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 |
|---|---|---|---|---|
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $1,089.23 – $2,613.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $270.63 – $294.34 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $132.89 – $144.54 | 4 |
| Dna antibody native/double stranded CPT 86225 | $91.56 | $218.00 | $13.33 – $14.50 | 4 |
| Dna gardnerella CPT 87510 | not published | not published | $19.45 – $21.15 | 4 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.07 – $24.00 | 4 |
| Dna probe gc CPT 87590 | not published | not published | $26.07 – $28.36 | 4 |
| Dna trichomonas CPT 87660 | not published | not published | $19.45 – $21.15 | 4 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $60.89 | $144.97 | $10.57 – $10.57 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $8.98 – $8.98 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $4.12 – $53.39 | 4 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $21.67 – $21.67 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $354.34 – $354.34 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $84.30 | $200.72 | $0.93 – $0.93 | 1 |
| Doppler echo complete CPT 93320 | $546.42 | $1,301.00 | $79.22 – $85.28 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $524.16 | $1,248.00 | $210.40 – $255.52 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $438.90 | $1,045.00 | $129.64 – $169.30 | 5 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.67 – $2.67 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $153.48 – $153.48 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | $26,981.22 | $64,241.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $239.67 – $260.67 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $12.95 – $12.95 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $69.71 – $75.81 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $171.75 | $408.94 | not published | 0 |
| Dpyd gene common variants CPT 81232 | not published | not published | $169.57 – $184.42 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $607.74 | $1,447.00 | $377.13 – $750.48 | 5 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $863.10 | $2,055.00 | $377.13 – $750.48 | 5 |
| Drainage external ear complex 69005 CPT 69005 | $1,994.16 | $4,748.00 | $479.33 – $1,750.38 | 5 |
| Drainage external ear simple 69000 CPT 69000 | $1,181.04 | $2,812.00 | $377.13 – $750.48 | 5 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,435.60 | $8,180.00 | $1,000.00 – $3,679.75 | 6 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,150.00 – $6,950.94 | 6 |
| Drainage mouth roof lesion CPT 42000 | $276.36 | $658.00 | $230.79 – $2,150.00 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | $1,994.16 | $4,748.00 | $1,609.35 – $3,679.75 | 6 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,000.00 – $6,950.94 | 6 |
| Drainage of eye CPT 65800 | $2,497.32 | $5,946.00 | $1,000.00 – $2,445.85 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $2,248.79 – $7,447.48 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $2,150.00 – $7,447.48 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,566.86 – $7,057.42 | 6 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $690.02 – $4,472.98 | 6 |
| Drainage of mouth lesion CPT 41005 | $276.36 | $658.00 | $230.79 – $1,543.75 | 6 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,000.00 – $8,270.06 | 6 |
| Drainage of mouth lesion CPT 41007 | $1,845.90 | $4,395.00 | $1,000.00 – $8,270.06 | 6 |
| Drainage of mouth lesion CPT 41008 | $5,066.04 | $12,062.00 | $1,000.00 – $5,383.32 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $525.53 – $1,543.75 | 6 |
| Drainage of mouth lesion CPT 41015 | $607.74 | $1,447.00 | $525.53 – $1,543.75 | 6 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,000.00 – $8,270.06 | 6 |
| Drainage of mouth lesion CPT 41017 | $3,783.78 | $9,009.00 | $1,000.00 – $5,383.32 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,000.00 – $2,747.88 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | $276.36 | $658.00 | $230.79 – $302.04 | 5 |
| Drainage of nose lesion sept 30020 CPT 30020 | $607.74 | $1,447.00 | $525.53 – $750.56 | 5 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,000.00 – $7,057.42 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,958.50 | $9,425.00 | $1,000.00 – $7,057.42 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,000.00 – $8,859.23 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Drainage of rectal abscess CPT 45005 | $1,942.92 | $4,626.00 | $1,166.03 – $6,183.47 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,150.00 – $6,183.47 | 6 |
| Drainage of salivary gland CPT 42305 | $3,783.78 | $9,009.00 | $2,150.00 – $8,270.06 | 6 |
| Drainage of salivary gland CPT 42320 | $607.74 | $1,447.00 | $525.53 – $1,543.75 | 6 |
| Drainage of throat abscess CPT 42725 | not published | not published | $2,150.00 – $15,850.16 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,150.00 – $6,921.15 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,467.08 | $5,874.00 | $293.27 – $2,215.40 | 5 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $679.46 – $6,921.15 | 6 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,036.91 – $6,921.15 | 5 |
| Drain bladder by trocar/cath CPT 51101 | $1,242.78 | $2,959.00 | $263.68 – $910.10 | 5 |
| Drain blood from under nail 11740 CPT 11740 | $120.96 | $288.00 | $129.64 – $222.54 | 5 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,609.35 – $4,472.98 | 5 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,609.35 – $4,472.98 | 5 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $856.80 | $2,040.00 | $687.82 – $1,583.98 | 6 |
| Drain chest lesion CPT 21502 | not published | not published | $2,150.00 – $7,057.42 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $154.14 | $367.00 | $195.50 – $377.13 | 5 |
| Drain lower leg bursa CPT 27604 | $3,958.50 | $9,425.00 | $2,150.00 – $11,057.33 | 6 |
| Drain lower leg lesion 27603 CPT 27603 | $3,435.60 | $8,180.00 | $2,150.00 – $6,950.94 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,435.60 | $8,180.00 | $2,150.00 – $6,950.94 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $4,224.11 – $5,062.96 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,154.32 – $7,845.12 | 5 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,300.00 – $7,845.12 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $4,101.53 – $4,834.60 | 2 |
| Drain penis lesion CPT 54015 | $1,994.16 | $4,748.00 | $1,609.35 – $6,950.94 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,566.86 – $7,057.42 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,300.00 – $6,950.94 | 6 |
| Drain shoulder lesion CPT 23030 | $3,435.60 | $8,180.00 | $1,000.00 – $6,950.94 | 6 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,435.60 | $8,180.00 | $2,300.00 – $6,950.94 | 6 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,000.00 – $2,747.88 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,759.75 – $3,259.11 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $338.10 | $805.00 | $195.50 – $2,150.00 | 6 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $222.60 | $530.00 | $195.50 – $230.95 | 5 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $496.02 | $1,181.00 | $396.12 – $2,150.00 | 6 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $772.80 | $1,840.00 | $559.85 – $783.27 | 5 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $15,247.86 | $36,304.42 | $121.26 – $131.89 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $120.96 | $288.00 | $3,358.40 – $4,097.85 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $120.96 | $288.00 | $1,186.98 – $1,423.27 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,891.35 – $3,412.86 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,958.50 | $9,425.00 | $2,150.00 – $5,219.59 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | $351.96 | $838.00 | $309.29 – $694.72 | 5 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,994.16 | $4,748.00 | $1,000.00 – $3,679.75 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $229.98 – $750.48 | 5 |
| Drng of mouth lesion 40801 CPT 40801 | $1,219.26 | $2,903.00 | $525.53 – $2,747.88 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,300.00 – $7,845.12 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,150.00 – $5,219.59 | 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.