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COVENANT HOSPITAL LEVELLAND

Acute Care Hospitals

16

1900 COLLEGE AVE

LEVELLAND, TX, 79336

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Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at COVENANT HOSPITAL LEVELLAND

HC BLOOD DRAW VENIPUNCTURE

CPT 36415

$12.77

EKG Interpretation

CPT 93010

$18

Mechanical Traction

CPT 97012

$19.85

EKG Tracing

CPT 93005

$22

EKG

CPT 93000

$25.2

Therapeutic Exercises

CPT 97110

$40.16

HC CBC WITH DIFF AUTO

CPT 85025

$41.78

Therapeutic Activities

CPT 97530

$52.22

HC PR 99213 OFFICE OUTPATIENT VISIT RHC

CPT 99213

$66.8

HC COMPREHEN METABOLIC PANEL

CPT 80053

$104.31

Chest X-Ray (1 view)

CPT 71045

$144.74

Chest X-Ray (2 views)

CPT 71046

$144.74

Thoracic Spine X-Ray

CPT 72072

$171.31

Diagnostic Mammogram (unilateral)

CPT 77065

$185.98

Screening Mammogram (bilateral)

CPT 77067

$196.64

Abdominal Ultrasound

CPT 76700

$223.74

Abdominal Ultrasound — Limited

CPT 76705

$223.74

Retroperitoneal Ultrasound

CPT 76770

$223.74

OB Ultrasound

CPT 76805

$223.74

Diagnostic Mammogram (bilateral)

CPT 77066

$237.9

ER Visit — Low-Moderate Complexity

CPT 99283

$331.49

CT Chest

CPT 71250

$422.5

ER Visit — Moderate Complexity

CPT 99284

$520.62

Echocardiogram w/ Doppler

CPT 93306

$699.22

ER Visit — High Complexity

CPT 99285

$747.31

MRI Brain w/o Contrast

CPT 70551

$899.6

MRI Joint of Lower Extremity

CPT 73721

$964.46

CT Abdomen & Pelvis

CPT 74177

$1,427.27

MRI Brain w/ Contrast

CPT 70553

$1,958.52

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.