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 |
|---|---|---|---|---|
| Brach/thor cath 3rd CPT 36217 | $1,684.62 | $4,011.00 | $4,524.00 – $4,524.00 | 1 |
| Brach/thor cath addl CPT 36218 | $458.22 | $1,091.00 | $4,524.00 – $4,524.00 | 1 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $135.44 – $135.44 | 1 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $139.71 – $139.71 | 1 |
| Brachy source palladium HCPCS C2640 | $279.95 | $666.54 | $327.71 – $327.71 | 1 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $272.01 – $272.01 | 1 |
| Brachy source yttrium-90 HCPCS C2616 | $35,900.28 | $85,476.85 | $66,998.95 – $66,998.95 | 1 |
| Brachy src nonstrand c-131 HCPCS C2643 | $399.92 | $952.20 | $375.22 – $375.22 | 1 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $76.86 | $183.00 | $1,262.32 – $1,262.32 | 1 |
| Brachy src stranded c-131 HCPCS C2642 | $426.59 | $1,015.68 | $300.70 – $300.70 | 1 |
| Brachytx isodose complex CPT 77318 | $3,662.40 | $8,720.00 | $926.77 – $926.77 | 1 |
| Brachytx isodose intermed CPT 77317 | $3,215.52 | $7,656.00 | $683.77 – $683.77 | 1 |
| Brachytx isodose plan simple CPT 77316 | $2,270.94 | $5,407.00 | $519.87 – $519.87 | 1 |
| Braf gene CPT 81210 | not published | not published | $383.08 – $764.74 | 2 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,725.62 – $3,107.37 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,506.22 – $2,716.64 | 2 |
| Brain flow imaging only CPT 78610 | not published | not published | $724.37 – $724.37 | 1 |
| Brain image < 4 views CPT 78600 | not published | not published | $736.93 – $736.93 | 1 |
| Brain image 4+ views CPT 78605 | not published | not published | $782.49 – $782.49 | 1 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $868.95 – $868.95 | 1 |
| Brain image w/flow 4 + views CPT 78606 | $2,162.16 | $5,148.00 | $1,352.91 – $1,352.91 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,982.86 | $9,483.00 | $931.71 – $1,666.92 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,429.30 | $8,165.00 | $931.71 – $1,473.55 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,447.34 | $5,827.00 | $568.62 – $988.29 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $495.00 | $9,970.00 | $931.71 – $1,666.92 | 2 |
| Brain MRI (with contrast) CPT 70552 | $3,303.30 | $7,865.00 | $931.71 – $1,473.55 | 2 |
| Brain MRI (without contrast) CPT 70551 | $690.00 | $7,657.00 | $568.62 – $988.29 | 2 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $266.62 | $634.80 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $1,022.11 – $2,040.48 | 2 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $1,275.96 – $2,547.24 | 2 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $819.53 – $1,636.09 | 2 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $658.16 – $1,313.89 | 2 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $617.80 – $1,233.36 | 2 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $404.31 – $807.12 | 2 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $819.53 – $1,636.09 | 2 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $617.80 – $1,233.36 | 2 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $960.96 – $1,918.40 | 2 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $3,985.53 – $7,956.48 | 2 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $6,200.00 – $17,328.74 | 4 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $5,231.52 | $12,456.00 | $1,242.19 – $4,524.00 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $914.34 | $2,177.00 | $95.36 – $2,444.00 | 3 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $2,750.00 – $29,507.59 | 6 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,172.87 – $3,941.03 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,909.09 – $3,471.24 | 2 |
| Breast reduction CPT 19318 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $226.12 – $226.12 | 1 |
| Breathing response hypoxia CPT 94450 | not published | not published | $471.77 – $471.77 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $411.63 – $411.63 | 1 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $48.22 – $48.22 | 1 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $24,248.87 | $57,735.40 | $589.46 – $904.81 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $1,389,439.92 – $1,714,020.00 | 4 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $527.52 | $1,256.00 | $804.91 – $4,579.48 | 6 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $2,350.62 – $6,255.62 | 3 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $2,350.62 – $6,255.62 | 3 |
| Bronchial allergy tests CPT 95070 | not published | not published | $110.62 – $110.62 | 1 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $455.98 – $4,579.48 | 6 |
| Bronchial challenge CPT 94070 | $724.50 | $1,725.00 | $106.90 – $106.90 | 1 |
| Bronchial valve init insert CPT 31647 | not published | not published | $2,662.69 – $11,587.97 | 3 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,245.13 – $3,047.20 | 3 |
| Bronchial valve remov init CPT 31648 | not published | not published | $2,662.69 – $6,255.62 | 3 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $2,150.00 – $11,587.97 | 4 |
| Bronchoscopy clear airways 31645 CPT 31645 | $4,599.84 | $10,952.00 | $1,000.00 – $4,579.48 | 6 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $2,150.00 – $11,587.97 | 6 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $1,245.13 – $7,034.24 | 6 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $2,150.00 – $11,587.97 | 4 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $1,245.13 – $7,034.24 | 6 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $2,624.16 | $6,248.00 | $1,245.13 – $7,034.24 | 6 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $2,662.69 – $11,587.97 | 3 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $2,662.69 – $11,587.97 | 3 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $2,662.69 – $11,587.97 | 3 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $2,662.69 – $11,587.97 | 3 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $333.45 – $2,444.00 | 3 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,677.00 – $3,068.99 | 2 |
| Budesonide non-comp unit HCPCS J7626 | $73.03 | $173.89 | $3.84 – $22.52 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $56.70 | $135.00 | $2.13 – $2.77 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $422.10 | $1,005.00 | $188.23 – $215.69 | 2 |
| Bundled special stain group 2 CPT 88313 | $459.06 | $1,093.00 | $145.75 – $151.64 | 2 |
| Bundle his recording CPT 93600 | $6,928.74 | $16,497.00 | $5,469.84 – $12,536.56 | 3 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $56.70 | $135.00 | $0.04 – $0.07 | 3 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $3.67 – $3.67 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $10.58 – $27.06 | 3 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $18.96 – $44.35 | 3 |
| Buprenorphine hydrochloride HCPCS J0592 | $105.34 | $250.82 | $11.00 – $15.69 | 4 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $4.11 – $5.32 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $5,909.20 – $7,171.02 | 4 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $5,909.20 – $7,171.02 | 4 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $935.95 – $1,670.37 | 2 |
| Burr hole implant ventricular cath/other device CPT 61210 | $1,248.66 | $2,973.00 | $465.01 – $833.64 | 2 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,575.55 – $2,835.63 | 2 |
| Burr hole skull & remove clot 61154 CPT 61154 | $120.96 | $288.00 | $1,585.27 – $2,850.98 | 2 |
| Bur rotalink 2.15mm HCPCS C1724 | $7,754.17 | $18,462.30 | not published | 0 |
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.