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 |
|---|---|---|---|---|
| Pelvic MRI (without contrast) CPT 72195 | $1,012.62 | $2,411.00 | $232.50 – $620.95 | 5 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,070.60 – $11,057.33 | 5 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $3,729.97 – $7,690.19 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | $270.06 | $643.00 | $101.87 – $110.80 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.41 – $64.62 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.92 – $4.26 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | $1,782.78 | $4,244.72 | $17.07 – $20.60 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,562.96 | $3,721.34 | $30.52 – $33.20 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $118.56 | $282.28 | $5.49 – $5.49 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $78.02 – $78.02 | 1 |
| Penile injection CPT 54235 | $286.02 | $681.00 | $156.34 – $264.79 | 5 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $19,235.57 | $45,798.97 | not published | 0 |
| Penile vascular study CPT 93980 | not published | not published | $101.87 – $128.93 | 5 |
| Penile vascular study CPT 93981 | not published | not published | $101.87 – $111.07 | 5 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,300.00 – $9,498.12 | 6 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,300.00 – $14,517.14 | 6 |
| Penis study CPT 54240 | not published | not published | $135.65 – $228.84 | 5 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $557.24 – $557.24 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $447.65 – $447.65 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $35.73 – $38.86 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,547.54 – $2,770.78 | 4 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,357.92 – $17,404.82 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $7,837.00 – $63,087.59 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $7,837.00 – $40,912.03 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $7,837.00 – $63,087.59 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $7,837.00 – $40,912.03 | 5 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $5,890.88 – $17,404.82 | 5 |
| Percut ablate liver rf CPT 47382 | not published | not published | $5,890.88 – $17,404.82 | 5 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $1,390.83 – $1,621.17 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $353.71 – $353.71 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $105.00 | $250.00 | $847.67 – $847.67 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $9,233.97 – $10,917.44 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,690.52 | $6,406.00 | $1,533.89 – $1,668.30 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $105.00 | $250.00 | $3,274.52 – $3,898.43 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,600.00 – $12,802.28 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,750.00 – $7,845.12 | 6 |
| Peripheral vascular rehab CPT 93668 | $94.50 | $225.00 | $41.93 – $62.52 | 5 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $28.73 – $48.23 | 2 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $26.41 – $48.23 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,000.00 – $9,502.71 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $532.44 – $579.09 | 4 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $389.55 – $423.68 | 4 |
| Permanent tear duct plug HCPCS A4263 | $511.01 | $1,216.70 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.04 – $1.04 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $3,139.05 – $7,837.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $2,968.75 – $3,527.88 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $559.85 – $750.48 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $559.85 – $750.48 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $7,187.00 – $13,231.42 | 5 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,794.00 – $13,231.42 | 5 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $7,837.00 – $12,234.62 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $7,837.00 – $19,428.01 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,624.00 – $12,234.62 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,624.00 – $12,234.62 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $5,619.00 – $17,499.75 | 5 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $5,619.00 – $17,499.75 | 5 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $5,619.00 – $17,499.75 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $323.40 | $770.00 | $243.46 – $264.79 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,000.00 – $8,679.91 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,613.00 – $8,679.91 | 5 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,000.00 – $4,913.91 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $7,837.00 – $63,087.59 | 5 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $7,837.00 – $62,787.80 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $7,837.00 – $62,787.80 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,792.01 – $7,837.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $2,176.57 – $2,176.57 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $3,958.50 | $9,425.00 | $2,150.00 – $8,679.91 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,300.00 – $15,850.16 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,150.00 – $6,273.88 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,600.00 – $15,850.16 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $11.62 – $12.64 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.51 – $17.95 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $58.42 – $63.54 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $263.12 | $626.47 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $271.83 – $1,515.47 | 5 |
| Pet CT whole body initial CPT 78816 | not published | not published | $273.39 – $1,515.47 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $162.32 – $1,515.47 | 5 |
| Pet image full body CPT 78813 | not published | not published | $222.90 – $1,515.47 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $173.96 – $1,372.08 | 5 |
| Pet image skull-thigh CPT 78812 | not published | not published | $213.57 – $1,515.47 | 5 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $247.74 – $1,515.47 | 5 |
| Pet scan brain perf study CPT 78609 | not published | not published | $165.79 – $168.54 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $47,767.34 | $113,731.75 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.55 – $55.91 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $27.85 – $84.66 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.21 – $28.73 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,300.00 – $7,408.81 | 6 |
| Ph body fluid CPT 83986 | $4.62 | $11.00 | $3.47 – $3.78 | 4 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $97.50 – $97.50 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $174.72 | $415.99 | $103.62 – $103.62 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $26.88 | $64.00 | $14.84 – $16.14 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $249.73 – $271.61 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $56.70 | $135.00 | $0.04 – $0.04 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $93.71 – $101.92 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $1.22 – $1.22 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $23.52 | $56.00 | $12.85 – $13.98 | 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.