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 |
|---|---|---|---|---|
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $371.79 – $371.79 | 1 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $528.33 – $1,054.68 | 2 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $1,216.15 | $2,895.60 | $1.42 – $2.92 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $80.66 | $192.04 | $4.31 – $6.87 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $7.74 – $22.95 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $24.87 – $26.55 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $68.98 | $164.24 | $16.49 – $19.30 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,547.27 | $3,683.98 | $12.01 – $14.85 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $56.70 | $135.00 | $5.75 – $6.71 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $335.48 – $367.33 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $130.23 | $310.06 | $1.68 – $10.10 | 4 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $56.70 | $135.00 | $5.16 – $8.02 | 4 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $206.91 – $413.07 | 2 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $238.33 – $475.81 | 2 |
| Cell count body fluid CPT 89050 | $56.28 | $134.00 | $10.31 – $20.58 | 2 |
| Cell count w differential body fluid CPT 89051 | $825.72 | $1,966.00 | $12.23 – $24.42 | 2 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $28.57 – $56.99 | 2 |
| Cell enumeration & id CPT 86152 | not published | not published | $547.72 – $1,093.40 | 2 |
| Cell function assay w/stim CPT 86352 | not published | not published | $296.72 – $592.35 | 2 |
| Cell marker study CPT 88182 | not published | not published | $215.69 – $222.53 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $26,052.13 | $62,028.89 | $100.16 – $106.93 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $17,362.24 – $18,535.47 | 3 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $298.46 – $6,355.00 | 3 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,000.00 – $5,320.95 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | $2,162.16 | $5,148.00 | $1,348.20 – $1,348.20 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $31,489.91 | $74,975.97 | $15.70 – $37.85 | 4 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $2,766.70 – $17,328.74 | 3 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $95.86 – $95.86 | 1 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,127.87 – $2,021.18 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $10,630.62 | $25,311.00 | $236.74 – $280.14 | 4 |
| #cf-97variants CPT 81220 | not published | not published | $1,215.61 – $2,426.78 | 2 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $950.21 – $1,896.91 | 2 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $368.56 – $735.75 | 2 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $212.32 – $423.88 | 2 |
| Change cystostomy tube; complex 51710 CPT 51710 | $881.16 | $2,098.00 | $575.95 – $4,579.48 | 6 |
| Change cystostomy tube simple CPT 51705 | $628.74 | $1,497.00 | $66.66 – $2,444.00 | 3 |
| Change gastric port open CPT 43888 | not published | not published | $2,716.00 – $6,341.63 | 3 |
| Change g-tube to g-j perc CPT 49446 | $2,981.16 | $7,098.00 | $1,256.62 – $3,317.26 | 3 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,521.21 – $3,773.40 | 3 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Change of windpipe airway 31502 CPT 31502 | $523.32 | $1,246.00 | $153.08 – $2,444.00 | 3 |
| Change stent via transureth CPT 50385 | not published | not published | $2,444.00 – $3,773.40 | 3 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,444.00 – $3,773.40 | 3 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $135.65 – $625.66 | 2 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $83.54 – $372.17 | 2 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $116.22 – $372.17 | 2 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $116.22 – $680.56 | 2 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $116.22 – $680.56 | 2 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,389.78 | $3,309.00 | $278.97 – $278.97 | 1 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $136.28 – $2,444.00 | 3 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $844.20 | $2,010.00 | $2,444.00 – $2,444.00 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $924.00 | $2,200.00 | $2,444.00 – $2,444.00 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,029.00 | $2,450.00 | $100.84 – $2,444.00 | 3 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $927.36 | $2,208.00 | $84.81 – $2,444.00 | 3 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,717.20 – $2,444.00 | 3 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $85.65 – $2,444.00 | 3 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $145.99 – $2,444.00 | 3 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $67.09 – $2,444.00 | 3 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $59.07 – $2,444.00 | 3 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $70.89 – $2,444.00 | 3 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $64.97 – $2,444.00 | 3 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $81.01 – $2,444.00 | 3 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $90.71 – $2,444.00 | 3 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $103.80 – $2,444.00 | 3 |
| Chemo extend IV infus w/pump HCPCS G0498 | $470.40 | $1,120.00 | $1,055.74 – $1,055.74 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $275.29 – $275.29 | 1 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $596.03 – $596.03 | 1 |
| Chemo ia push tecnique CPT 96420 | $381.36 | $908.00 | $362.55 – $362.55 | 1 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $160.99 – $160.99 | 1 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $206.20 – $206.20 | 1 |
| Chemotaxis assay CPT 86155 | not published | not published | $34.91 – $69.72 | 2 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $146.25 – $146.25 | 1 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $97.08 – $97.08 | 1 |
| Chest 2 vws w oblique CPT 71048 | $700.98 | $1,669.00 | $333.97 – $488.67 | 2 |
| Chest apical lordotic proj CPT 71047 | $611.94 | $1,457.00 | $247.94 – $347.97 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $4,989.18 | $11,879.00 | $444.62 – $930.67 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $230.00 | $10,059.00 | $444.62 – $831.32 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $2,226.84 | $5,302.00 | $273.48 – $414.14 | 2 |
| Chest X-ray CPT 71046 | $523.74 | $1,247.00 | $247.94 – $347.97 | 2 |
| Chest X-ray (single view) CPT 71045 | $468.30 | $1,115.00 | $247.94 – $347.97 | 2 |
| Chg pr pul rehab for copd patients CPT 94626 | $63.84 | $152.00 | $97.08 – $97.08 | 1 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $966.42 | $2,301.00 | $547.23 – $794.48 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $453.10 – $904.53 | 2 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $569.55 – $1,137.04 | 2 |
| Chlamydia culture CPT 87110 | not published | not published | $42.81 – $85.46 | 2 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $26.17 – $52.23 | 2 |
| Chlamydia type CPT 87140 | not published | not published | $12.17 – $24.29 | 2 |
| Chlnggrphy intraop addl s&i CPT 74301 | $56.70 | $135.00 | $47.13 – $47.13 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $100.61 – $221.84 | 3 |
| Chloride CPT 82435 | $123.90 | $295.00 | $10.04 – $20.06 | 2 |
| Chloride 24 hour urine CPT 82436 | $128.94 | $307.00 | $12.57 – $25.07 | 2 |
| Chloroprocaine hcl injection HCPCS J2401 | $56.70 | $135.00 | $0.14 – $0.15 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $2.10 – $84.45 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $479.82 | $1,142.42 | $141.34 – $573.79 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $201.34 | $479.37 | $77.87 – $113.20 | 4 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.37 – $0.40 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $438.73 – $438.73 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | $2,726.22 | $6,491.00 | $2,569.16 – $6,622.89 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $702.66 | $1,673.00 | $81.71 – $81.71 | 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.