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 |
|---|---|---|---|---|
| Trichomonas assay w/optic CPT 87808 | not published | not published | $33.40 – $66.66 | 2 |
| Triglycerides CPT 84478 | $157.08 | $374.00 | $12.54 – $25.03 | 2 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $18.88 – $20.68 | 3 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | $11.33 | $26.98 | $2.47 – $2.47 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $123.57 – $186.90 | 4 |
| Trim nail(s) HCPCS G0127 | $97.02 | $231.00 | $61.80 – $117.17 | 2 |
| Trim nondyst nails CPT 11719 | $97.02 | $231.00 | $61.80 – $117.17 | 2 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $1,571.64 – $2,485.67 | 4 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $3,684.87 – $8,133.04 | 3 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $3,684.87 – $8,133.04 | 3 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $6,725.00 – $26,823.71 | 2 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,822.08 | $18,624.00 | $1,238.62 – $5,260.00 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $11,337.48 | $26,994.00 | $1,348.54 – $5,260.00 | 3 |
| Trnscath plc stnt ante carotid art CPT 37218 | $11,436.60 | $27,230.00 | $1,017.11 – $5,260.00 | 3 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $10,061.94 | $23,957.00 | $2,444.00 – $2,444.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $12,846.54 | $30,587.00 | $2,444.00 – $2,444.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $14,006.16 | $33,348.00 | $5,260.00 – $21,105.06 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,671.22 | $8,741.00 | $2,638.99 – $5,902.83 | 3 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $10,527.30 | $25,065.00 | $995.40 – $9,789.88 | 3 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,743.48 | $11,294.00 | $2,638.99 – $5,260.00 | 3 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,282.70 | $5,435.00 | $2,638.99 – $5,260.00 | 3 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $4,316.76 | $10,278.00 | $995.40 – $5,902.83 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $4,713.66 | $11,223.00 | $2,716.00 – $6,341.63 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $2,357.04 | $5,612.00 | $2,444.00 – $2,444.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,501.10 | $5,955.00 | $1,660.87 – $11,141.85 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,501.10 | $5,955.00 | $1,660.87 – $11,141.85 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,660.87 – $7,034.24 | 6 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $14,126.40 – $14,126.40 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,318.52 – $2,335.14 | 2 |
| Troponin quantitative CPT 84484 | $255.36 | $608.00 | $27.25 – $54.37 | 2 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $286.86 – $4,524.00 | 3 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,773.40 – $4,524.00 | 2 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $459.88 – $459.88 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,204.56 | $2,868.00 | $2,321.60 – $2,321.60 | 1 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $2,321.60 – $2,321.60 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $2,300.00 – $10,295.80 | 4 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $15.09 – $15.09 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $872.21 | $2,076.69 | $62.85 – $62.85 | 1 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.46 – $7.46 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $63.43 – $63.43 | 1 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.08 – $0.08 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.52 – $1.52 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $741.31 – $826.53 | 2 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,695.75 – $14,278.67 | 3 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,268.63 – $2,291.39 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | $36,070.02 | $85,881.00 | $8,068.00 – $43,527.13 | 3 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $199.54 – $2,444.00 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | $584.22 | $1,391.00 | $252.34 – $4,579.48 | 6 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $5,956.44 | $14,182.00 | $1,000.00 – $5,830.77 | 6 |
| Tx closed tib shaft fx without manip CPT 27750 | $635.46 | $1,513.00 | $252.34 – $4,579.48 | 6 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $98.74 – $182.18 | 2 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $67.94 – $127.61 | 2 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,020.06 – $2,064.16 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,077.13 – $1,955.17 | 2 |
| Tx l/r atrial fib addl CPT 93657 | $13,392.96 | $31,888.00 | $1,521.41 – $2,444.00 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $4,192.86 | $9,983.00 | $2,410.49 – $17,789.31 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,477.56 | $3,518.00 | $2,410.49 – $15,638.81 | 6 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $4,192.86 | $9,983.00 | $2,150.00 – $7,034.24 | 6 |
| Tx open nsl fx uncomp CPT 21325 | $4,007.22 | $9,541.00 | $2,296.68 – $15,638.81 | 6 |
| Tx open nsl sptl fx CPT 21336 | $4,313.40 | $10,270.00 | $2,410.49 – $6,355.00 | 4 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,059.26 | $4,903.00 | $2,410.49 – $15,638.81 | 6 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $533.92 – $4,524.00 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $291.90 | $695.00 | $109.34 – $2,444.00 | 3 |
| Tympanic membrane repair CPT 69610 | not published | not published | $248.10 – $5,260.00 | 3 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,000.00 – $5,579.09 | 6 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $471.77 – $471.77 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $167.92 – $5,260.00 | 3 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Tyms gene com variants CPT 81346 | not published | not published | $381.79 – $762.17 | 2 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $156.00 – $342.95 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $422.05 – $3,311.55 | 2 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $8.77 – $17.53 | 2 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $61,982.29 | $147,576.88 | $244.22 – $257.11 | 3 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $511.06 – $1,020.24 | 2 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $468.72 | $1,116.00 | $333.97 – $380.24 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $20.45 – $333.97 | 2 |
| Ultrasound breast complete CPT 76641 | $561.12 | $1,336.00 | $333.97 – $488.67 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $467.46 | $1,113.00 | $247.94 – $347.97 | 2 |
| Ultrasound chest CPT 76604 | $686.70 | $1,635.00 | $333.97 – $488.67 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $169.26 | $403.00 | $333.97 – $488.67 | 2 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $333.97 – $488.67 | 2 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $149.29 – $149.29 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $333.97 – $488.67 | 2 |
| Ultrasound encephalogram CPT 76506 | $1,373.82 | $3,271.00 | $333.97 – $488.67 | 2 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $488.67 – $488.67 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,044.12 | $2,486.00 | $333.97 – $488.67 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $258.30 | $615.00 | $219.96 – $333.97 | 2 |
| Ultrasound guidance for vascular access CPT 76937 | $388.08 | $924.00 | $86.42 – $86.42 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,057.98 | $2,519.00 | $110.00 – $110.00 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $1,374.66 | $3,273.00 | $284.40 – $284.40 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $811.44 | $1,932.00 | $460.37 – $460.37 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $1,471.68 | $3,504.00 | $247.94 – $347.97 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | $1,029.42 | $2,451.00 | $247.94 – $347.97 | 2 |
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.