Lab & pathology prices at Covenant Hospital Levelland

Levelland, TX · every code in this section with a posted price and a Medicare benchmark.

275 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acute hepatitis panel (80074) $493.92 $1,176 10.4×
Albumin Fluid (82042) $42 $100 5.4×
Albumin serum (82040) $26.46 $63 5.3×
Allergen specific ige (86003) $40.32 $96 7.7×
Alpha-Fetoprotein Serum (82105) $90.30 $215 5.4×
Alt (sgpt) (84460) $28.56 $68 5.4×
Ammonia (82140) $78.54 $187 5.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $288.96 $688 2.9×
Amylase urine (82150) $34.86 $83 5.4×
Antibody Cytomegalovirus Cmv Igm (86645) $110.46 $263 6.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $117.18 $279 7.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $122.64 $292 6.8×
Antibody HIV-1&HIV-2 single result (86703) $105 $250 7.7×
Antibody HIV-2 (86702) $41.58 $99 3.1×
Antibody Titer (86886) $155.40 $370 30.0×
Antibody Treponema Pallidum (86780) $101.64 $242 7.7×
Antigen typing (86905) $303.66 $723 79.3×
Antinuclear antibodies (86038) $92.82 $221 7.7×
Antistreptolysin o titer (86060) $11.76 $28 1.6×
Antithrombin iii activity (85300) $72.66 $173 6.1×
Apolipoprotein a1 (82172) $26.46 $63 1.3×
Assay Blood Carbon Dioxide (82374) $26.46 $63 5.4×
Assay Nephelometry Not Spec (83883) $17.22 $41 1.3×
Assay of blood/uric acid (84550) $24.36 $58 5.4×
Assay of calcium in urine (82340) $32.34 $77 5.4×
Assay of gammaglobulin igm (82784) $49.98 $119 5.4×
Assay of lactic acid (83605) $62.16 $148 5.4×
Assay of serum potassium (84132) $25.62 $61 5.4×
Assay of urea nitrogen (84520) $21.42 $51 5.4×
Assay Ph Body Fluid Nos (83986) $4.62 $11 1.3×
Automated Leukocyte Count (85048) $15.54 $37 6.1×
B cells total count (86355) $288.96 $688 7.7×
Beta Lactamase (87185) $8.82 $21 1.9×
Bilirubin direct (82248) $26.88 $64 5.4×
Bilirubin total (82247) $26.88 $64 5.4×
Bilirubin total transcutaneous (88720) $6.30 $15 1.3×
Blood gas (82803) $140.28 $334 5.4×
Blood gases w/02 saturation (82805) $423.78 $1,009 5.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $85.68 $204 5.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 4 matching MRF lines
$8.40–$23.52 $20–$56 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $303.66 $723 47.8×
Blood typing serologic abo (86900) $116.76 $278 39.1×
C diff amplified probe (87493) $226.38 $539 6.1×
C-reactive protein (86140) $39.90 $95 7.7×
Calcium ionized (82330) $73.50 $175 5.4×
Calcium total (82310) $27.72 $66 5.4×
Cancer Antigen 125 (86304) $159.60 $380 7.7×
Cancer Antigen 27.29 (86300) $138.60 $330 6.7×
Carbamazepine total (80156) $25.62 $61 1.8×
Carboxyhemoglobin (82375) $55.86 $133 4.5×
Carcinoembryonic antigen (82378) $102.06 $243 5.4×
Ccp antibody (86200) $99.54 $237 7.7×
Cell count csf (89051) $10.08 $24 1.8×
Chloride Serum (82435) $24.78 $59 5.4×
Chloride urine (82436) $31.08 $74 5.4×
Cholesterol total (82465) $23.52 $56 5.4×
Chorionic gonadotropin test (84702) $81.06 $193 5.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $81.48 $194 2.3×
Clostridium Difficile (87324) $73.08 $174 6.1×
Cns DNA amp probe type 12-25 (87483) $840.42 $2,001 2.0×
Compatibility test antiglob (86922) $155.40 $370 0.9×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$15.12–$91.56 $36–$218 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $254.94 $607 4.9×
Consltj&Reprt Slides Prepared Elsewhere (88321) $173.46 $413 4.6×
Coombs direct (86880) $58.38 $139 10.8×
Cortisol saliva (82533) $87.78 $209 5.4×
Creatine kinase total (82550) $34.86 $83 5.4×
Creatinine blood (82565) $27.72 $66 5.4×
Creatinine clearance (82575) $50.82 $121 5.4×
Creatinine Urine (82570) $27.72 $66 5.4×
Crossmatch electronic (86923) $155.40 $370 0.9×
Crossmatch immediate spin (86920) $155.40 $370 0.9×
Crp High Sensitivity (86141) $99.54 $237 7.7×
Cryptosporidium ag eia (87328) $84 $200 6.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $48.72 $116 6.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $47.04 $112 6.1×
Culture Anaerobic (87075) $57.96 $138 6.1×
Culture blood (87040) $63 $150 6.1×
Culture csf (87070) $52.08 $124 6.0×
Culture fungus (87102) $51.24 $122 6.1×
Culture fungus blood (87103) $124.74 $297 6.1×
Culture screen only (87081) $40.74 $97 6.1×
Culture stool (87045) $57.12 $136 6.1×
Culture urine (87086) $48.72 $116 6.0×
Cyclosporine (80158) $51.24 $122 2.8×
Cytomegalovirus igg (86644) $120.54 $287 8.4×
Cytopath Cell Enhance Tech (88112) $254.94 $607 4.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $254.94 $607 4.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $764.40 $1,820 4.5×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $173.46 $413 4.6×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $126.42 $301 4.4×
Detect Agent Nos Dna Amp (87798) $67.20 $160 1.9×
Digoxin (80162) $23.52 $56 1.8×
Dna Antibody Native/Double Stranded (86225) $91.56 $218 6.7×
Dna/Rna Amplified Probe (87150) $213.36 $508 6.1×
Drug Test Prsmv Chem Anlyzr (80307) $176.40 $420 2.8×
Electrolyte panel (80051) $72.66 $173 10.4×
Eosinophil Smear (89190) $10.08 $24 1.7×
Estradiol serum (82670) $150.36 $358 5.4×
Exam Synovial Fluid Crystals (89060) $10.50 $25 1.4×
Factor viii assay (85240) $110.46 $263 6.2×
Ferritin (82728) $73.50 $175 5.4×
Fetal Fibronectin (82731) $346.50 $825 5.4×
Fibrin degradation products (85362) $42.42 $101 6.2×
Fibrin Degradation Quant (85379) $62.58 $149 6.1×
Fibrinogen activity (85384) $60.06 $143 6.2×
Flow cytometry first marker (88184) $232.68 $554 0.6×
Folic Acid Serum (82746) $78.96 $188 5.4×
Follicle Stimulating Hormone (83001) $99.96 $238 5.4×
Fresh Frozen Plasma Thawing Each Unit (86927) $155.40 $370 0.9×
Frozen Section (88331) $764.40 $1,820 4.5×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$68.04–$78.12 $162–$186 varies
Gammaglobulin ige (82785) $88.62 $211 5.4×
Gentamicin (80170) $28.98 $69 1.8×
Ggt (82977) $38.64 $92 5.4×
Giardia antigen (87329) $73.08 $174 6.1×
Glucose 2 hr pp (82950) $25.62 $61 5.4×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$10.50–$17.64 $25–$42 varies
Glucose body fluid (82945) $21 $50 5.3×
Glucose Serum (82947) $21 $50 5.3×
Glucose tolerance test (gtt) (82951) $69.30 $165 5.4×
Gonadotropin Chorionic Qualitative (84703) $40.32 $96 5.4×
Gtt-added samples (82952) $21 $50 5.4×
H Pylori (C-13) Breath (83013) $362.46 $863 5.4×
H Pylori Drug Admin (83014) $41.16 $98 5.2×
Haptoglobin (83010) $67.62 $161 5.4×
Hdl Cholesterol (83718) $44.10 $105 5.4×
Hematocrit (85014)
range across 5 matching MRF lines
$8.40–$14.70 $20–$35 varies
Hemoglobin (85018)
range across 6 matching MRF lines
$8.40–$14.70 $20–$35 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$52.08–$54.18 $124–$129 varies
Hemoglobin Methemoglobin Quantitative (83050) $44.10 $105 5.4×
Hep a ab igm (86709) $86.10 $205 7.6×
Heparin assay (85520) $80.64 $192 6.2×
Hepatitis a antibody total (86708)
range across 3 matching MRF lines
$82.74–$94.92 $197–$226 varies
Hepatitis b core ab igm (86705) $90.30 $215 7.7×
Hepatitis b core ab total (86704) $92.40 $220 7.7×
Hepatitis B Surface Antibody (86706) $82.32 $196 7.7×
Hepatitis B Surface Antigen (87340)
range across 4 matching MRF lines
$54.60–$63 $130–$150 varies
Hepatitis C Antibody (86803) $109.20 $260 7.7×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$21–$39.90 $50–$95 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $47.46 $113 6.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $126.84 $302 5.3×
Hiv-1 Antibody (86701) $41.58 $99 4.7×
HIV-1 p24 antigen (87390) $246.96 $588 10.3×
Homocysteine (83090) $96.60 $230 5.4×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $26.46 $63 1.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $5.88 $14 0.2×
Iaad ia shiga-like toxin (87427) $73.08 $174 6.1×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $107.10 $255 1.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $81.48 $194 2.3×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,597.26 $3,803 6.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $1,492.68 $3,554 4.1×
Immunoassay nonantibody (83516) $62.16 $148 5.4×
Immunohistochemistry (88342) $764.40 $1,820 4.5×
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$82.74–$100.38 $197–$239 varies
Influenza DNA amp probe (87502) $183.96 $438 1.9×
Inhibin b (83520) $46.62 $111 2.7×
Insulin total (83525) $61.32 $146 5.4×
Iron (83540) $34.86 $83 5.4×
Iron Binding Capacity (83550) $47.04 $112 5.4×
Koh Prep (87220) $26.04 $62 6.1×
Lactate (ld) (ldh) enzyme (83615) $32.34 $77 5.4×
Lactoferrin fecal qualitative (83630) $105.84 $252 5.4×
LDL direct (83721) $56.70 $135 5.4×
Lead (83655) $25.20 $60 2.1×
Level I Surg Pathology Gross Examination Only (88300) $126.42 $301 4.4×
Level ii surg pathology gross&microscopic exam (88302) $126.42 $301 3.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,492.68 $3,554 4.1×
Lipase (83690) $36.96 $88 5.4×
Lithium (80178) $11.76 $28 1.8×
Luteinizing Hormone (Lh) (83002) $99.54 $237 5.4×
Magnesium Urine (83735) $36.12 $86 5.4×
Microalbumin, quantitative (82043) $31.08 $74 5.4×
Mrsa Pcr (87641) $58.38 $139 1.7×
Natriuretic peptide (83880) $211.26 $503 5.4×
Nfct ds bv&vaginitis DNA alg (81515) $206.64 $492 0.8×
Nk cells total count (86357) $288.96 $688 7.7×
Nuclear antigen antibody (86235) $137.76 $328 7.7×
Occult blood feces (82272) $22.68 $54 5.4×
Occult Blood Other Sources (82271) $6.72 $16 1.3×
Osmolality serum (83930) $35.70 $85 5.4×
Osmolality Urine (83935) $36.54 $87 5.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $3,362.10 $8,005 4.2×
Ph urine (81003)
range across 5 matching MRF lines
$10.50–$23.52 $25–$56 varies
Phenobarbital Level (80184) $26.88 $64 1.8×
Phenytoin (Dilantin) (80185) $23.52 $56 1.8×
Phosphatase alkaline (84075) $27.72 $66 5.4×
Phosphorus Serum (84100) $25.62 $61 5.4×
Phosphorus urine (84105) $31.08 $74 5.4×
Pinworm exam (87172) $34.86 $83 8.2×
Platelet Aggregation (85576) $153.30 $365 6.2×
Platelet count automated (85049) $27.30 $65 6.1×
Potassium Urine (84133) $25.62 $61 5.4×
Prealbumin (84134) $78.54 $187 5.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $35.70 $85 0.6×
Procalcitonin (Pct) (84145) $146.58 $349 5.4×
Progesterone (84144) $112.14 $267 5.4×
Prolactin (84146) $104.16 $248 5.4×
Protein body fluid (84157) $21.42 $51 5.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $57.96 $138 5.4×
Protein total serum (84155) $19.74 $47 5.4×
Protein Total Urine (84156) $19.74 $47 5.4×
Pth Intact (83970) $222.18 $529 5.4×
Quantitative assay drug (80299) $33.18 $79 1.8×
Rbc antibody elution (86860) $155.40 $370 0.9×
Rbc antibody identification (86870) $303.66 $723 0.8×
Rbc antibody screen (86850) $51.66 $123 5.3×
Reticulated Platelet Assay (85055) $219.66 $523 6.1×
Reticulocyte Count (85046) $34.44 $82 6.2×
Rh (86901) $35.70 $85 11.9×
Rheumatoid factor quant (86431) $43.68 $104 7.7×
Ristocetin cofactor (85245) $141.12 $336 6.2×
Rotavirus ag eia (87425) $73.08 $174 6.1×
Rpr qualitative (86592) $32.76 $78 7.7×
Rsv Assay W/Optic (87807) $79.38 $189 6.1×
Rubella Antibody (86762) $110.04 $262 7.6×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines
$10.50–$115.92 $25–$276 varies
Sars-cov-2 COVID-19 antibody (86769) $82.32 $196 2.0×
Sarscov2 & inf a&b amp prb (87636) $119.70 $285 0.8×
Sarscov2&inf a&b&rsv amp prb (87637) $119.70 $285 0.8×
Sedimentation rate (85651) $26.04 $62 6.1×
Sedimentation Rate, Automated (85652) $16.38 $39 6.1×
Sensitivity mic (87186) $45.78 $109 5.3×
Sickling of rbc reduction (85660) $34.02 $81 6.2×
Sirolimus (80195) $24.36 $58 1.8×
Skin Test Candida (86485) $236.15 $562.26 8.1×
Skin test tuberculosis intradermal (86580) $8.40 $20 0.3×
Smear gram stain (87205) $26.04 $62 6.1×
Smear Special Stain (87207) $41.16 $98 6.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $35.70 $85 6.1×
Sodium Serum (84295) $26.04 $62 5.4×
Sodium Urine (84300) $27.30 $65 5.4×
Special Stains Group 1 (88312) $254.94 $607 4.9×
Special Stains Group 2 (88313) $173.46 $413 1.3×
Staph a DNA amp probe (87640) $58.38 $139 1.7×
Stool cultr aerobic bact ea (87046) $57.12 $136 6.1×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$21–$100.38 $50–$239 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$44.10–$67.20 $105–$160 varies
Strep b DNA amp probe (87653) $213.36 $508 6.1×
Surg path level iii (88304) $254.94 $607 4.9×
Surgical pathology level IV (88305) $254.94 $607 4.9×
Surgical pathology level vi (88309) $3,362.10 $8,005 4.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $28.98 $69 6.1×
Susceptibility Study Antimicrobial Disk Method (87184) $45.36 $108 6.1×
T cells absolute cd4 count (86361) $205.38 $489 7.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $359.94 $857 7.7×
T cells total count (86359) $288.96 $688 7.7×
T3 Total (84480) $76.44 $182 5.4×
T3 Uptake (84479) $34.86 $83 5.4×
T4 Free (84439) $48.72 $116 5.4×
T4 total (84436) $36.96 $88 5.4×
Tacrolimus (80197) $24.36 $58 1.8×
Test for acetone/ketones (82009) $24.36 $58 5.4×
Testosterone total (84403) $139.02 $331 5.4×
Theophylline (80198) $25.20 $60 1.8×
Thrombin Time (85670) $35.70 $85 6.2×
Tobramycin peak (80200)
range across 3 matching MRF lines
$24.78–$28.56 $59–$68 varies
Transferase Aspartate Amino Ast Sgot (84450) $27.72 $66 5.4×
Transferrin (84466) $68.88 $164 5.4×
Trichomonas Vaginalis Amplif (87661) $213.36 $508 6.1×
Triglycerides (84478) $31.08 $74 5.4×
Troponin Quant (84484) $67.20 $160 5.4×
Tumor Immunohistochem/Manual (88360) $189.84 $452 1.1×
Urea nitrogen urine (84540) $29.82 $71 5.4×
Uric acid other source (84560) $27.30 $65 5.4×
Urinalysis Microscopic Only (81015) $36.54 $87 12.0×
Urinalysis Volume Measure (81050) $44.10 $105 12.1×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$10.50–$103.74 $25–$247 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $33.18 $79 10.5×
Valproic acid (80164) $24.36 $58 1.8×
Vancomycin (80202) $24.36 $58 1.8×
Virus inoculation, shell via (87254) $36.12 $86 1.8×
Vitamin b-12 (82607) $81.06 $193 5.4×
Vitamin D 25-Hydroxy (82306) $159.18 $379 5.4×
Von willebrand factor ag (85246) $141.12 $336 6.2×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.