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 |
|---|---|---|---|---|
| MRI breast c- unilateral CPT 77046 | not published | not published | $232.50 – $252.87 | 4 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $638.93 – $638.93 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $232.50 – $252.87 | 4 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $635.81 – $635.81 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $232.50 – $620.95 | 5 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $339.95 – $1,047.33 | 5 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $763.87 – $2,472.72 | 5 |
| MRI chest without contrast CPT 71550 | $1,265.88 | $3,014.00 | $232.50 – $620.95 | 5 |
| MRI chest without & w/contrast CPT 71552 | $2,024.82 | $4,821.00 | $339.95 – $1,047.33 | 5 |
| MRI chest w IV cont CPT 71551 | not published | not published | $763.87 – $925.84 | 5 |
| MRI compatible system HCPCS L0859 | $3,139.50 | $7,475.00 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $306.97 – $308.90 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $232.50 – $716.25 | 5 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,498.40 – $1,498.40 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $811.20 – $811.20 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $339.95 – $925.84 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,012.62 | $2,411.00 | $232.50 – $620.95 | 5 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,024.82 | $4,821.00 | $339.95 – $1,047.33 | 5 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,259.16 | $2,998.00 | $232.50 – $620.95 | 5 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,014.32 | $4,796.00 | $339.95 – $1,047.33 | 5 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $339.95 – $925.84 | 5 |
| MRI tmj CPT 70336 | not published | not published | $232.50 – $620.95 | 5 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,265.88 | $3,014.00 | $232.50 – $620.95 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,024.82 | $4,821.00 | $339.95 – $1,047.33 | 5 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $339.95 – $925.84 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $339.95 – $369.74 | 4 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $170.91 – $185.89 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $339.95 – $369.74 | 4 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $339.95 – $369.74 | 4 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.80 – $92.23 | 4 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $57.48 – $62.52 | 4 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $28.18 – $30.65 | 4 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $232.50 – $252.87 | 4 |
| Mr spectroscopy CPT 76390 | not published | not published | $84.80 – $92.23 | 4 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $206.90 – $225.03 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $370.25 – $402.69 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $327.60 – $356.31 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $230.86 – $251.09 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $622.59 – $677.15 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $298.76 – $324.94 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $6,794.00 – $9,238.44 | 5 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $63.38 – $68.93 | 4 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.07 – $28.36 | 4 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $41.55 – $45.20 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.68 – $6.18 | 4 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.64 – $30.07 | 4 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.55 – $15.82 | 4 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $36.51 – $39.71 | 4 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $49.46 – $49.46 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $33.14 – $33.14 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $125.38 – $136.37 | 4 |
| Multiple sleep latency test CPT 95805 | not published | not published | $788.30 – $910.10 | 5 |
| Mumps antibody igg CPT 86735 | not published | not published | $12.66 – $13.77 | 4 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,010.50 – $5,980.61 | 6 |
| Muscle-skin graft leg CPT 15738 | $4,326.42 | $10,301.00 | $2,300.00 – $9,780.03 | 6 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,300.00 – $9,780.03 | 6 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $112.61 – $228.84 | 5 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $125.38 – $205.90 | 5 |
| Muscle test larynx CPT 95865 | not published | not published | $129.64 – $205.90 | 5 |
| Muscle test one fiber CPT 95872 | not published | not published | $94.74 – $228.84 | 5 |
| Muscle transfers CPT 23397 | not published | not published | $3,300.00 – $15,990.26 | 6 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,750.00 – $15,990.26 | 6 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,453.08 – $11,516.99 | 5 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,600.00 – $11,057.33 | 6 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $46.79 – $50.89 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $19.45 – $21.15 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $41.55 – $45.20 | 4 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $2.11 – $2.11 | 1 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $7.31 – $7.31 | 1 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $12.84 – $13.97 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $170.14 – $185.05 | 4 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography l-s spine CPT 72265 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography neck spine CPT 72240 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography thoracic spine CPT 72255 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $763.87 – $2,610.29 | 5 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $763.87 – $2,610.29 | 5 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $763.87 – $2,610.29 | 5 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $763.87 – $2,610.29 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $62.16 | $148.00 | $11.18 – $12.16 | 4 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $9,832.61 – $11,620.70 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $160.76 – $1,515.47 | 5 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $312.60 – $1,515.47 | 4 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $368.01 – $1,608.39 | 4 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $402.31 – $2,334.53 | 4 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $201.93 – $1,515.47 | 5 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $345.58 – $2,334.53 | 4 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $296.79 – $1,515.47 | 4 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $4,199.59 – $4,980.73 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $3,377.73 – $8,624.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,750.00 – $7,845.12 | 6 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $11.25 – $11.25 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $2,150.00 – $8,270.06 | 6 |
| Nabilone oral HCPCS J8650 | not published | not published | $145.43 – $145.43 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $91.94 | $218.90 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $56.70 | $135.00 | $6.68 – $6.68 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $56.70 | $135.00 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.12 – $4.48 | 4 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $206.64 | $492.00 | $194.50 – $350.83 | 5 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $230.79 – $551.22 | 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.