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 |
|---|---|---|---|---|
| Assay of phenylketones CPT 84035 | not published | not published | $3.86 – $4.20 | 4 |
| Assay of pregnanediol CPT 84135 | not published | not published | $20.63 – $22.44 | 4 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $20.42 – $22.21 | 4 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.25 – $17.67 | 4 |
| Assay of progesterone CPT 84234 | not published | not published | $62.93 – $68.45 | 4 |
| Assay of prostaglandin CPT 84150 | not published | not published | $40.52 – $44.07 | 4 |
| Assay of PSA complexed CPT 84152 | not published | not published | $17.84 – $19.40 | 4 |
| Assay of quinine CPT 84228 | not published | not published | $11.28 – $12.27 | 4 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.16 – $9.96 | 4 |
| Assay of salicylate CPT 80179 | not published | not published | $18.08 – $19.67 | 4 |
| Assay of semen fructose CPT 82757 | not published | not published | $16.82 – $18.29 | 4 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.04 – $14.18 | 4 |
| Assay of silica CPT 84285 | not published | not published | $24.45 – $26.60 | 4 |
| Assay of somatostatin CPT 84307 | not published | not published | $17.73 – $19.29 | 4 |
| Assay of thiocyanate CPT 84430 | not published | not published | $11.28 – $12.27 | 4 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.79 – $10.64 | 4 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.31 – $11.21 | 4 |
| Assay of urine sulfate CPT 84392 | not published | not published | $5.33 – $5.79 | 4 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.26 – $10.08 | 4 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.87 – $6.38 | 4 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.02 – $17.43 | 4 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.41 – $11.32 | 4 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.16 – $9.96 | 4 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.15 – $20.83 | 4 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $94.05 – $102.29 | 4 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $98.99 – $155.97 | 5 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.14 – $4.50 | 4 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $125.38 – $255.72 | 5 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $7,187.00 – $7,187.00 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $36.60 – $78.44 | 5 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $785.07 – $853.87 | 4 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $166.01 – $180.56 | 4 |
| Ast/sgot CPT 84450 | $27.72 | $66.00 | $5.02 – $5.46 | 4 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $91.18 – $99.17 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $6,794.00 – $40,912.03 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $6,794.00 – $63,087.59 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $15.42 – $16.77 | 4 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $56.70 | $135.00 | $0.19 – $0.19 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $2,899.08 – $8,624.00 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $2,490.07 – $5,301.63 | 5 |
| Attach ocular implant CPT 65140 | not published | not published | $2,300.00 – $11,337.23 | 6 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $163.10 – $182.60 | 2 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $125.38 – $255.72 | 5 |
| Audiometry air + bone CPT 92553 | not published | not published | $125.38 – $255.72 | 5 |
| Auditory function 60 min CPT 92620 | not published | not published | $125.38 – $255.72 | 5 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,750.00 – $15,850.16 | 6 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $3,300.00 – $8,270.06 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,768.40 – $15,850.16 | 6 |
| Augmentation of facial bones CPT 21208 | not published | not published | $3,300.00 – $15,850.16 | 6 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,394.75 | $15,225.60 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $7,070.60 – $26,867.68 | 5 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $5,619.00 – $18,465.72 | 5 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,619.00 – $43,445.24 | 5 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $815.43 – $886.89 | 4 |
| Autologous blood op salvage CPT 86891 | not published | not published | $785.07 – $853.87 | 4 |
| Autologous blood process CPT 86890 | not published | not published | $166.01 – $180.56 | 4 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,827.73 – $2,186.68 | 5 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.28 – $6.83 | 4 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $129.64 – $205.90 | 5 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $91.64 – $136.37 | 5 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $129.64 – $205.90 | 5 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $102.38 – $111.35 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $2,600.00 – $13,686.52 | 6 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,300.00 – $13,686.52 | 6 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $2,300.00 – $13,686.52 | 6 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,300.00 – $13,686.52 | 6 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,300.00 – $13,686.52 | 6 |
| Avul nail plate addl CPT 11732 | $120.12 | $286.00 | $2,613.00 – $2,613.00 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $222.60 | $530.00 | $195.50 – $246.13 | 5 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $515,893.64 – $561,100.82 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $2,150.00 – $18,015.54 | 6 |
| Azacitidine injection HCPCS J9025 | not published | not published | $3.86 – $3.86 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $2.26 – $2.26 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $247.12 – $268.77 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $68.18 | $162.34 | $15.40 – $15.40 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $399.43 | $951.03 | $10.72 – $10.72 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $172.71 – $187.84 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $122.32 – $122.32 | 1 |
| Baclofen eval charges CPT 97750 | $47.88 | $114.00 | $32.74 – $72.24 | 5 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $11.19 – $12.17 | 4 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $68.09 – $74.06 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $14.57 – $15.85 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $34.04 – $37.02 | 4 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $7.21 – $7.21 | 1 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.31 – $0.31 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.10 – $3.10 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $12.62 – $12.62 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $7.94 – $7.94 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $6.29 – $6.29 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $11.20 – $11.20 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,760.68 | $8,954.00 | $2,150.00 – $7,845.12 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $34.04 – $37.02 | 4 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $48.93 – $228.84 | 5 |
| Basiliximab HCPCS J0480 | not published | not published | $4,667.94 – $5,076.99 | 4 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,755.37 | $6,560.40 | not published | 0 |
| B cells total count CPT 86355 | $288.96 | $688.00 | $36.60 – $39.81 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.29 – $3.58 | 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.