Covenant Hospital Levelland — CT scan prices
← 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.
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.
8 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CT ABD & PELVIS WO CONTRAST Inpatient & outpatient | 74176 HCPCS | $2,566 | $1,078 | — | — | |
| HC CT ABDOMEN & PELVIS W CONTRAST Inpatient & outpatient | 74177 HCPCS | $4,103 | $1,723 | — | — | |
| HC CT ABDOMEN & PELVIS W & W/O CONTRAST Inpatient & outpatient | 74178 HCPCS | $4,218 | $1,772 | — | — | |
| HC CT HEAD/BRAIN W CONTRAST Inpatient & outpatient | 70460 HCPCS | $2,916 | $1,225 | — | — | |
| HC CT HEAD/BRAIN WO CONTRAST Inpatient & outpatient | 70450 HCPCS | $1,780 | $748 | — | — | |
| HC CT THORAX W CONTRAST Inpatient & outpatient | 71260 HCPCS | $1,991 | $836 | — | — | |
| HC CT THORAX W/O DYE F/U LUNG SCREENING Inpatient & outpatient | 71250 HCPCS | $1,214 | $510 | — | — | |
| HC CT THORAX WO CONTRAST Inpatient & outpatient | 71250 HCPCS | $1,214 | $510 | — | — |