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 |
|---|---|---|---|---|
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,361.21 – $2,381.96 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $19.65 – $43.09 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $114.00 – $114.00 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $31.82 – $47.31 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $375.48 | $894.00 | $9.62 – $19.18 | 2 |
| System cardiomems hosp electronics HCPCS C2624 | $42,700.77 | $101,668.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $26,599.86 | $63,333.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,795.20 | $18,560.00 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $3.67 – $3.67 | 1 |
| System sealant biosentry tract HCPCS C2613 | $1,197.76 | $2,851.80 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $10.92 | $26.00 | $37.00 – $73.86 | 2 |
| T3 (triiodothyronine) total CPT 84480 | $109.62 | $261.00 | $30.99 – $61.82 | 2 |
| T4 (thyroxine) free CPT 84439 | $156.24 | $372.00 | $19.70 – $39.33 | 2 |
| T4 (thyroxine) total CPT 84436 | $167.16 | $398.00 | $15.02 – $29.95 | 2 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.76 – $2.09 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $4.86 – $6.57 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $24.02 | $57.20 | $0.54 – $14.49 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $755.82 – $945.21 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $294.84 | $702.00 | $29.97 – $59.86 | 2 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $9,436.30 | $22,467.39 | $49.26 – $56.26 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,672.55 – $4,911.31 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,464.56 – $4,522.88 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,508.76 – $8,068.00 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $190.22 – $257.41 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $23,793.00 | $56,650.00 | $253.39 – $253.39 | 1 |
| Talymed HCPCS Q4127 | not published | not published | $239.70 – $260.26 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $2.06 – $2.20 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.52 – $0.52 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $1,658.80 – $3,311.55 | 2 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $6,376.41 – $12,729.46 | 2 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $1,305.83 – $2,606.89 | 2 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $10,343.03 | $24,626.25 | $5,486.23 – $5,486.23 | 1 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,721.04 – $1,721.04 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $141.77 – $2,444.00 | 3 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,671.50 – $3,030.61 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,631.08 | $3,883.53 | $1.03 – $3.27 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $299.21 – $597.32 | 2 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $188.57 – $188.57 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $47.13 – $47.13 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $375.53 – $375.53 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $373.96 – $373.96 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $218.40 – $436.00 | 2 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $135.38 – $270.23 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $4,618.90 – $4,931.02 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $1,386.04 – $1,479.70 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $260.75 – $278.37 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $5,423.52 – $5,790.01 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $5,423.52 – $5,790.01 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $347.93 – $371.44 | 2 |
| Tc-99m maa HCPCS A9540 | not published | not published | $111.75 – $119.30 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $206.07 – $220.00 | 2 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $48.43 – $51.71 | 2 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $2,886.08 – $3,081.11 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $38.00 – $38.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $163.89 – $174.96 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $116.73 – $124.61 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $14.70 – $15.69 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $186.25 – $198.84 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $509.13 – $543.53 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $2,232.85 – $2,383.74 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $199.19 – $212.65 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $363.04 – $387.57 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $1,750.02 – $1,868.28 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $94.50 – $534.93 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $382.19 – $382.19 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $382.19 – $382.19 | 1 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $794.67 – $794.67 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $741.31 – $826.53 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $598.92 | $1,426.00 | $102.62 – $204.83 | 2 |
| T cells absolute cd 4 count CPT 86361 | $559.44 | $1,332.00 | $58.50 – $116.76 | 2 |
| T cells total count CPT 86359 | $535.50 | $1,275.00 | $82.39 – $164.50 | 2 |
| Tcranial magn stim tx deli CPT 90868 | $180.60 | $430.00 | $86.03 – $86.03 | 1 |
| Tcranial magn stim tx plan CPT 90867 | $180.60 | $430.00 | $626.76 – $626.76 | 1 |
| Tcran magn stim redetemine CPT 90869 | $180.60 | $430.00 | not published | 0 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $579.15 – $1,037.08 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,296.12 – $2,293.69 | 2 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $130.26 – $130.26 | 1 |
| Team conf without pat by phys CPT 99367 | $38.22 | $91.00 | $197.85 – $197.85 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $146.25 – $146.25 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $48,244.46 | $114,867.77 | $698.82 – $793.93 | 3 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| Telavancin injection HCPCS J3095 | not published | not published | $21.47 – $26.79 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $545.63 – $545.63 | 1 |
| Telethx isodose plan cplx CPT 77307 | $3,929.94 | $9,357.00 | $550.96 – $550.96 | 1 |
| Telethx isodose plan simple CPT 77306 | $446.04 | $1,062.00 | $305.13 – $305.13 | 1 |
| Temozolomide HCPCS J8700 | $374.66 | $892.05 | $1.06 – $16.41 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $36.38 – $41.24 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $471.77 – $471.77 | 1 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $6,200.00 – $33,965.15 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $12,710.24 | $30,262.48 | $113.00 – $175.80 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $1,000.00 – $5,830.77 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,600.00 – $6,355.00 | 4 |
| Tendon shortening CPT 26477 | not published | not published | $1,000.00 – $5,830.77 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $451.61 – $601.78 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $6,452.25 – $11,381.53 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,300.00 – $12,741.55 | 6 |
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.