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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $70.01 – $74.74 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $29.40 | $70.00 | $62.91 – $84.93 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $31.08 – $39.67 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $85.83 – $105.60 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $171.11 – $278.92 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $203.70 | $485.01 | $98.40 – $128.97 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $38.25 – $63.32 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,474.49 | $3,510.70 | $747.18 – $946.77 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $610.52 – $867.01 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $318.20 – $760.87 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $1,174.36 | $2,796.10 | $318.20 – $690.80 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $685.24 | $1,631.53 | $262.77 – $420.05 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $504.22 – $808.13 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $858.60 | $2,044.29 | $438.40 – $507.19 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $1,496.71 | $3,563.60 | $691.15 – $980.36 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $914.01 – $963.53 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,703.58 | $4,056.14 | $927.07 – $1,096.91 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $327.41 | $779.54 | $118.60 – $193.88 | 3 |
| Vaccine rabies im CPT 90675 | $2,251.07 | $5,359.69 | $1,092.11 – $1,234.01 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $2,043.51 | $4,865.51 | $813.41 – $1,345.20 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $3,686.45 | $8,777.26 | $4,514.40 – $4,514.40 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $2,257.20 – $2,257.20 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $813.41 – $1,276.80 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $421.38 – $482.92 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $369.89 – $437.00 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $321.30 | $764.99 | $138.98 – $157.79 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $310.84 | $740.09 | $69.34 – $127.28 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $245.61 – $415.07 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | $1,083.24 | $2,579.14 | $593.91 – $794.35 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $420.86 – $606.52 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.04 – $0.04 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,683.99 | $4,009.50 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,827.28 | $35,303.04 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,695.75 – $9,098.38 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,695.75 – $9,098.38 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,695.75 – $9,098.38 | 3 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,695.75 – $14,278.67 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,695.75 – $9,098.38 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,695.75 – $9,098.38 | 3 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,638.53 – $2,959.23 | 2 |
| Vaginal bx CPT 58999 | $4,206.30 | $10,015.00 | $154.57 – $2,444.00 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $4,096.68 | $9,754.00 | $2,178.67 – $5,320.95 | 3 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,562.64 – $4,638.80 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $4,695.75 – $9,098.38 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,178.67 – $5,320.95 | 3 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $81.18 – $81.18 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,924.73 – $5,260.00 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,075.02 – $5,260.00 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $138.23 – $250.25 | 2 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,471.55 – $2,659.07 | 2 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,440.27 – $2,624.54 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $770.28 | $1,834.00 | $29.57 – $59.03 | 2 |
| Valrubicin injection HCPCS J9357 | not published | not published | $3,634.61 – $5,182.63 | 4 |
| Valvuloplasty aortic CPT 92986 | $11,714.64 | $27,892.00 | $5,356.65 – $10,551.83 | 3 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,336.25 – $4,289.52 | 2 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,768.31 – $5,076.37 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $8,068.00 – $21,105.06 | 3 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $8,068.00 – $21,105.06 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $3,805.49 – $6,871.08 | 2 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $3,001.86 – $5,427.92 | 2 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1,593.24 | $3,793.42 | $0.11 – $0.11 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.42 – $0.42 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $5.31 – $8.78 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $647.64 | $1,542.00 | $29.57 – $59.03 | 2 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $76.64 – $152.99 | 2 |
| Vantas implant HCPCS J9225 | not published | not published | $16,763.28 – $19,631.90 | 3 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.81 – $0.81 | 1 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $28.13 – $56.16 | 2 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $6,139.66 – $8,572.61 | 3 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $5,260.00 – $5,260.00 | 1 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $4,440.64 – $5,830.77 | 3 |
| Vasectomy CPT 55250 | not published | not published | $2,138.51 – $4,524.00 | 4 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $147.84 | $352.00 | $4.39 – $12.16 | 3 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,684.81 – $4,867.56 | 2 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,402.22 – $2,507.10 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $52,218.60 | $124,330.01 | $77.22 – $85.24 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $1,641.36 | $3,908.00 | $1,655.93 – $1,655.93 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,612.82 | $6,221.00 | $3,099.52 – $3,099.52 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,094.10 | $2,605.00 | $863.07 – $863.07 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,094.10 | $2,605.00 | $1,655.93 – $1,655.93 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | $547.26 | $1,303.00 | $863.07 – $863.07 | 1 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,820.31 – $3,211.78 | 2 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,106.08 – $3,720.73 | 2 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,719.70 – $3,032.91 | 2 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,094.66 – $3,712.27 | 2 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $8,770.58 – $12,082.78 | 2 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $14,620.51 – $20,039.39 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $1,659.99 – $2,749.02 | 2 |
| Vein x-ray kidney CPT 75831 | $5,254.20 | $12,510.00 | $8,770.58 – $12,082.78 | 2 |
| Vein x-ray liver CPT 75891 | $2,917.74 | $6,947.00 | $8,770.58 – $12,082.78 | 2 |
| Vein x-ray liver w/hemodynam CPT 75885 | $9,080.40 | $21,620.00 | $8,770.58 – $12,082.78 | 2 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $8,770.58 – $12,082.78 | 2 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,917.74 | $6,947.00 | $373.96 – $8,770.58 | 2 |
| Vein x-ray skull CPT 75870 | $3,894.66 | $9,273.00 | $545.26 – $8,770.58 | 2 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $1,659.99 – $2,749.02 | 2 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $4,768.92 – $8,770.58 | 2 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $1,269.99 – $1,396.16 | 4 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $196.42 – $196.42 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $196.42 – $196.42 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $293.82 – $293.82 | 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.