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 |
|---|---|---|---|---|
| Prep donor liver whole CPT 47143 | not published | not published | $8,694.64 – $10,258.33 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $6,804.51 – $8,028.24 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $886.37 – $1,045.76 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $5,670.43 – $6,690.20 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $836.77 – $910.10 | 4 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $710.92 – $838.73 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $676.05 – $808.31 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $811.55 – $957.50 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $772.80 | $1,840.00 | $396.12 – $2,150.00 | 6 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,295.30 | $5,465.00 | $720.17 – $2,150.00 | 6 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,147.44 | $2,732.00 | $1,000.00 – $2,613.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $130.20 | $310.00 | $125.38 – $349.66 | 5 |
| Pressure treatment esophagus CPT 43460 | $120.96 | $288.00 | $802.49 – $971.19 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $166.01 – $180.56 | 4 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $57.48 – $62.52 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $166.01 – $180.56 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $35.70 | $85.00 | $57.48 – $62.52 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $166.01 – $180.56 | 4 |
| Preventive counseling group CPT 99411 | not published | not published | $17.08 – $18.95 | 2 |
| Preventive counseling group CPT 99412 | not published | not published | $28.73 – $31.00 | 2 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $53.59 – $60.30 | 2 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $109.51 – $122.32 | 2 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $164.64 – $182.60 | 2 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $220.58 – $242.04 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $116.76 | $278.00 | $129.73 – $230.40 | 5 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,994.16 | $4,748.00 | $317.83 – $1,750.38 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,994.16 | $4,748.00 | $1,000.00 – $5,700.11 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $946.68 | $2,254.00 | $355.32 – $1,000.00 | 6 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,756.85 – $5,982.39 | 5 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $36.37 – $76.21 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $364.25 – $397.07 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $445.01 – $490.95 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $300.55 – $332.47 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $222.90 – $246.34 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $228.34 – $252.36 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $158.44 – $176.57 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $85.44 – $95.60 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $13,686.52 – $19,428.01 | 5 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $98.99 – $107.67 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $356.58 | $849.00 | $377.13 – $430.83 | 5 |
| Pr incision & drainage abscess simple/single CPT 10060 | $356.58 | $849.00 | $195.50 – $299.32 | 5 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $989.10 | $2,355.00 | $215.74 – $322.95 | 5 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $354.90 | $845.00 | $382.45 – $448.22 | 5 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $189.84 | $452.00 | $129.73 – $230.40 | 5 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $139.44 | $332.00 | $129.73 – $230.40 | 5 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $110.46 | $263.00 | $27.12 – $30.14 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,902.77 – $5,881.38 | 6 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $9,639.00 | $22,950.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $309.29 – $1,267.79 | 6 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,150.00 – $6,521.34 | 6 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,150.00 – $6,521.34 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,316.67 – $6,521.34 | 5 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $208.37 – $226.63 | 4 |
| Procalcitonin CPT 84145 | $146.58 | $349.00 | $26.40 – $28.72 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $374.19 – $374.19 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $56.70 | $135.00 | $46.15 – $46.15 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.52 – $0.52 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $6,969.65 – $8,296.15 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $6,880.65 – $8,145.47 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,000.00 – $7,044.00 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,000.00 – $3,515.99 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,166.03 – $1,926.61 | 5 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $960.96 | $2,288.00 | $337.20 – $985.58 | 5 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,000.00 – $3,515.99 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,000.00 – $3,515.99 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,000.00 – $3,515.99 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,000.00 – $7,044.00 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,000.00 – $3,515.99 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,971.50 | $7,075.00 | $1,000.00 – $7,044.00 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $1,000.00 – $13,491.94 | 6 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $11.25 – $131.89 | 4 |
| Progesterone CPT 84144 | $112.14 | $267.00 | $20.23 – $22.01 | 4 |
| Prolactin CPT 84146 | $104.16 | $248.00 | $18.80 – $20.45 | 4 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $19.38 – $24.12 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $1.56 – $10.32 | 2 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $99.93 – $99.93 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $31.50 | $75.00 | $80.11 – $80.11 | 1 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $202.71 – $296.29 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $195.71 – $223.94 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $207.26 – $1,211.53 | 5 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $75.79 – $75.79 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $239.98 – $271.31 | 2 |
| Prolong serv without contact add CPT 99359 | not published | not published | $114.95 – $130.92 | 2 |
| Promethazine 25 mg tablet HCPCS Q0169 | $13.72 | $32.66 | $0.22 – $0.22 | 1 |
| Promethazine hcl injection HCPCS J2550 | $56.70 | $135.00 | $1.11 – $1.11 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $309.29 – $2,150.00 | 6 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $535.93 – $1,032.97 | 5 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,300.00 – $43,445.24 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,300.00 – $15,990.26 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,300.00 – $15,990.26 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,300.00 – $15,990.26 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $68.63 | $163.41 | $0.63 – $0.63 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $56.70 | $135.00 | $25.82 – $25.82 | 1 |
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.