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 |
|---|---|---|---|---|
| Anoscopy control bleeding 46614 CPT 46614 | $1,252.44 | $2,982.00 | $384.39 – $1,268.21 | 5 |
| Anoscopy remove fb 46608 CPT 46608 | $960.96 | $2,288.00 | $906.17 – $3,515.99 | 6 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,000.00 – $7,044.00 | 6 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,000.00 – $7,044.00 | 6 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $140.58 – $228.84 | 5 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,750.00 – $16,908.89 | 6 |
| Antibody CPT 86744 | not published | not published | $15.51 – $16.87 | 4 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $12.49 – $13.59 | 4 |
| Antibody elution rbc reference CPT 86860 | $155.40 | $370.00 | $166.01 – $180.56 | 4 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $18.77 – $20.41 | 4 |
| Antibody htlv-i CPT 86687 | not published | not published | $8.82 – $9.59 | 4 |
| Antibody htlv-ii CPT 86688 | not published | not published | $13.58 – $14.77 | 4 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | not published | not published | $17.82 – $19.38 | 4 |
| Antibody id rbc panel CPT 86870 | $303.66 | $723.00 | $349.28 – $379.88 | 4 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.14 – $14.30 | 4 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.48 – $13.58 | 4 |
| Antibody screen rbc CPT 86850 | $51.66 | $123.00 | $50.78 – $55.23 | 4 |
| Antibody tetanus CPT 86774 | not published | not published | $14.36 – $15.61 | 4 |
| Antigen therapy services CPT 95145 | not published | not published | $6.98 – $49.63 | 5 |
| Antigen therapy services CPT 95146 | not published | not published | $6.98 – $49.63 | 5 |
| Antigen therapy services CPT 95147 | not published | not published | $6.98 – $76.31 | 5 |
| Antigen therapy services CPT 95148 | not published | not published | $6.98 – $76.31 | 5 |
| Antigen therapy services CPT 95149 | not published | not published | $6.98 – $76.31 | 5 |
| Antigen therapy services CPT 95165 | not published | not published | $6.98 – $49.63 | 5 |
| Antigen therapy services CPT 95170 | not published | not published | $6.98 – $49.63 | 5 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.45 – $1.58 | 4 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.21 – $1.32 | 4 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.35 – $2.55 | 4 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $11.69 – $12.71 | 4 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $11.69 – $12.71 | 4 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $11.69 – $12.71 | 4 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $2,613.00 – $3,281.93 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $2,613.00 – $3,406.73 | 3 |
| Antinuclear antibodies CPT 86038 | $92.82 | $221.00 | $11.73 – $12.75 | 4 |
| Antinuclear antibodies titer CPT 86039 | not published | not published | $10.83 – $11.77 | 4 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $15.59 – $16.95 | 4 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.60 – $6.09 | 4 |
| Antistreptolysin o titer CPT 86060 | $11.76 | $28.00 | $7.08 – $7.70 | 4 |
| Antithrombin iii activity CPT 85300 | $72.66 | $173.00 | $11.49 – $12.50 | 4 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.98 – $4.33 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $5,133.66 – $5,583.52 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $992.43 – $1,079.40 | 4 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,300.00 – $16,908.89 | 6 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $129.64 – $218.65 | 5 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $129.64 – $218.65 | 5 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $2,646.19 – $3,147.99 | 2 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $488.88 – $531.72 | 4 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,309.68 – $1,424.45 | 4 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $194.00 – $211.00 | 4 |
| Apc gene full sequence CPT 81201 | not published | not published | $756.60 – $822.90 | 4 |
| Apc gene known fam variants CPT 81202 | not published | not published | $271.60 – $295.40 | 4 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $57.48 – $218.65 | 5 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,244.09 – $6,626.29 | 5 |
| Apheresis plasma CPT 36514 | not published | not published | $1,517.59 – $4,484.75 | 5 |
| Apheresis platelets CPT 36513 | not published | not published | $429.89 – $4,484.75 | 5 |
| Apheresis rbc CPT 36512 | not published | not published | $1,517.59 – $4,484.75 | 5 |
| Apheresis wbc CPT 36511 | not published | not published | $1,517.59 – $4,484.75 | 5 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $201.09 – $218.71 | 4 |
| Appendectomy CPT 44950 | not published | not published | $6,308.22 – $9,713.61 | 5 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $3,278.39 – $3,845.14 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $5,619.00 – $16,059.95 | 5 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $2,010.50 – $5,980.61 | 5 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $2,010.50 – $9,780.03 | 5 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,163.42 | $5,151.00 | $2,613.00 – $2,613.00 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $158.34 – $297.75 | 5 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $272.54 – $948.84 | 5 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $272.54 – $948.84 | 5 |
| Appl body cast sho to hips CPT 29035 | $319.20 | $760.00 | $272.54 – $519.90 | 5 |
| Appl cast figure-of-eight CPT 29049 | $319.20 | $760.00 | $156.50 – $296.42 | 5 |
| Appl cast plaster velpeau CPT 29058 | $319.20 | $760.00 | $249.35 – $302.34 | 5 |
| Appl cast shoulder spica CPT 29055 | $319.20 | $760.00 | $272.54 – $519.90 | 5 |
| Appl halo type body cast CPT 29000 | not published | not published | $272.54 – $948.84 | 5 |
| Appl hip spica cast1&1/2 CPT 29325 | $319.20 | $760.00 | $272.54 – $519.90 | 5 |
| Appl hip spica cast 1 leg CPT 29305 | $319.20 | $760.00 | $272.54 – $519.90 | 5 |
| Application clubfoot cast CPT 29450 | $193.62 | $461.00 | $158.34 – $281.10 | 5 |
| Application finger splntstatic 29130 CPT 29130 | $241.50 | $575.00 | $129.64 – $222.54 | 5 |
| Application halo femoral CPT 20663 | not published | not published | $3,188.30 – $6,058.92 | 5 |
| Application halo pelvic CPT 20662 | not published | not published | $1,566.86 – $3,867.16 | 5 |
| Application long leg splint 29505 CPT 29505 | $167.58 | $399.00 | $158.34 – $241.57 | 5 |
| Application lower leg splint 29515 CPT 29515 | $228.06 | $543.00 | $151.15 – $186.88 | 5 |
| Application multi layer compression below knee (both sides) CPT 29581 | $193.62 | $461.00 | $158.34 – $226.36 | 5 |
| Application of body cast CPT 29010 | not published | not published | $272.54 – $519.90 | 5 |
| Application of body cast CPT 29015 | not published | not published | $272.54 – $519.90 | 5 |
| Application of cylinder cast 29365 CPT 29365 | $319.20 | $760.00 | $266.14 – $322.10 | 5 |
| Application of forearm cast 29075 CPT 29075 | $234.78 | $559.00 | $197.69 – $296.42 | 5 |
| Application of long arm cast 29065 CPT 29065 | $527.10 | $1,255.00 | $215.77 – $296.42 | 5 |
| Application of long leg cast CPT 29355 | not published | not published | $272.54 – $338.80 | 5 |
| Application of long leg cast 29345 CPT 29345 | $319.20 | $760.00 | $272.54 – $341.85 | 5 |
| Application of paste boot 29580 CPT 29580 | $225.54 | $537.00 | $133.68 – $172.22 | 5 |
| Application short leg cast 29405 CPT 29405 | $446.88 | $1,064.00 | $173.13 – $296.42 | 5 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $720.17 – $5,980.61 | 5 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,295.30 | $5,465.00 | $720.17 – $5,980.61 | 5 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $1,101.32 | $2,622.18 | not published | 0 |
| Appl long leg cast brace CPT 29358 | $444.78 | $1,059.00 | $272.54 – $439.08 | 5 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,300.00 – $13,606.53 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $9.24 | $22.00 | $5.95 – $24.09 | 5 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $11.65 – $41.93 | 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.