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 |
|---|---|---|---|---|
| Ultrasound joint complete left CPT 76881 | $673.68 | $1,604.00 | $252.97 – $333.97 | 2 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $673.68 | $1,604.00 | $333.97 – $488.67 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $459.06 | $1,093.00 | $466.00 – $466.00 | 1 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $215.04 | $512.00 | $188.57 – $188.57 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $807.66 | $1,923.00 | $95.83 – $95.83 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $591.36 | $1,408.00 | $369.25 – $705.32 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $512.82 | $1,221.00 | $333.97 – $488.67 | 2 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $512.82 | $1,221.00 | $333.97 – $488.67 | 2 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $512.82 | $1,221.00 | $333.97 – $488.67 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $333.97 – $419.52 | 2 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,034.46 | $2,463.00 | $333.97 – $488.67 | 2 |
| Ultrasound scrotum and contents CPT 76870 | $811.44 | $1,932.00 | $333.97 – $488.67 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | $1,134.00 | $2,700.00 | $333.97 – $488.67 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | $265.02 | $631.00 | $487.10 – $487.10 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,226.40 | $2,920.00 | $333.97 – $384.99 | 2 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $547.23 – $1,081.06 | 2 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $788.81 – $788.81 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $28.27 – $28.27 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | $544.32 | $1,296.00 | $73.98 – $152.00 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $266.88 – $2,444.00 | 3 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,300.00 – $5,260.00 | 2 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $78.40 – $78.40 | 1 |
| Unlisted chemotherapy px CPT 96549 | $241.08 | $574.00 | $129.96 – $129.96 | 1 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted CT procedure CPT 76497 | not published | not published | $347.97 – $347.97 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $108.06 – $215.69 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $108.06 – $215.69 | 2 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $471.77 – $471.77 | 1 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $154.57 – $2,444.00 | 3 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $247.94 – $347.97 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $77.24 – $77.24 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $154.57 – $5,260.00 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $3,560.22 – $10,295.80 | 2 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px renal CPT 50549 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px testis CPT 54699 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $3,560.22 – $10,295.80 | 3 |
| Unlisted maaa CPT 81599 | not published | not published | $784.09 – $784.09 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted misc path test CPT 89240 | not published | not published | $108.06 – $215.69 | 2 |
| Unlisted mr procedure CPT 76498 | not published | not published | $271.85 – $271.85 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $471.77 – $471.77 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $78.40 – $78.40 | 1 |
| Unlisted orl service/px CPT 92700 | not published | not published | $78.40 – $78.40 | 1 |
| Unlisted procedure colon CPT 45399 | not published | not published | $932.10 – $2,444.00 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $879.87 – $2,444.00 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $352.07 – $576.14 | 2 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $153.08 – $2,444.00 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $575.10 – $1,299.32 | 2 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $77.24 – $77.24 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $352.07 – $576.14 | 2 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $575.10 – $1,299.32 | 2 |
| Unlisted procedure rectum CPT 45999 | $1,204.14 | $2,867.00 | $522.20 – $1,627.06 | 2 |
| Unlisted procedure spine CPT 22899 | not published | not published | $459.31 – $3,070.73 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,095.74 – $6,725.00 | 3 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $459.31 – $2,444.00 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $887.63 – $4,306.56 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $459.31 – $2,539.02 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $1,674.01 – $2,163.66 | 2 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $150.89 – $284.87 | 2 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $352.07 – $576.14 | 2 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,302.62 – $3,669.79 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $446.73 – $1,299.32 | 2 |
| Unlisted px external ear CPT 69399 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $576.14 – $1,811.03 | 2 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $199.54 – $2,444.00 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $199.54 – $2,444.00 | 3 |
| Unlisted px hands/fingers CPT 26989 | $315.84 | $752.00 | $199.54 – $2,444.00 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $153.08 – $2,444.00 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $352.07 – $576.14 | 2 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $199.54 – $2,444.00 | 3 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $133.62 – $4,524.00 | 3 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,302.62 – $3,669.79 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $496.23 – $496.23 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $153.08 – $2,444.00 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $153.08 – $433.75 | 2 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $199.54 – $2,444.00 | 3 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $887.63 – $4,306.56 | 2 |
| Unlisted px salivry glnd/dux CPT 42699 | $292.74 | $697.00 | $153.08 – $2,444.00 | 3 |
| Unlisted px small intestine CPT 44799 | $5,648.16 | $13,448.00 | $1,674.01 – $2,697.56 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $153.08 – $2,444.00 | 3 |
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.