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 |
|---|---|---|---|---|
| Clsd tx toe dislocation without anes28660 CPT 28660 | $291.90 | $695.00 | $80.16 – $2,444.00 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $445.20 | $1,060.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,100.42 | $5,001.00 | $841.70 – $4,579.48 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $291.90 | $695.00 | $109.34 – $2,444.00 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $299.88 | $714.00 | $252.34 – $4,579.48 | 6 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $291.90 | $695.00 | $138.27 – $2,444.00 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $291.90 | $695.00 | $138.27 – $232.08 | 2 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $291.90 | $695.00 | $199.54 – $7,034.24 | 6 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $291.90 | $695.00 | $138.27 – $232.08 | 2 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $291.90 | $695.00 | $199.54 – $4,579.48 | 6 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,342.39 – $4,213.54 | 2 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,317.45 – $4,206.62 | 2 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $291.90 | $695.00 | $459.31 – $7,034.24 | 6 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,021.04 | $4,812.00 | $841.70 – $7,034.24 | 6 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $958.77 – $6,355.00 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,021.04 | $4,812.00 | $1,548.47 – $7,034.24 | 6 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $291.90 | $695.00 | $199.54 – $4,579.48 | 6 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,021.04 | $4,812.00 | $252.34 – $4,579.48 | 6 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,021.04 | $4,812.00 | $1,000.00 – $4,579.48 | 6 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $7,520.94 | $17,907.00 | $2,300.00 – $11,141.85 | 6 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,955.10 | $4,655.00 | $1,495.00 – $15,638.81 | 6 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,122.30 | $9,815.00 | $534.17 – $11,141.85 | 5 |
| Cltx palatal/max fx wire fix CPT 21421 | $4,122.30 | $9,815.00 | $2,600.00 – $15,638.81 | 6 |
| Cltx post ankle fx CPT 27767 | $291.90 | $695.00 | $109.34 – $2,444.00 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,949.66 | $7,023.00 | $199.54 – $2,886.98 | 3 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,021.04 | $4,812.00 | $252.34 – $4,579.48 | 6 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Cltx thigh fx CPT 27267 | $4,313.40 | $10,270.00 | $1,548.47 – $5,830.77 | 3 |
| Cltx thigh fx w/mnpj CPT 27268 | $120.96 | $288.00 | $655.66 – $2,444.00 | 3 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| C motor evoked lwr limbs CPT 95929 | $537.60 | $1,280.00 | $500.18 – $500.18 | 1 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $482.96 – $482.96 | 1 |
| C motor evoked upr&lwr limbs CPT 95939 | $793.80 | $1,890.00 | $1,367.82 – $1,367.82 | 1 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $2,399.45 – $4,353.25 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $187.58 – $187.58 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $187.58 – $187.58 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $30.74 – $61.35 | 2 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $19.22 – $38.37 | 2 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $42.70 – $85.28 | 2 |
| Cmv ig IV CPT 90291 | not published | not published | $4,325.31 – $8,011.24 | 3 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $76.64 – $152.99 | 2 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $299.21 – $597.32 | 2 |
| Co2 monitor per day CPT 94681 | not published | not published | $863.07 – $863.07 | 1 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $15,888.77 | $37,830.40 | $6.10 – $9.26 | 4 |
| Coagulation time activated teg CPT 85347 | $105.84 | $252.00 | $9.35 – $18.66 | 2 |
| Coagulation time lee & white CPT 85345 | not published | not published | $10.25 – $20.45 | 2 |
| Coagulation time otr method CPT 85348 | not published | not published | $9.81 – $19.58 | 2 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $4.53 – $4.83 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $4.53 – $4.53 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $201.20 – $239.84 | 2 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $438.73 – $438.73 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $426.45 – $426.45 | 1 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $211.39 – $211.39 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $3.72 – $5.03 | 3 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $8.23 – $1,156.09 | 3 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $17.64 – $35.19 | 2 |
| Cold agglutinin titer CPT 86157 | not published | not published | $17.61 – $35.14 | 2 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,037.17 – $3,705.37 | 2 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,289.97 – $4,152.12 | 2 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,546.15 – $4,617.31 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,641.49 – $2,987.62 | 2 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,380.43 – $4,325.60 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,029.13 – $3,688.48 | 2 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,598.57 – $4,710.20 | 2 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,518.89 – $2,764.25 | 2 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,233.32 – $4,062.31 | 2 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,166.53 – $3,941.03 | 2 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,672.98 – $4,882.15 | 2 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $2,590.54 – $5,011.87 | 2 |
| Colistimethate sodium inj HCPCS J0770 | $88.52 | $210.75 | $39.86 – $64.40 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $72.90 – $256.07 | 4 |
| Collagen based wound filler HCPCS A6010 | $1,788.15 | $4,257.50 | $41.38 – $41.38 | 1 |
| Collagen dressing <=16 sq in HCPCS A6021 | $51.98 | $123.76 | $28.08 – $28.08 | 1 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | $32.43 | $77.22 | $28.08 – $28.08 | 1 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $8.27 – $8.27 | 1 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $3.05 – $3.05 | 1 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $154.14 | $366.99 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $49.90 | $118.82 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $543.09 | $1,293.08 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $268.74 | $639.86 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $279.95 | $666.54 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $198.24 | $472.00 | $475.37 – $475.37 | 1 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $153.30 | $365.00 | $93.02 – $232.23 | 2 |
| Collection of venous blood by venipuncture CPT 36415 | $108.36 | $258.00 | $6.55 – $6.55 | 1 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $8.23 – $8,895.84 | 3 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $199.08 – $199.08 | 1 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $486.64 – $486.64 | 1 |
| Colonoscopy (diagnostic) CPT 45378 | $1,047.06 | $2,493.00 | $932.10 – $7,034.24 | 6 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $932.10 – $4,524.00 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $932.10 – $7,034.24 | 6 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $932.10 – $4,579.48 | 6 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $932.10 – $4,579.48 | 6 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $932.10 – $4,579.48 | 6 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $932.10 – $2,444.00 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $932.10 – $4,579.48 | 6 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $932.10 – $4,524.00 | 4 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $932.10 – $4,579.48 | 6 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $932.10 – $4,524.00 | 3 |
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.