Covenant Hospital Levelland — price list

← Hospital overviewVerified from Covenant Hospital Levelland’s published price file

Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient	82306 HCPCS	$379	$159	—	—
HC 3D RENDER W/O POSTPROCESS Inpatient & outpatient	76376 HCPCS	$75.00	$31.50	—	—
HC 3D RENDERING W/POSTPROCESS Inpatient & outpatient	76377 HCPCS	$125	$52.50	—	—
HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM Inpatient & outpatient	49083 HCPCS	$2,922	$1,227	—	—
HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE CDM Inpatient & outpatient	49082 HCPCS	$2,822	$1,185	—	—
HC ACC SYS BMX96 80 STR 105 BER BMX9680BER105 Inpatient & outpatient	C1887 HCPCS	$6,208	$2,607	—	—
HC ACC SYS BMX96 90 STR 125 SIM BMX9690SIM125 Inpatient & outpatient	C1887 HCPCS	$6,208	$2,607	—	—
HC ACCUDRAIN W/O ANTI REFLUX VAL INS8400 Inpatient & outpatient	C1729 HCPCS	$2,711	$1,139	—	—
HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Inpatient & outpatient	82040 HCPCS	$63.00	$26.46	—	—
HC ALKALINE PHOS Inpatient & outpatient	84075 HCPCS	$66.00	$27.72	—	—
HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH Inpatient & outpatient	86003 HCPCS	$96.00	$40.32	—	—
HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH LAB Inpatient & outpatient	86003 HCPCS	$96.00	$40.32	—	—
HC ALLERGEN SPECIFIC IGE Inpatient & outpatient	86003 HCPCS	$96.00	$40.32	—	—
HC ALLERGEN SPECIFIC IGE - IGE QUANT Inpatient & outpatient	86003 HCPCS	$96.00	$40.32	—	—
HC ALLERGEN SPECIFIC IGE PANEL EACH ALLERGEN Inpatient & outpatient	86003 HCPCS	$96.00	$40.32	—	—
HC ALPHA-FETOPROTEIN SERUM CDM Inpatient & outpatient	82105 HCPCS	$215	$90.30	—	—
HC AMNIOCENTESIS DIAGNOSTIC CDM Inpatient & outpatient	59000 HCPCS	$3,112	$1,307	—	—
HC AMYLASE Inpatient & outpatient	82150 HCPCS	$83.00	$34.86	—	—
HC ANESTHESIA BLOCK IN LABOR/DELIVERY CDM Inpatient & outpatient	PX00037010016 CDM	$1,760	$739	—	—
HC ANGIOSEAL VIP 6F 610130 Inpatient & outpatient	C1760 HCPCS	$1,894	$795	—	—
HC ANGIOSEAL VIP 8F 610131 Inpatient & outpatient	C1760 HCPCS	$1,894	$795	—	—
HC ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19 Inpatient & outpatient	86769 HCPCS	$196	$82.32	—	—
HC ANTI-CENTROMERE ANTIBODY Inpatient & outpatient	83516 HCPCS	$148	$62.16	—	—
HC ANTI-SSA (RO) QUANTITATIVE Inpatient & outpatient	86235 HCPCS	$328	$138	—	—
HC ANTI-SSB (LA) QUANTITATIVE Inpatient & outpatient	86235 HCPCS	$328	$138	—	—
HC ANTIBODY CYTOMEGALOVIRUS CMV IGM LAB Inpatient & outpatient	86645 HCPCS	$263	$110	—	—
HC ANTIBODY CYTOMEGALOVIRUS CMV LAB Inpatient & outpatient	86644 HCPCS	$287	$121	—	—
HC ANTIBODY ELUTION RBC EACH ELUTION LAB Inpatient & outpatient	86860 HCPCS	$370	$155	—	—
HC ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA LAB Inpatient & outpatient	86664 HCPCS	$279	$117	—	—
HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA LAB Inpatient & outpatient	86665 HCPCS	$292	$123	—	—