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 |
|---|---|---|---|---|
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,869.82 – $5,309.13 | 6 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $883.78 – $3,622.27 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,869.82 – $3,622.27 | 5 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,915.61 – $13,491.94 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $5.23 – $5.69 | 4 |
| Smear gram stain CPT 87205 | $26.04 | $62.00 | $4.14 – $4.50 | 4 |
| Smear nasal eosinophil CPT 89190 | $10.08 | $24.00 | $5.62 – $6.11 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $41.16 | $98.00 | $5.81 – $6.32 | 4 |
| Smear wet mount CPT 87210 | $35.70 | $85.00 | $5.65 – $6.14 | 4 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $292.31 – $317.92 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $179.64 – $195.39 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $45.59 – $49.58 | 4 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $49.54 – $53.88 | 4 |
| Sodium 24 hour urine CPT 84300 | $27.30 | $65.00 | $4.91 – $5.34 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $46.43 | $110.54 | $55.28 – $55.28 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.74 | $116.04 | $27.64 – $27.64 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $51.36 | $122.29 | $13.80 – $13.80 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $48.11 | $114.54 | $0.19 – $0.19 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $5.94 – $5.94 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $314.01 – $314.01 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $26.04 | $62.00 | $4.67 – $5.07 | 4 |
| Soft interface below knee se HCPCS L2820 | $347.76 | $827.99 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $84.80 – $92.23 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,304.95 – $1,419.30 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,159.96 – $1,261.60 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,278.04 – $3,469.38 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,014.96 – $1,103.90 | 4 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.09 – $4.09 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $9.12 – $9.12 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $210.40 – $273.39 | 5 |
| Somatropin injection HCPCS J2941 | not published | not published | $202.64 – $202.64 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,278.04 – $3,153.98 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $869.96 – $946.20 | 4 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $37.06 – $37.06 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $747.42 – $2,613.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $828.11 – $2,613.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Special physics consult CPT 77370 | not published | not published | $130.97 – $142.45 | 4 |
| Special pump services CPT 99190 | not published | not published | $775.09 – $859.61 | 2 |
| Special pump services CPT 99191 | not published | not published | $576.28 – $639.11 | 2 |
| Special pump services CPT 99192 | not published | not published | $383.65 – $425.49 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $59.35 – $142.45 | 4 |
| Special radiation treatment CPT 77470 | not published | not published | $79.15 – $585.59 | 4 |
| Special teletx port plan CPT 77321 | not published | not published | $136.30 – $396.82 | 4 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.18 – $3.46 | 4 |
| Specimen fat stain CPT 89125 | not published | not published | $5.70 – $6.20 | 4 |
| Speech audiometry complete CPT 92556 | not published | not published | $57.48 – $93.92 | 5 |
| Speech evaluation complex CPT 70371 | not published | not published | $232.50 – $252.87 | 4 |
| Speech recep thresh CPT 92555 | not published | not published | $57.48 – $93.92 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $10.35 – $11.26 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.00 – $20.67 | 4 |
| Sperm identification CPT 89257 | not published | not published | $50.78 – $55.23 | 4 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.78 – $55.23 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.78 – $55.23 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $21.98 – $214.26 | 5 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,600.00 – $15,850.16 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,300.00 – $11,052.79 | 6 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,613.00 – $13,214.51 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $856.80 | $2,040.00 | $687.82 – $748.10 | 4 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,187.00 – $13,606.53 | 4 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $210.40 – $349.66 | 5 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $217.14 | $517.00 | $104.85 – $395.48 | 5 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $125.38 – $349.66 | 5 |
| Spleen imaging CPT 78185 | not published | not published | $389.55 – $423.68 | 4 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $4,315.73 – $5,079.70 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $8,695.96 – $10,229.39 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $4,302.80 – $5,040.09 | 2 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.41 – $2.41 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.03 | $252.46 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,326.42 | $10,301.00 | $2,150.00 – $9,780.03 | 6 |
| Split blood or products CPT 86985 | not published | not published | $166.01 – $180.56 | 4 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $23.31 – $25.84 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $226.26 – $350.06 | 4 |
| Sputum specimen collection CPT 89220 | not published | not published | $166.01 – $180.56 | 4 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,021.94 – $4,374.38 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $5,233.07 – $6,245.73 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $3,837.04 – $4,574.33 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $1,158.60 – $1,383.71 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $836.04 – $1,004.68 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $170.14 – $185.05 | 4 |
| Srs linear based CPT 77372 | not published | not published | $3,323.95 – $7,805.79 | 4 |
| Srs multisource CPT 77371 | not published | not published | $3,323.95 – $7,805.79 | 4 |
| Srs spinal lesion CPT 63620 | not published | not published | $4,243.48 – $5,021.83 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $965.06 – $1,147.74 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $125.38 – $255.72 | 5 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $3,639.64 – $4,279.00 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $106.10 – $197.27 | 5 |
| Staph a dna amp probe CPT 87640 | $58.38 | $139.00 | $34.04 – $37.02 | 4 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $71.70 – $71.70 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $71.70 – $71.70 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $99.71 – $256.30 | 5 |
| Stem cells total count CPT 86367 | not published | not published | $75.45 – $82.06 | 4 |
| Stenger test pure tone CPT 92565 | not published | not published | $57.48 – $93.92 | 5 |
| Stenger test speech CPT 92577 | not published | not published | $255.72 – $395.48 | 5 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $6,794.00 – $63,087.59 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $57,771.00 | $137,550.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $33,488.94 | $79,735.57 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $31,250.64 | $74,406.28 | not published | 0 |
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.