Visits & medical services prices at Covenant Hospital Levelland

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

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

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ProcedureCash priceGross charge× Medicare
Aep threshold estimation mlt frequencies i&r (92652) $976.50 $2,325 4.5×
Airway inhalation treatment (94640) $145.32 $346 0.7×
Anogenital exam, child (99170) $205.80 $490 1.0×
Behav assmt w/score & docd/stand instrument (96127) $8.82 $21 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $217.14 $517 0.6×
Canalith Repositioning (95992) $74.76 $178 1.8×
Car seat/bed test 60 min (94780) $49.98 $119 1.3×
Cardiopulmonary resuscitation (92950) $385.98 $919 1.8×
Cardioversion (92960) $513.24 $1,222 0.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $4.20 $10 0.1×
Chemo IV push addl drug (96411) $78.12 $186 1.1×
Chemotherapy, unspecified procedure (96549) $59.64 $142 1.3×
Color/duplex Doppler, complete (93975) $713.16 $1,698 3.0×
Color/duplex Doppler, limited (93976) $337.68 $804 3.2×
Cpap initiation and management (94660) $291.90 $695 1.3×
Cpt initial (94667) $196.98 $469 1.5×
Critical care (99291) $1,438.50 $3,425 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $154.98 $369 0.8×
Demo &/or eval,pt use,aerosol device (94664) $254.52 $606 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $713.16 $1,698 3.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $337.68 $804 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $570.36 $1,358 2.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $270.06 $643 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $713.16 $1,698 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $270.06 $643 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $270.06 $643 2.6×
Duplex hemodialysis access (93990) $162.54 $387 1.5×
Duplex scan extracranial art compl bi study (93880) $402.36 $958 1.7×
Echo Heart Xthoracic,Limited (93308) $376.11 $895.50 1.6×
EEG awake asleep (95819) $832.02 $1,981 3.8×
EEG awake drowsy (95816) $739.20 $1,760 3.4×
Eeg Extended Monitoring 61-119 Minutes (95813) $786.66 $1,873 3.6×
EKG (93005) $86.31 $205.50 1.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $933.66 $2,223 4.3×
Er level 1 (99281) $150.78 $359 1.8×
Er level ii (99282) $273 $650 1.8×
Er level iii (99283) $480.90 $1,145 1.8×
Er level IV (99284) $755.16 $1,798 1.8×
Er level v (99285) $1,115.52 $2,656 1.9×
Evaluation of speech fluency (92521) $67.62 $161 0.5×
Evaluation of speech sound production (92522) $67.62 $161 0.6×
Evoked auditory test,limited (92587) $25.20 $60 0.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $26.46 $63 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $3.94 $9.38 0.1×
Immunization Admin (90471) $41.32 $13.75 0.6×
Immunotherapy, 2+ Injections (95117) $24.36 $58 0.5×
Injection intra arterial (96373) $315.84 $752 1.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $66.36 $158 1.1×
IV infusion hydration each additional hour (96361) $118.86 $283 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $345.66 $823 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $280.14 $667 3.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $345.66 $823 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $286.02 $681 6.1×
IV push initial (96374) $166.32 $396 0.8×
Manual therapy 15 min (97140) $38.64 $92 1.4×
Massage 15 min (97124) $41.58 $99 1.4×
Mechanical chest wall oscillation (94669) $50.40 $120 0.2×
Mechanical traction (97012) $21 $50 1.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $73.92 $176 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $103.74 $247 2.8×
Motility study esophagus (91010) $2,905.56 $6,918 7.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $204.96 $488 2.2×
Nasopharyngoscopy (92511) $183.54 $437 0.9×
Neg press wnd tx </=50 sq cm (97607) $443.10 $1,055 1.1×
Neg press wound tx >50 cm (97608) $465.78 $1,109 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $240.24 $572 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $465.78 $1,109 1.1×
New patient problem focused exam of visual system (92002) $139.86 $333 1.0×
Newborn resuscitation (99465) $225.12 $536 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $438.90 $1,045 3.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $524.16 $1,248 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $407.82 $971 3.2×
Paraffin bath (97018) $9.24 $22 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $168.84 $402 0.8×
Peripheral arterial disease rehab per session (93668) $94.50 $225 1.6×
Phy/qhp op pulm rhb w/mntr (94626) $88.20 $210 1.5×
Phy/qhp op pulm rhb w/o mntr (94625) $88.20 $210 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $7.14 $17 0.2×
Pt Electric Current Therapy (97033) $28.56 $68 1.5×
Pt Electrical Stimulation (97032) $21 $50 1.4×
Pt eval high complex 45 min (97163) $141.96 $338 1.5×
Pt eval low complex 20 min (97161) $141.96 $338 1.5×
Pt Gait Training Therapy (97116) $42 $100 1.4×
Pt Infrared Therapy (97026) $25.20 $60 3.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $49.14 $117 1.5×
Pt Physical Performance Test (97750) $47.88 $114 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $141.96 $338 1.5×
Pt re-evaluation (97164) $97.02 $231 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $54.18 $129 1.7×
Pt Ultrasound Therapy (97035) $20.16 $48 1.4×
Pt-focused hlth risk assmt (96160) $5.04 $12 0.1×
Pulmonary stress testing (94618) $212.10 $505 1.6×
Pure Tone Audiometry, Air (92552) $33.60 $80 0.3×
Refill/Maint Pump/Resvr Syst (96522) $238.98 $569 1.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $177.66 $423 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $208.74 $497 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $91.14 $217 0.7×
Sc Ther Infusion Reset Pump (96371) $103.32 $246 1.4×
Speech sound lang comprehen (92523) $67.62 $161 0.3×
Spirometry (94010) $283.92 $676 1.3×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $65.10 $155 1.4×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $315.84 $752 1.5×
Temp transcutaneous pacing (92953) $1,037.82 $2,471 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $32.34 $77 1.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $31.08 $74 1.5×
Ther/prop/diag inj/inf proc (96379) $65.10 $155 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $148.26 $353 2.0×
Therapeutic Activities (97530) $55.02 $131 1.6×
Therapeutic phlebotomy (99195) $134.82 $321 1.0×
Trans Care Mgmt 14 Day Disch (99495) $139.44 $332 1.0×
Trans Care Mgmt 7 Day Disch (99496) $189.84 $452 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $844.20 $2,010 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $126.84 $302 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $140.70 $335 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $70.14 $167 1.5×
Unlisted pulmonary service/procedure (94799) $130.20 $310 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $570.36 $1,358 2.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $391.02 $931 1.8×
Ventilation assist & mgmt inpatient 1st day (94002) $861.42 $2,051 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $777 $1,850 1.3×
Vital capacity total (94150) $173.46 $413 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $45.78 $109 1.5×