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 |
|---|---|---|---|---|
| Partial removal donor liver CPT 47141 | not published | not published | $16,010.08 – $18,805.66 | 2 |
| Partial removal donor liver CPT 47142 | not published | not published | $17,616.39 – $20,734.31 | 2 |
| Partial removal finger bone CPT 26235 | $1,907.64 | $4,542.00 | $1,566.86 – $5,219.59 | 6 |
| Partial removal finger bone CPT 26236 | $1,907.64 | $4,542.00 | $1,566.86 – $5,219.59 | 6 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,150.00 – $7,408.81 | 6 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,750.00 – $11,057.33 | 6 |
| Partial removal of bladder CPT 51550 | not published | not published | $3,599.65 – $4,215.05 | 2 |
| Partial removal of esophagus CPT 43116 | not published | not published | $18,789.16 – $23,075.52 | 2 |
| Partial removal of esophagus CPT 43118 | not published | not published | $13,637.40 – $16,927.24 | 2 |
| Partial removal of esophagus CPT 43121 | not published | not published | $10,618.35 – $12,731.95 | 2 |
| Partial removal of esophagus CPT 43123 | not published | not published | $16,773.88 – $21,034.18 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $10,926.58 – $12,178.19 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $9,561.68 – $11,320.83 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,248.79 – $7,447.48 | 6 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,248.79 – $7,447.48 | 6 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,150.00 – $11,057.33 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,300.00 – $7,408.81 | 6 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,188.30 – $5,219.59 | 6 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $7,463.80 – $8,868.54 | 2 |
| Partial removal of larynx CPT 31367 | not published | not published | $8,157.93 – $9,611.36 | 2 |
| Partial removal of larynx CPT 31368 | not published | not published | $9,061.09 – $10,655.64 | 2 |
| Partial removal of larynx CPT 31370 | not published | not published | $7,671.51 – $9,031.42 | 2 |
| Partial removal of larynx CPT 31375 | not published | not published | $7,268.98 – $8,574.74 | 2 |
| Partial removal of larynx CPT 31380 | not published | not published | $7,176.07 – $8,449.90 | 2 |
| Partial removal of larynx CPT 31382 | not published | not published | $7,872.81 – $9,268.87 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $2,150.00 – $8,270.06 | 6 |
| Partial removal of liver CPT 47125 | not published | not published | $11,552.45 – $13,540.26 | 2 |
| Partial removal of liver CPT 47130 | not published | not published | $12,411.72 – $14,551.01 | 2 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $5,505.29 – $6,533.40 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $2,300.00 – $15,850.16 | 6 |
| Partial removal of pancreas CPT 48145 | not published | not published | $6,107.80 – $7,203.18 | 2 |
| Partial removal of pancreas CPT 48150 | not published | not published | $11,689.20 – $13,712.28 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $2,150.00 – $9,498.12 | 6 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $3,300.00 – $15,850.16 | 6 |
| Partial removal of radius CPT 25151 | not published | not published | $2,150.00 – $11,057.33 | 6 |
| Partial removal of radius CPT 25230 | not published | not published | $2,600.00 – $11,057.33 | 6 |
| Partial removal of rectum CPT 45111 | not published | not published | $4,061.55 – $4,790.45 | 2 |
| Partial removal of rectum CPT 45114 | not published | not published | $6,787.75 – $8,020.63 | 2 |
| Partial removal of rectum CPT 45116 | not published | not published | $5,821.37 – $6,825.67 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $2,150.00 – $11,057.33 | 6 |
| Partial removal of sternum CPT 21620 | not published | not published | $1,873.38 – $3,467.69 | 5 |
| Partial removal of thyroid CPT 60220 | not published | not published | $4,837.00 – $18,015.54 | 5 |
| Partial removal of thyroid CPT 60225 | not published | not published | $5,619.00 – $18,015.54 | 5 |
| Partial removal of tibia CPT 27640 | not published | not published | $2,150.00 – $11,057.33 | 6 |
| Partial removal of toe CPT 28160 | $3,958.50 | $9,425.00 | $2,300.00 – $7,408.81 | 6 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,750.00 – $15,850.16 | 6 |
| Partial removal of tongue CPT 41130 | not published | not published | $4,914.37 – $5,737.29 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $2,300.00 – $11,057.33 | 6 |
| Partial removal of ulna CPT 25150 | not published | not published | $2,150.00 – $11,057.33 | 6 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,600.00 – $11,057.33 | 6 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,154.32 – $7,845.12 | 5 |
| Partial removal tear gland CPT 68505 | not published | not published | $2,300.00 – $6,521.34 | 6 |
| Partial thyroid excision CPT 60210 | not published | not published | $5,890.88 – $18,015.54 | 5 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $5,890.88 – $18,015.54 | 5 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,921.76 | $11,718.48 | $11.83 – $11.83 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,188.30 – $4,005.00 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,300.00 – $7,408.81 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,300.00 – $7,408.81 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,300.00 – $7,408.81 | 6 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,184.20 – $3,715.75 | 5 |
| Passy muir valve metal trach HCPCS L8501 | $478.49 | $1,139.25 | not published | 0 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $7.32 – $7.32 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $166.01 – $180.56 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $166.01 – $180.56 | 4 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $171.64 – $171.64 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.78 – $55.23 | 4 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $54.11 – $58.85 | 4 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $285.65 – $310.68 | 4 |
| Patient recorded spirometry CPT 94014 | not published | not published | $349.66 – $473.44 | 5 |
| Patient recorded spirometry CPT 94015 | not published | not published | $210.40 – $349.66 | 5 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $247.40 – $269.08 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $319.62 – $347.63 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $195.50 – $366.25 | 5 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,010.50 – $5,980.61 | 6 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $1,262.05 – $1,364.36 | 2 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $760.35 – $849.29 | 2 |
| Ped critical care initial CPT 99471 | not published | not published | $1,910.55 – $1,938.86 | 2 |
| Ped critical care subsq CPT 99472 | not published | not published | $893.92 – $993.12 | 2 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $125.38 – $244.36 | 5 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $125.38 – $244.36 | 5 |
| Pedicle enel/ntroral 15576 CPT 15576 | $2,295.30 | $5,465.00 | $2,010.50 – $5,980.61 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $1,287.85 – $1,287.85 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $2,738.28 – $2,738.28 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,571.34 – $29,987.38 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $123.56 – $134.38 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $129.31 – $140.64 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $131.81 – $143.36 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $153.51 – $166.96 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $77.11 – $83.87 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $108.77 – $118.30 | 4 |
| Peginesatide injection HCPCS J0890 | not published | not published | $39.96 – $39.96 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $3,789.73 – $3,789.73 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,709.79 – $4,034.87 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.70 – $235.69 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,019.76 | $2,428.00 | $170.91 – $584.74 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | $836.22 | $1,991.00 | $170.91 – $522.32 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $509.88 | $1,214.00 | $101.87 – $260.21 | 5 |
| Pelvic exenteration CPT 45126 | not published | not published | $10,393.85 – $11,958.66 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,066.82 | $4,921.00 | $339.95 – $1,047.33 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $2,024.82 | $4,821.00 | $339.95 – $925.84 | 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.