $2,300.00 – $7,845.12 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,760.68 | $8,954.00 | $2,150.00 – $7,845.12 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $4.89 – $5.32 | 4 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $208.15 – $395.48 | 5 |
| Dch validity tests CPT 81002 | $42.00 | $100.00 | $3.38 – $3.67 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,902.77 – $12,525.10 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,230.65 – $15,850.16 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,000.00 – $5,881.38 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,300.00 – $7,845.12 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.69 – $12.71 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,637.17 – $3,085.57 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $772.80 | $1,840.00 | $122.76 – $430.83 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $248.64 | $592.00 | $25.63 – $2,613.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,655.24 | $6,322.00 | $1,609.35 – $3,512.41 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $386.40 | $920.00 | $2,613.00 – $2,613.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $997.50 | $2,375.00 | $2,613.00 – $2,613.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $287.70 | $685.00 | $396.12 – $2,150.00 | 6 |
| Debride nail1-5 11720 CPT 11720 | $76.44 | $182.00 | $57.48 – $222.54 | 5 |
| Debride nail6 or more 11721 CPT 11721 | $107.10 | $255.00 | $57.48 – $222.54 | 5 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $863.10 | $2,055.00 | $690.02 – $2,150.00 | 6 |
| Debride skin bone at fx site CPT 11012 | $3,435.60 | $8,180.00 | $2,150.00 – $3,512.41 | 6 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,153.33 – $2,548.20 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,921.03 – $3,443.29 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $248.22 | $591.00 | $2,613.00 – $2,613.00 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $195.50 – $418.52 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $863.10 | $2,055.00 | $690.02 – $3,512.41 | 6 |
| Debr inf skin add-on 11001 CPT 11001 | $386.40 | $920.00 | $2,613.00 – $2,613.00 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $772.80 | $1,840.00 | $720.17 – $2,150.00 | 6 |
| Decalcification CPT 88311 | $102.48 | $244.00 | $34.33 – $34.33 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $29.38 – $29.38 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $442.26 | $1,053.00 | $112.41 – $350.06 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,300.00 – $11,057.33 | 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.