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 |
|---|---|---|---|---|
| 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 abdomen CPT 48000 | $1,908.48 | $4,544.00 | $7,056.11 – $8,291.61 | 2 |
| 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 bone lesion CPT 26992 | not published | not published | $3,188.30 – $4,187.68 | 5 |
| Drainage of bone lesion CPT 27303 | not published | not published | $2,377.84 – $3,467.69 | 5 |
| 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 spinal cyst CPT 63172 | not published | not published | $5,220.14 – $6,413.14 | 2 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $6,465.19 – $7,809.05 | 2 |
| 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 ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.45 – $3.45 | 1 |
| 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 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,000.00 – $2,613.00 | 2 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,000.00 – $2,613.00 | 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 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,000.00 – $5,219.59 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,440.18 | $3,429.00 | $1,000.00 – $8,249.80 | 6 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,300.00 – $8,270.06 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,195.74 | $2,847.00 | $1,000.00 – $3,679.75 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $4,107.98 – $4,839.19 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,728.68 – $4,405.33 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,555.87 – $5,619.00 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $5,951.68 – $7,015.95 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | $1,845.90 | $4,395.00 | $1,000.00 – $2,747.88 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $607.74 | $1,447.00 | $525.53 – $1,543.75 | 6 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $6.01 – $6.01 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $56.70 | $135.00 | $6.20 – $6.20 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,372.29 | $5,648.30 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $3,964.00 | $9,438.10 | $5.71 – $131.89 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $886.80 | $2,111.42 | $43.48 – $131.89 | 4 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $13.97 – $13.97 | 1 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $14.64 – $131.89 | 4 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $7,156.03 | $17,038.16 | $70.82 – $131.89 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $28,551.05 | $67,978.69 | $121.26 – $131.89 | 4 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.62 – $131.89 | 4 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $10.42 – $131.89 | 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.