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 |
|---|---|---|---|---|
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $101.73 – $131.89 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $6,710.32 – $8,063.25 | 2 |
| Description not available HCPCS S0013 | not published | not published | $445.20 – $445.20 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $3,815.28 – $12,802.28 | 5 |
| Design mlc device for imrt CPT 77338 | not published | not published | $364.85 – $396.82 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $8.01 – $8.01 | 1 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.05 – $32.68 | 4 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,472.13 – $1,855.61 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $5,759.47 – $6,929.19 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $4,169.91 – $5,018.80 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $195.50 – $515.06 | 5 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $100.80 | $240.00 | $195.50 – $241.57 | 5 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $195.50 – $340.28 | 5 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $195.50 – $340.28 | 5 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $1,902.77 – $6,246.66 | 5 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $554.26 – $1,268.21 | 5 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $240.24 | $572.00 | $180.81 – $212.63 | 5 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,010.50 – $5,471.96 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $293.25 – $2,186.68 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $106.68 | $254.00 | $195.50 – $340.28 | 5 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $659.29 – $783.27 | 5 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $496.02 | $1,181.00 | $396.12 – $659.29 | 5 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $659.29 – $2,186.68 | 5 |
| Destruction 2-14 lesions 17003 CPT 17003 | $4.20 | $10.00 | $2,613.00 – $2,613.00 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $669.25 – $2,186.68 | 5 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,000.00 – $8,249.80 | 6 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $496.02 | $1,181.00 | $396.12 – $659.29 | 5 |
| Destruction benign lesions < 14 lesions CPT 17110 | $240.24 | $572.00 | $195.50 – $418.52 | 5 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $861.85 – $2,855.82 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,902.77 – $6,246.66 | 5 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,150.00 – $3,196.27 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,150.00 – $6,521.34 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,150.00 – $6,521.34 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $195.50 – $340.28 | 5 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,000.00 – $8,249.80 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $315.25 – $2,519.68 | 5 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $396.12 – $528.75 | 5 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $396.12 – $595.59 | 5 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $340.28 – $430.83 | 5 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $396.12 – $584.97 | 5 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $340.28 – $430.83 | 5 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,000.00 – $5,471.96 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $386.32 – $430.83 | 5 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,704.66 – $8,249.80 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,000.00 – $7,845.12 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | $3,707.76 | $8,828.00 | $267.42 – $3,430.73 | 5 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $285.54 – $2,186.68 | 5 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $29.13 – $31.68 | 4 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $42.36 – $46.07 | 4 |
| Determination venous press CPT 93770 | $120.96 | $288.00 | $17.86 – $19.81 | 2 |
| Determine refractive state CPT 92015 | not published | not published | $42.71 – $47.37 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | $17.22 | $41.00 | $20.96 – $24.12 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $125.38 – $136.37 | 4 |
| Device ablt adv novasure HCPCS C1886 | $6,148.80 | $14,640.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,386.50 | $12,825.00 | $13.19 – $13.19 | 1 |
| Device intraute mirena HCPCS J7298 | $315.00 | $750.00 | $3,372.28 – $3,372.28 | 1 |
| Device sut capio slim opn HCPCS C2631 | $1,825.12 | $4,345.53 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $10,602.90 | $25,245.00 | not published | 0 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $108.53 – $148.34 | 2 |
| Devise bowel pouch CPT 44316 | not published | not published | $5,300.15 – $6,236.59 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $98.99 – $108.92 | 5 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $142.11 – $142.11 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $84.80 – $92.23 | 4 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $89.77 – $97.64 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.41 – $4.41 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $215.35 | $512.73 | $0.04 – $0.04 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $56.70 | $135.00 | $0.07 – $0.07 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $197.68 – $215.00 | 4 |
| Dexamethasone panel CPT 80420 | not published | not published | $157.02 – $170.78 | 4 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.19 – $2.19 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $48.25 – $52.47 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $98.43 – $98.43 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $4.64 – $4.64 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $47.27 | $112.54 | $6.23 – $6.23 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $46.85 | $111.54 | $18.36 – $18.36 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $47.48 | $113.04 | $28.12 – $28.12 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $47.69 | $113.54 | $56.24 – $56.24 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $21.56 – $23.45 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $54.18 | $129.00 | $9.42 – $10.24 | 4 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $36.51 – $39.71 | 4 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $243.73 – $243.73 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $39.08 – $39.08 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $39.08 – $39.08 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $39.08 – $39.08 | 1 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.51 – $31.07 | 5 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $81.26 – $81.26 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $39.08 – $39.08 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,734.37 – $4,483.56 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,300.00 – $12,819.96 | 6 |
| Diagnostic anoscopy CPT 46601 | $134.40 | $320.00 | $390.33 – $559.85 | 5 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,166.03 – $3,515.99 | 5 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $134.40 | $320.00 | $129.64 – $559.85 | 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.