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 |
|---|---|---|---|---|
| Busulfan injection HCPCS J0594 | not published | not published | $5.36 – $33.58 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $87.14 | $207.48 | $3.40 – $17.69 | 4 |
| Buttock fasciotomy CPT 27027 | not published | not published | $3,070.73 – $12,741.55 | 3 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,959.91 – $4,524.00 | 3 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $203.38 – $4,579.48 | 5 |
| Bx bone trocar/ndl deep CPT 20225 | $2,481.36 | $5,908.00 | $1,582.97 – $7,034.24 | 6 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $1,242.19 – $5,260.00 | 3 |
| Bx breast 1st lesion strtctc CPT 19081 | $5,231.52 | $12,456.00 | $1,242.19 – $4,524.00 | 3 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Bx breast add lesion strtctc CPT 19082 | $2,615.34 | $6,227.00 | $2,444.00 – $2,444.00 | 1 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,615.34 | $6,227.00 | $2,444.00 – $2,444.00 | 1 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $575.10 – $4,579.48 | 6 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $2,444.00 – $6,452.94 | 3 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $72.57 – $4,524.00 | 3 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,654.37 – $4,755.48 | 2 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,928.95 – $3,481.97 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bx liver with other CPT 47001 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Bx muscle CPT 20200 | not published | not published | $1,582.97 – $7,034.24 | 6 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $202.95 – $4,524.00 | 3 |
| Bx pancreas pq ndl CPT 48102 | $2,387.28 | $5,684.00 | $1,000.00 – $4,579.48 | 6 |
| Bx perianal mass CPT 46999 | $1,204.14 | $2,867.00 | $522.20 – $2,444.00 | 3 |
| Bx pleura pq ndl CPT 32400 | $1,475.88 | $3,514.00 | $1,000.00 – $4,579.48 | 6 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $1,725.63 – $6,429.49 | 3 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $147.67 – $4,579.48 | 5 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $409.08 | $974.00 | $2,444.00 – $2,444.00 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | $478.80 | $1,140.00 | $2,444.00 – $2,444.00 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $127.26 | $303.00 | $2,444.00 – $2,444.00 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $206.33 – $4,579.48 | 5 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $975.43 – $4,579.48 | 6 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $2,238.18 | $5,329.00 | $975.43 – $7,034.24 | 6 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $3,866.52 | $9,206.00 | $2,150.00 – $7,034.24 | 6 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $205.49 – $4,579.48 | 5 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $975.43 – $4,579.48 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $645.96 | $1,538.00 | $63.71 – $2,444.00 | 3 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $48.53 – $2,444.00 | 3 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $45.99 – $4,579.48 | 5 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Bypass temp external fem-fem CPT 37799 | $425.04 | $1,012.00 | $93.02 – $4,524.00 | 3 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $221.03 – $265.52 | 4 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $205.55 – $237.73 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $26.21 – $52.32 | 2 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $33,497.86 | $79,756.81 | $679.33 – $799.71 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $24.08 | $57.33 | $29.62 – $69.65 | 3 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,702.99 – $4,883.69 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $3,015.81 – $5,448.67 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $3,254.24 – $5,842.46 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,297.15 – $4,152.12 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,374.52 – $4,294.91 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $648.90 – $1,170.65 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,609.56 – $4,717.10 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,968.04 – $5,371.14 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $3,055.12 – $5,531.57 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $230.81 – $415.29 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $507.28 – $915.79 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $670.46 – $1,211.33 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $803.62 – $1,453.13 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $902.97 – $1,631.98 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,032.32 – $1,842.32 | 2 |
| Cable cath 22-pin diag HCPCS C1730 | $6,967.80 | $16,590.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $10,306.02 | $24,538.14 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $37,877.02 | $90,183.38 | $82.70 – $85.88 | 3 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $1,848.27 – $3,689.74 | 2 |
| Cad breast MRI w/r&i HCPCS C8937 | $5,281.08 | $12,574.00 | $81.71 – $81.71 | 1 |
| Cadd pump refill CPT 96521 | $645.54 | $1,537.00 | $507.54 – $507.54 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $60.50 | $144.05 | $5.16 – $8.51 | 3 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $55,861.53 | $133,003.64 | $245.94 – $286.67 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,512.06 | $8,362.05 | $4,064.10 – $10,792.62 | 3 |
| Calcium 24 hour urine CPT 82340 | $229.32 | $546.00 | $13.17 – $26.29 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $56.70 | $135.00 | $0.14 – $0.19 | 3 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.28 – $0.34 | 3 |
| Calcium ionized CPT 82330 | $136.08 | $324.00 | $29.87 – $59.64 | 2 |
| Calcium total CPT 82310 | $126.42 | $301.00 | $11.25 – $22.50 | 2 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $28.13 – $56.11 | 2 |
| Calculus analysis qual CPT 82355 | not published | not published | $25.30 – $50.49 | 2 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $18.45 – $18.45 | 1 |
| Calprotectin fecal CPT 83993 | not published | not published | $42.87 – $85.59 | 2 |
| Campylobacter antibody CPT 86625 | not published | not published | $28.66 – $57.20 | 2 |
| Canakinumab injection HCPCS J0638 | $74,619.95 | $177,666.54 | $395.88 – $493.49 | 4 |
| Candida dna CPT 87480 | $138.60 | $330.00 | $43.78 – $87.42 | 2 |
| Candida skin test CPT 86485 | not published | not published | $44.96 – $100.24 | 2 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $294,632.10 | $701,505.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $2,343.58 – $2,343.58 | 1 |
| Canthotomy 67715 CPT 67715 | $2,819.46 | $6,713.00 | $1,000.00 – $4,579.48 | 6 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.19 – $0.19 | 1 |
| Cap nerve 2x15mm HCPCS C1763 | $50,506.81 | $120,254.30 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $11.29 – $12.43 | 4 |
| Capsular contracture release CPT 23020 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $303.38 – $4,524.00 | 4 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $2,057.49 – $5,830.77 | 4 |
| Cap trach decann 15mm HCPCS C1750 | $5,688.14 | $13,543.20 | not published | 0 |
| Carbamazepine free CPT 80157 | not published | not published | $28.93 – $57.77 | 2 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $40.72 – $81.27 | 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.