Covenant Children's Hospital
4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $63.94 – $127.66 | 2 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $49.83 – $99.45 | 2 |
| 17-ketosteroids CPT 83586 | not published | not published | $27.96 – $55.81 | 2 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $395.32 – $395.32 | 1 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $3,195.24 – $3,195.24 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $37.36 – $37.36 | 1 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $371.79 – $371.79 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| 2nd order venous cath CPT 36012 | $509.46 | $1,213.00 | $2,444.00 – $2,444.00 | 1 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $114.71 – $114.71 | 1 |
| 3-d radiotherapy plan CPT 77295 | $14,992.74 | $35,697.00 | $1,065.18 – $1,065.18 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $2,062.62 | $4,911.00 | $44.51 – $58.12 | 2 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $24.36 – $48.61 | 2 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $184.80 | $440.00 | $41.90 – $73.86 | 2 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $266.66 – $266.66 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $285.11 – $285.11 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $302.33 – $302.33 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $243.34 – $243.34 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $266.66 – $266.66 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $266.66 – $266.66 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $302.33 – $302.33 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $353.92 – $353.92 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $3,877.36 – $7,015.39 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $9,371.39 | $22,312.84 | $155.73 – $172.17 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $26.24 – $52.36 | 2 |
| Abciximab injection HCPCS J0130 | not published | not published | $2,148.86 – $5,382.91 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $7,103.46 | $16,913.00 | $8,770.58 – $12,082.78 | 2 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,463.10 – $2,659.07 | 2 |
| Abd/low ext cath 1st CPT 36245 | $641.76 | $1,528.00 | $4,524.00 – $4,524.00 | 1 |
| Abd/low ext cath 2nd CPT 36246 | $2,571.24 | $6,122.00 | $4,524.00 – $4,524.00 | 1 |
| Abd/low ext cath 3rd CPT 36247 | $399.00 | $950.00 | $4,524.00 – $4,524.00 | 1 |
| Abd/low ext cath addl CPT 36248 | $459.48 | $1,094.00 | $4,524.00 – $4,524.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,554.88 | $8,464.00 | $444.62 – $930.67 | 2 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,843.82 | $6,771.00 | $444.62 – $831.32 | 2 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,133.18 | $5,079.00 | $273.48 – $414.14 | 2 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,884.18 | $11,629.00 | $931.71 – $1,666.92 | 2 |
| Abdominal MRI (with contrast) CPT 74182 | $4,307.10 | $10,255.00 | $931.71 – $1,473.55 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $3,908.94 | $9,307.00 | $568.62 – $988.29 | 2 |
| Abdominal paracentesis w/image guidance CPT 49083 | $4,367.58 | $10,399.00 | $577.47 – $4,524.00 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,259.58 | $2,999.00 | $333.97 – $488.67 | 2 |
| Abdominal Ultrasound (limited) CPT 76705 | $908.04 | $2,162.00 | $333.97 – $488.67 | 2 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,300.00 – $11,155.43 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,467.48 | $3,494.00 | $577.47 – $4,524.00 | 3 |
| Abl1 gene CPT 81170 | not published | not published | $655.20 – $1,308.00 | 2 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $13,392.96 | $31,888.00 | $1,523.86 – $2,444.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,669.39 – $3,016.80 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,399.04 – $4,313.34 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $808.27 – $1,447.76 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,275.60 – $4,104.53 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $4,440.64 – $12,741.55 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $5,719.14 | $13,617.00 | $2,444.00 – $12,741.55 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | $7,660.38 | $18,239.00 | $5,469.84 – $12,536.56 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,955.10 | $4,655.00 | $763.11 – $4,579.48 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $5,296.63 – $10,295.80 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | $6,585.18 | $15,679.00 | $4,833.48 – $10,295.80 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $471.77 – $471.77 | 1 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,674.01 – $2,697.56 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | $14,442.12 | $34,386.00 | $2,444.00 – $10,295.80 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $315.84 | $752.00 | $199.54 – $2,444.00 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,412.72 | $34,316.00 | $4,833.48 – $15,160.00 | 3 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $350.83 – $2,444.00 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $199.54 – $2,600.00 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $393.96 | $938.00 | $249.24 – $2,444.00 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $4,524.00 – $9,401.61 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $5,260.00 – $5,260.00 | 1 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $9.69 – $33.78 | 4 |
| Abortion CPT 59850 | not published | not published | $421.47 – $4,524.00 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $266.88 – $576.63 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $116.22 – $372.17 | 2 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,045.46 | $12,013.00 | $1,242.19 – $4,524.00 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $100.25 | $238.70 | $0.19 – $1.20 | 4 |
| Acetaminophen level CPT 80143 | not published | not published | $40.72 – $81.27 | 2 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $214.51 | $510.73 | $60.29 – $106.86 | 4 |
| Acetone qualitative CPT 82009 | $26.46 | $63.00 | $9.88 – $19.71 | 2 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $52.54 – $52.54 | 1 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $26.84 – $53.58 | 2 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $231.15 | $550.35 | $1.29 – $8.66 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | $131.58 | $313.29 | $5.72 – $31.12 | 4 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $314.61 – $314.61 | 1 |
| Acne surgery 10040 CPT 10040 | $254.52 | $606.00 | $116.22 – $372.17 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $110.62 – $110.62 | 1 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $99.54 – $99.54 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $90.94 – $90.94 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $180.66 – $180.66 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $395.32 – $395.32 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $55.31 – $55.31 | 1 |
| Acoustic immitance testing CPT 92570 | not published | not published | $471.77 – $471.77 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $114.00 – $114.00 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Actigraphy testing CPT 95803 | not published | not published | $187.58 – $187.58 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $114.00 – $114.00 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $115.53 – $115.53 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $106.90 – $106.90 | 1 |
| Acute hepatitis panel CPT 80074 | $1,351.56 | $3,218.00 | $104.03 – $207.67 | 2 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,186.36 – $1,186.36 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.