Emergency visit, highest (level 5) at Covenant Hospital Levelland. CPT 99285.
What Covenant Hospital Levelland publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,116cash price (self-pay)
$2,656list price
$580–$1,781range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Vapc3 Government | $580 |
| Aetna | Medicare Managed Care Plan | $598 |
| Superior | Wellcare Medicare Managed Care Plan | $628 |
| Unitedhealthcare | Medicare Managed Care Plan | $631 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $1,068 |
| Bcbs | Ers Hmo | $1,206 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $1,292 |
| Bcbs | Hmo | $1,307 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $1,328 |
| Bcbs | Traditional | $1,519 |
| Bcbs | Ppo | $1,781 |
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