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 |
|---|---|---|---|---|
| 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 kidney-skin fistula CPT 50520 | not published | not published | $1,257.22 – $4,579.48 | 5 |
| 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 mult vsd CPT 33675 | not published | not published | $2,445.54 – $4,324.84 | 2 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,369.44 – $4,516.75 | 2 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,850.75 – $3,273.19 | 2 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,730.69 – $3,508.86 | 2 |
| 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 valve CPT 33600 | not published | not published | $2,128.48 – $3,786.74 | 2 |
| Closure of valve CPT 33602 | not published | not published | $2,064.23 – $3,673.89 | 2 |
| 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 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,337.96 – $2,447.99 | 2 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,069.11 – $1,948.25 | 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 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $19.89 – $39.72 | 2 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $35.69 – $71.24 | 2 |
| Clotting assay whole blood CPT 85396 | not published | not published | $43.45 – $91.12 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.76 – $1.88 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.40 – $2.40 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.99 – $1.99 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,921.08 | $4,574.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $480.48 | $1,144.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $359.10 | $855.00 | $109.34 – $232.08 | 2 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,021.04 | $4,812.00 | $1,000.00 – $4,579.48 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,021.04 | $4,812.00 | $841.70 – $4,579.48 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $291.90 | $695.00 | $199.54 – $4,579.48 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $291.90 | $695.00 | $109.34 – $2,444.00 | 3 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $444.36 | $1,058.00 | $109.34 – $232.08 | 2 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,854.72 | $4,416.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $1,475.04 | $3,512.00 | $105.90 – $119.15 | 2 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,748.90 | $6,545.00 | $1,548.47 – $7,034.24 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,021.04 | $4,812.00 | $1,449.53 – $11,141.85 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | $459.06 | $1,093.00 | $109.34 – $2,444.00 | 3 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $304.08 | $724.00 | $109.34 – $2,444.00 | 3 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,283.94 | $3,057.00 | $124.05 – $2,444.00 | 3 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $879.48 | $2,094.00 | $138.27 – $2,444.00 | 3 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,554.42 | $3,701.00 | $841.70 – $11,141.85 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $727.02 | $1,731.00 | $109.34 – $2,444.00 | 3 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,406.16 | $3,348.00 | $252.34 – $7,034.24 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $291.90 | $695.00 | $138.27 – $4,579.48 | 5 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,917.72 | $4,566.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $829.50 | $1,975.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $780.78 | $1,859.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $746.76 | $1,778.00 | $144.38 – $247.34 | 2 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $643.44 | $1,532.00 | $428.71 – $11,141.85 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $291.90 | $695.00 | $138.27 – $2,444.00 | 3 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $803.04 | $1,912.00 | $138.27 – $232.08 | 2 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $863.52 | $2,056.00 | $252.34 – $7,034.24 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $4,192.86 | $9,983.00 | $1,548.47 – $7,034.24 | 6 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $686.70 | $1,635.00 | $138.27 – $2,444.00 | 3 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $536.76 | $1,278.00 | $138.27 – $2,444.00 | 3 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,412.06 | $5,743.00 | $1,495.00 – $7,034.24 | 6 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $153.08 – $7,034.24 | 5 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $3,270.96 | $7,788.00 | $1,548.47 – $7,034.24 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,034.04 | $2,462.00 | $199.54 – $4,579.48 | 6 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx pelvic ring fx CPT 27197 | $291.90 | $695.00 | $235.72 – $2,444.00 | 3 |
| Clsd tx pelvic ring fx CPT 27198 | $291.90 | $695.00 | $235.72 – $2,444.00 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,479.68 | $5,904.00 | $841.70 – $4,579.48 | 6 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $291.90 | $695.00 | $109.34 – $2,444.00 | 3 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $291.90 | $695.00 | $138.27 – $2,444.00 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,021.04 | $4,812.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $291.90 | $695.00 | $199.54 – $4,579.48 | 6 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $916.02 | $2,181.00 | $841.70 – $7,034.24 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,021.04 | $4,812.00 | $252.34 – $7,034.24 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,994.20 | $9,510.00 | $1,000.00 – $4,579.48 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,192.86 | $9,983.00 | $1,000.00 – $5,830.77 | 6 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $614.04 | $1,462.00 | $153.08 – $4,579.48 | 6 |
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.