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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $26.46 $63 0.6×
Aep threshold estimation mlt frequencies i&r (92652) $976.50 $2,325 4.5×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines		 $31.50–$145.32 $75–$346 varies
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $205.80 $490 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $20.16 $48 1.4×
Application Modality 1/> Areas Infrared (97026) $25.20 $60 3.8×
Brief Emotional/Behav Assmt (96127) $8.82 $21 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $217.14 $517 0.6×
Canalith repositioning proc (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 (96549) $59.64 $142 1.3×
Chest Wall Manipulation (94668) $91.14 $217 0.7×
Color/duplex Doppler, complete (93975) $713.16 $1,698 3.0×
Color/duplex Doppler, limited (93976) $337.68 $804 3.2×
Continuous Pulse Ox (94762) $407.82 $971 3.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $291.90 $695 1.3×
Cpt initial (94667) $196.98 $469 1.5×
Critical care first hour (99291) $1,438.50 $3,425 1.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines		 $33.60–$154.98 $80–$369 varies
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 Xtr Veins Complete Bilateral Study (93970) $570.36 $1,358 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $270.06 $643 2.6×
Duplex Scan Hemodialysis Access (93990) $162.54 $387 1.5×
Duplex up extrem art bilat (93930) $713.16 $1,698 3.0×
Duplex up extrem art unilat/ltd (93931) $270.06 $643 2.6×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $349.86–$402.36 $833–$958 varies
Eeg 41-60 Minutes (95812) $933.66 $2,223 4.3×
EEG awake and 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×
Electrical Stimulation Ea 15 Min (97032) $21 $50 1.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $23.10–$149.52 $55–$356 varies
Emergency Dept Visit Level 2 (99282) $273 $650 1.8×
Emergency Dept Visit Level 3 (99283) $480.90 $1,145 1.8×
Emergency Dept Visit Level 4 (99284) $755.16 $1,798 1.8×
Er level 1 (99281) $150.78 $359 1.8×
Er level v (99285) $1,115.52 $2,656 1.9×
Evaluate pt use of inhaler (94664) $254.52 $606 1.2×
Evaluate Speech Production (92522) $67.62 $161 0.6×
Evaluation of speech fluency (92521) $67.62 $161 0.5×
Evoked Auditory Test,Limited (92587) $25.20 $60 0.1×
Extracranial Bilat Study (93880) $402.36 $958 1.7×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $2.10–$5.78 $5–$13.75 varies
Immunization administration (90471)
range across 9 matching MRF lines		 $4.20–$76.86 $5–$183 varies
Iontophoresis 15 min (97033) $28.56 $68 1.5×
Irrig Drug Delivery Device (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)
range across 3 matching MRF lines		 $46.20–$345.66 $110–$823 varies
IV infusion ther proph addl sequential to 1 hr (96367) $280.14 $667 3.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $286.02 $681 6.1×
IV push initial (96374)
range across 4 matching MRF lines		 $68.46–$166.32 $163–$396 varies
Lwr Xtr Vasc Stdy Bilat (93924) $391.02 $931 1.8×
Mechanical chest wall oscillation per session (94669) $50.40 $120 0.2×
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 Fluoroscopy/Swallow (92611) $204.96 $488 2.2×
Nasopharyngoscopy (92511) $183.54 $437 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $443.10 $1,055 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq 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×
Neuromuscular Reeducation (97112) $49.14 $117 1.5×
Newborn resuscitation (99465) $225.12 $536 0.3×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $139.86 $333 1.0×
Oral Function Therapy (92526) $140.70 $335 1.7×
Ot manual therapy 15 min (97140) $38.64 $92 1.4×
Ot 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×
Phlebotomy therapeutic (99195) $134.82 $321 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $88.20 $210 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $88.20 $210 1.5×
Physical Performance Test (97750) $47.88 $114 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $7.14 $17 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $24.36 $58 0.5×
Pt Eval High Complex (97163) $141.96 $338 1.5×
Pt eval low complex 20 min (97161) $141.96 $338 1.5×
Pt Eval Mod Complex (97162) $141.96 $338 1.5×
Pt gait training 15 min (97116) $42 $100 1.4×
Pt mechanical traction (97012) $21 $50 1.5×
Pt Re-Eval Est Plan Care (97164) $97.02 $231 1.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $5.04 $12 0.1×
Pulmonary service/procedure (94799) $130.20 $310 1.0×
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×
Self Care Mngment Training (97535) $54.18 $129 1.7×
Speech sound lang comprehen (92523) $67.62 $161 0.3×
Spirometry (94010) $283.92 $676 1.3×
Subcutaneous Infusion Each Additional Hour (96370) $65.10 $155 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $315.84 $752 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $103.32 $246 1.4×
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 Ea Addl 15 Min (97130) $31.08 $74 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $41.58 $99 1.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $65.10 $155 1.4×
Ther/Proph/Diag Inj Ia (96373) $315.84 $752 1.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $10.50–$148.26 $25–$353 varies
Ther/Proph/Diag Iv Inf Init (96365) $345.66 $823 1.6×
Therapeutic Activities (97530) $55.02 $131 1.6×
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 (93306) $844.20 $2,010 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $126.84 $302 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines		 $31.50–$70.14 $75–$167 varies
Upr/L Xtremity Art 2 Levels (93922) $438.90 $1,045 3.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $524.16 $1,248 2.4×
Vent Mgmt Inpat Init 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×

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.