Skip to main content

Covenant Hospital Levelland

1900 College Ave, Levelland, TX 79336 · (806) 894-4963

Acute Care HospitalsVoluntary non-profit - PrivateLubbock, TX metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

907 price rows for 64 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $52

$88
cash
$1,723
cash
CT scan of the head, no contrast

CPT 70450 · metro median $245

$748
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $836

$836
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $81

$81
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,047

$961
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $47

$47
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $65

$110
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $336

$264
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $26

$26
cash
$119
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $70

$81
cash
—
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,711

$4,711
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $88

$139
cash
Liver function panel

CPT 80076 · metro median $50

$85
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $690

$2,056
cash
$1,013
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $562

$677
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $665

$1,259
cash
—
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $87

$87
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $119

$119
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $147

$147
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $99

$99
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $36

$37
cash
$42
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $540

$270
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $70

$103
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $80

$121
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines · metro median $24

$26
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $125

$166
cash
—
cash
—
cash
—
cash
$1,134
cash
$857
cash
TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $90

$90
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $459

$270
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $459

$270
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,040

$955
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $1,040

$955
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $24

$33
cash
—
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $239

$198
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.