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 |
|---|---|---|---|---|
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $44.10 | $105.00 | $344.26 – $344.26 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $33.18 | $79.00 | $344.26 – $344.26 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $206.64 | $492.00 | $194.50 – $1,000.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $229.74 | $547.00 | $194.50 – $305.40 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $263.76 | $628.00 | $101.74 – $110.66 | 4 |
| Diagnostic Mammogram (one breast) CPT 77065 | $205.80 | $490.00 | $82.77 – $90.02 | 4 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $84.80 – $92.23 | 4 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $406.59 – $442.22 | 4 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.05 – $13.98 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.33 – $0.33 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $96.23 | $229.13 | $23.00 – $23.00 | 1 |
| Dicyclomine injection HCPCS J0500 | $155.46 | $370.14 | $104.18 – $104.18 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.67 – $0.67 | 1 |
| Diffusing capacity CPT 94729 | $750.12 | $1,786.00 | $99.40 – $111.97 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $402.24 – $460.55 | 2 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $56.70 | $135.00 | $14.10 – $14.10 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,011.98 – $5,451.18 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $23.52 | $56.00 | $12.88 – $14.01 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $720.19 – $720.19 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $1,000.00 – $4,524.95 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $883.78 – $3,168.30 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,269.54 – $1,911.91 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $634.77 – $957.50 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,807.58 – $2,717.19 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $428.54 – $473.44 | 5 |
| Dilate urethra stricture CPT 53600 | $286.02 | $681.00 | $140.84 – $1,000.00 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $129.64 – $1,000.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,150.00 – $5,213.72 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $243.46 – $1,000.00 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | $193.20 | $460.00 | $125.38 – $1,000.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,000.00 – $6,183.47 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $129.14 – $3,430.73 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,000.00 – $6,183.47 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $270.04 – $571.58 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $129.64 – $1,000.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $1,000.00 – $6,921.15 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $2,150.00 – $7,845.12 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $177.00 – $1,644.38 | 5 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $831.60 | $1,980.00 | $227.89 – $1,000.00 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $669.20 | $1,593.34 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,613.00 – $3,735.80 | 4 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,434.81 – $3,735.80 | 4 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $209.32 – $209.32 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $37.21 – $37.21 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $726.51 – $790.17 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.10 | $5.00 | $0.07 – $0.07 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $56.70 | $135.00 | $2.56 – $2.56 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $139.35 – $139.35 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $10.17 – $10.17 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $337.84 – $374.68 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $36.40 – $113.54 | 5 |
| Disability dlco CPT 94727 | not published | not published | $210.40 – $349.66 | 5 |
| Disaccharidases CPT 82657 | not published | not published | $21.50 – $23.39 | 4 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,010.50 – $9,780.03 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $4,189.28 – $13,606.53 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $5,707.84 – $6,687.18 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $781.87 – $846.34 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $1,902.77 – $2,069.51 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $305.23 – $1,886.35 | 4 |
| Dissect brain w/scope CPT 62161 | not published | not published | $5,694.96 – $6,871.35 | 2 |
| Dissolve clot heart vessel CPT 92975 | $105.00 | $250.00 | $1,416.64 – $1,730.80 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,422.15 – $13,686.52 | 5 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $4,309.28 – $4,825.46 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,768.40 – $15,850.16 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,206.35 – $4,837.00 | 3 |
| 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 charac alleles CPT 81239 | not published | not published | $266.59 – $289.95 | 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 |
| Double transfer toe-hand CPT 26554 | not published | not published | $6,794.00 – $13,834.06 | 5 |
| 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 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $21.95 – $21.95 | 1 |
| 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 |
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.