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 |
|---|---|---|---|---|
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $5,619.00 – $10,032.63 | 4 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,794.00 – $10,032.63 | 4 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $679.46 – $867.55 | 5 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $3,348.05 – $6,794.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,837.00 – $10,032.63 | 5 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,224.64 – $5,682.47 | 4 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,600.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52214 | $3,706.92 | $8,826.00 | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,036.91 – $5,213.72 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $972.87 – $2,215.40 | 5 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,036.91 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,036.91 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $679.46 – $5,213.72 | 6 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,036.91 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,300.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52310 | $2,145.36 | $5,108.00 | $2,036.91 – $5,213.72 | 6 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,036.91 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,750.00 – $8,859.23 | 6 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,150.00 – $8,859.23 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | $628.74 | $1,497.00 | $679.46 – $2,332.59 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,036.91 – $5,213.72 | 5 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $679.46 – $2,332.59 | 6 |
| 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 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $2,190.50 – $2,190.50 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,162.00 – $1,263.83 | 4 |
| 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 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,807.32 – $1,965.70 | 4 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.62 – $12.64 | 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 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $29.13 – $31.68 | 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 automated CPT 88147 | not published | not published | $49.04 – $53.34 | 4 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $26.81 – $29.16 | 4 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $17.98 – $19.56 | 4 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.21 – $15.46 | 4 |
| Cytopath c/v manual CPT 88150 | not published | not published | $17.98 – $19.56 | 4 |
| Cytopath c/v redo CPT 88153 | not published | not published | $23.31 – $25.35 | 4 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $22.35 – $24.31 | 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 auto redo CPT 88166 | not published | not published | $17.98 – $19.56 | 4 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $17.98 – $19.56 | 4 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $40.95 – $44.54 | 4 |
| Cytopath tbs c/v select CPT 88167 | 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 |
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.