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 |
|---|---|---|---|---|
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,553.14 – $7,334.00 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,372.64 – $6,725.00 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,411.94 – $2,566.20 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,129.84 | $7,452.00 | $2,163.66 – $6,622.89 | 2 |
| Cholesterol CPT 82465 | $179.76 | $428.00 | $9.51 – $18.97 | 2 |
| Cholesterol body fluid CPT 84999 | not published | not published | $77.24 – $77.24 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $1,141.14 | $2,717.00 | $29.24 – $58.38 | 2 |
| Choline c-11 HCPCS A9515 | not published | not published | $18,625.20 – $19,883.78 | 2 |
| Cholinesterase CPT 82480 | not published | not published | $17.20 – $34.31 | 2 |
| Cholinesterase challenge CPT 95857 | not published | not published | $104.45 – $104.45 | 1 |
| Chorion biopsy CPT 59015 | not published | not published | $72.57 – $131.44 | 2 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $61.29 – $88.05 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $76.03 – $151.77 | 2 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $85.17 – $170.04 | 2 |
| Chromatography CPT 83021 | not published | not published | $39.45 – $78.74 | 2 |
| Chromogenic substrate assay CPT 85130 | $148.68 | $354.00 | $25.98 – $51.84 | 2 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $124.59 – $248.69 | 2 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $379.28 – $757.16 | 2 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $378.20 – $755.02 | 2 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $274.08 – $547.14 | 2 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $378.20 – $755.02 | 2 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $328.24 – $655.26 | 2 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $577.32 – $1,152.52 | 2 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $378.20 – $755.02 | 2 |
| Chromosome analys placenta CPT 88267 | not published | not published | $411.84 – $822.17 | 2 |
| Chromosome banding study CPT 88283 | not published | not published | $149.82 – $299.10 | 2 |
| Chromosome count additional CPT 88285 | not published | not published | $58.77 – $117.33 | 2 |
| Chromosome karyotype study CPT 88280 | not published | not published | $73.11 – $145.93 | 2 |
| Chromosome study additional CPT 88289 | not published | not published | $75.20 – $150.11 | 2 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $27.22 – $54.33 | 2 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $134.34 – $268.14 | 2 |
| Cidofovir injection HCPCS J0740 | $3,773.88 | $8,985.42 | $1,852.81 – $2,105.92 | 4 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $12.90 – $30.78 | 4 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,811.03 – $7,034.24 | 6 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $1,732,143.60 – $1,936,825.91 | 3 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.21 – $3.76 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $333.97 – $488.67 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $62.87 – $62.87 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $69.30 | $165.00 | $5.87 – $8.12 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $105.92 – $114.08 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,138.51 – $7,034.24 | 6 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $1,185.41 – $4,524.00 | 4 |
| Circumcision (newborn) CPT 54150 | not published | not published | $1,000.00 – $3,773.40 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $600.05 | $1,428.70 | $6.82 – $15.35 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $719.65 – $1,436.66 | 2 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $945.85 | $2,252.02 | $34.04 – $96.58 | 4 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $24,788.40 | $59,020.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Claviculectomy total CPT 23125 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $194.09 – $4,524.00 | 3 |
| Clearance of airways CPT 31720 | $241.50 | $575.00 | $194.28 – $4,579.48 | 6 |
| Clearance of tear duct CPT 68530 | not published | not published | $192.93 – $2,444.00 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $371.79 – $371.79 | 1 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $371.79 – $371.79 | 1 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $187.58 – $187.58 | 1 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $114.00 – $114.00 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $71.09 | $169.26 | $5.85 – $7.22 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $4,658.12 | $11,090.75 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,178.67 – $5,320.95 | 2 |
| Cllr miami j sm HCPCS L0174 | $1,045.77 | $2,489.92 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $14,411.35 | $34,312.74 | $51.51 – $320.38 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $126.50 | $301.18 | $50.68 – $73.23 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,446.58 – $6,221.67 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $162.12 | $386.00 | $138.27 – $232.08 | 2 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,021.04 | $4,812.00 | $252.34 – $4,579.48 | 6 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $299.88 | $714.00 | $919.04 – $2,444.00 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $299.88 | $714.00 | $199.54 – $459.31 | 2 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,021.04 | $4,812.00 | $1,959.91 – $7,034.24 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $291.90 | $695.00 | $138.27 – $4,579.48 | 5 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,332.66 | $3,173.00 | $252.34 – $4,579.48 | 6 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $270.90 | $645.00 | $106.33 – $2,444.00 | 3 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $2,296.68 – $8,068.00 | 4 |
| Closed tx orbit without manipulj CPT 21400 | $643.44 | $1,532.00 | $763.11 – $7,034.24 | 6 |
| Closed tx orbit w/manipulj CPT 21401 | $1,955.10 | $4,655.00 | $763.11 – $11,141.85 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,416.26 | $5,753.00 | $1,357.89 – $7,034.24 | 6 |
| Closed tx septal&nose fx CPT 21337 | $4,007.22 | $9,541.00 | $1,495.00 – $7,034.24 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | $291.90 | $695.00 | $88.18 – $2,444.00 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $291.90 | $695.00 | $109.34 – $2,444.00 | 3 |
| Closed tx vert fx w/manj CPT 22315 | $4,313.40 | $10,270.00 | $1,548.47 – $7,034.24 | 6 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $443.52 | $1,056.00 | $428.71 – $433.75 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $836.59 – $6,355.00 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $158.65 – $2,444.00 | 3 |
| Close tear duct opening CPT 68761 | not published | not published | $112.66 – $2,444.00 | 3 |
| Close tear system fistula CPT 68770 | not published | not published | $828.01 – $6,355.00 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $34.94 – $69.76 | 2 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,412.06 | $5,743.00 | $1,495.00 – $7,034.24 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,062.77 – $1,929.82 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,961.93 – $3,564.13 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,246.23 – $2,259.14 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,715.47 – $3,120.43 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $782.88 | $1,864.00 | $763.11 – $4,579.48 | 6 |
| Closure of eyelid by suture CPT 67875 | $1,229.34 | $2,927.00 | $828.01 – $2,444.00 | 3 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,000.00 – $5,579.09 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,000.00 – $5,579.09 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $577.47 – $1,342.99 | 2 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $41.33 – $82.53 | 2 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $44.58 – $89.03 | 2 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $41.33 – $82.53 | 2 |
| Clot factor xii hageman CPT 85280 | not published | not published | $42.27 – $84.37 | 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.