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 |
|---|---|---|---|---|
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $9,927.12 | $23,636.00 | $708.77 – $960.44 | 2 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $4,154.64 | $9,892.00 | $444.62 – $972.86 | 2 |
| CT Angiogram of the Head CPT 70496 | $4,035.36 | $9,608.00 | $444.62 – $972.86 | 2 |
| CT angio hrt w/3d image CPT 75574 | $1,548.96 | $3,688.00 | $879.94 – $1,035.87 | 2 |
| CT angio pelvis CPT 72191 | $4,154.64 | $9,892.00 | $444.62 – $972.86 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,437.70 | $8,185.00 | $444.62 – $972.86 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $152.13 – $351.07 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $273.48 – $273.48 | 1 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $444.62 – $444.62 | 1 |
| CT colonography screening CPT 74263 | not published | not published | $1,589.88 – $1,589.88 | 1 |
| CT guidance for needle placement CPT 77012 | $4,028.22 | $9,591.00 | $340.95 – $340.95 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,646.40 | $3,920.00 | $278.12 – $278.12 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $459.31 – $2,444.00 | 3 |
| CT guid parench tis ablat CPT 77013 | $943.32 | $2,246.00 | $857.92 – $857.92 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $1,135.26 | $2,703.00 | $100.90 – $347.97 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,876.16 | $6,848.00 | $879.94 – $909.79 | 2 |
| CT hrt w/3d image CPT 75572 | $1,548.12 | $3,686.00 | $681.09 – $793.52 | 2 |
| CT limited or localized follow-up study CPT 76380 | $1,145.76 | $2,728.00 | $204.86 – $347.97 | 2 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,109.68 | $7,404.00 | $444.62 – $831.32 | 2 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,413.74 | $5,747.00 | $273.48 – $414.14 | 2 |
| CT lwr extremity w/o&w/dye CPT 73702 | $4,440.24 | $10,572.00 | $444.62 – $930.67 | 2 |
| CT neck soft tissue w/contrast CPT 70491 | $230.00 | $7,687.00 | $444.62 – $831.32 | 2 |
| CT neck soft tissue without contrast CPT 70490 | $2,421.30 | $5,765.00 | $273.48 – $414.14 | 2 |
| CT neck soft tissue without & w/contrast CPT 70492 | $4,035.36 | $9,608.00 | $444.62 – $930.67 | 2 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $4,444.86 | $10,583.00 | $444.62 – $930.67 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $3,555.72 | $8,466.00 | $444.62 – $831.32 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,667.00 | $6,350.00 | $273.48 – $414.14 | 2 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $292.74 | $697.00 | $153.08 – $4,579.48 | 6 |
| CT scan for localization CPT 77011 | not published | not published | $735.36 – $735.36 | 1 |
| CT scan for therapy guide CPT 77014 | $1,495.20 | $3,560.00 | $336.24 – $336.24 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $460.00 | $23,636.00 | $931.71 – $1,295.94 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $460.00 | $15,893.00 | $931.71 – $1,295.94 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $310.00 | $11,920.00 | $568.62 – $817.31 | 2 |
| CT thoracic spine w/contrast CPT 72129 | $2,495.64 | $5,942.00 | $444.62 – $831.32 | 2 |
| CT thoracic spine without contrast CPT 72128 | $2,492.70 | $5,935.00 | $273.48 – $414.14 | 2 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $341.04 | $812.00 | $450.95 – $450.95 | 1 |
| CT t-spine w /wo contrast CPT 72130 | $3,659.46 | $8,713.00 | $444.62 – $930.67 | 2 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,794.26 | $6,653.00 | $831.32 – $931.71 | 2 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,095.38 | $4,989.00 | $273.48 – $414.14 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,492.72 | $8,316.00 | $444.62 – $930.67 | 2 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $625.66 – $2,271.73 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $625.66 – $2,363.16 | 2 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $2,150.00 – $6,341.63 | 4 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,660.87 – $4,524.00 | 4 |
| Culture aerobic additional method definitive id each CPT 87077 | $497.70 | $1,185.00 | $17.64 – $35.23 | 2 |
| Culture afb any source CPT 87116 | not published | not published | $23.59 – $47.09 | 2 |
| Culture anaerobic additional method definitive id each CPT 87076 | $411.60 | $980.00 | $17.64 – $35.23 | 2 |
| Culture anaerobic except blood CPT 87075 | $509.88 | $1,214.00 | $20.70 – $41.29 | 2 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $21.10 – $42.12 | 2 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $69.15 – $69.15 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $341.88 | $814.00 | $20.64 – $41.16 | 2 |
| Culture body fluid CPT 87070 | $412.44 | $982.00 | $18.82 – $37.58 | 2 |
| Culture fungi definitive id mold CPT 87107 | $497.70 | $1,185.00 | $22.54 – $45.00 | 2 |
| Culture fungi definitive id yeast CPT 87106 | $497.70 | $1,185.00 | $22.54 – $45.00 | 2 |
| Culture fungi other (except blood) CPT 87102 | $403.62 | $961.00 | $18.38 – $36.67 | 2 |
| Culture fungi skin/hair/nail CPT 87101 | $354.06 | $843.00 | $16.84 – $33.62 | 2 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $31.93 – $63.70 | 2 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $33.60 – $67.10 | 2 |
| Culture of specimen by kit CPT 87084 | not published | not published | $59.14 – $118.03 | 2 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $21.60 – $43.12 | 2 |
| Culture screening strep group a CPT 87081 | $486.36 | $1,158.00 | $14.48 – $28.91 | 2 |
| Culture type pulse field gel CPT 87152 | not published | not published | $16.90 – $33.75 | 2 |
| Culture typing added method CPT 87158 | not published | not published | $16.90 – $33.75 | 2 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $27.36 – $54.59 | 2 |
| Culture typing immunologic CPT 87147 | not published | not published | $11.33 – $22.58 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $950.74 – $950.74 | 1 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $241.92 | $576.00 | $76.64 – $152.99 | 2 |
| Culture urine each isolate CPT 87088 | not published | not published | $17.68 – $35.27 | 2 |
| Culture virus isolation CPT 87250 | not published | not published | $42.70 – $85.28 | 2 |
| Curette/treat cornea CPT 65435 | not published | not published | $53.59 – $2,444.00 | 3 |
| Curette/treat cornea CPT 65436 | $2,819.46 | $6,713.00 | $243.87 – $2,444.00 | 3 |
| Cutter lead HCPCS C1773 | $17,876.25 | $42,562.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,017.24 | $2,422.00 | $995.40 – $3,474.31 | 3 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $51.63 – $51.63 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $77.41 – $77.41 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $31.28 – $62.44 | 2 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $56.70 | $135.00 | $3.31 – $13.77 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $126.00 | $300.00 | $28.30 – $56.46 | 2 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $76.57 – $197.40 | 3 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $3,598.06 | $8,566.80 | $2.18 – $2.18 | 1 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $974.94 | $2,321.28 | $2.36 – $19.36 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $101.09 – $254.41 | 4 |
| Cyclosporine 2 hour CPT 80158 | $1,049.16 | $2,498.00 | $39.42 – $78.70 | 2 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.58 | $22.81 | $2.69 – $3.19 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | $34.88 | $83.05 | $7.24 – $12.66 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $11.76 – $1,207.79 | 3 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $145.43 – $873.25 | 4 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $28,542.53 | $67,958.41 | not published | 0 |
| Cymetra injectable HCPCS Q4112 | $984.75 | $2,344.65 | $846.59 – $903.79 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $636.32 – $1,270.33 | 2 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $381.79 – $762.17 | 2 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $984.79 – $1,965.97 | 2 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $381.79 – $762.17 | 2 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $381.79 – $762.17 | 2 |
| Cystatin c CPT 82610 | not published | not published | $40.45 – $80.75 | 2 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $1,089.81 – $2,175.64 | 2 |
| Cystine urine quantitative CPT 82131 | not published | not published | $50.20 – $100.19 | 2 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $991.62 | $2,361.00 | $1,128.24 – $1,664.87 | 2 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $5,605.38 – $17,184.69 | 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.