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 |
|---|---|---|---|---|
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $5,260.00 – $5,260.00 | 1 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,355.00 – $9,013.35 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $240.92 – $2,444.00 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,089.39 – $15,638.81 | 5 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $2,460.29 – $9,013.35 | 3 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,260.00 – $10,501.07 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,460.29 – $15,638.81 | 6 |
| Cystoscopy and treatment CPT 52214 | $5,260.50 | $12,525.00 | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,095.00 – $6,429.49 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,447.90 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $298.31 – $4,524.00 | 3 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $1,185.41 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,300.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $2,150.00 – $9,013.35 | 6 |
| Cystoscopy and treatment CPT 52310 | $3,044.58 | $7,249.00 | $1,447.90 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,460.29 – $17,789.31 | 6 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,459.96 | $8,238.00 | $647.78 – $4,579.48 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,447.90 – $4,524.00 | 3 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $647.78 – $7,034.24 | 6 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,460.29 – $6,429.49 | 4 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,150.00 – $9,013.35 | 4 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $2,460.29 – $9,013.35 | 3 |
| Cystoscopy removal of clots CPT 52001 | $5,260.50 | $12,525.00 | $1,447.90 – $6,429.49 | 4 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,447.90 – $7,034.24 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,460.29 – $15,638.81 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | $3,044.58 | $7,249.00 | $2,150.00 – $7,034.24 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,688.00 | $6,400.00 | $2,460.29 – $15,638.81 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,460.29 – $15,638.81 | 6 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,460.29 – $6,429.49 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | $5,260.50 | $12,525.00 | $2,300.00 – $6,429.49 | 4 |
| Cysto/uretero stricture tx CPT 52344 | $5,260.50 | $12,525.00 | $2,300.00 – $6,429.49 | 4 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,460.29 – $9,013.35 | 4 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,460.29 – $9,013.35 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,674.49 – $9,013.35 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,600.00 – $9,013.35 | 4 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,300.00 – $9,013.35 | 4 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,460.29 – $6,429.49 | 4 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,415.84 | $5,752.00 | $1,447.90 – $7,034.24 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $73.98 – $2,444.00 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $276.47 – $5,260.00 | 3 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $2,302.62 – $4,524.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,300.00 – $5,260.00 | 4 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $194.78 | $463.75 | $2.47 – $3.69 | 4 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $1,572.78 – $2,357.43 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,342.88 – $1,342.88 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $92.56 – $184.78 | 2 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $88.91 – $177.45 | 2 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $2,533.44 – $5,057.60 | 2 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $1,965.60 – $3,924.00 | 2 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $26.17 – $52.23 | 2 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $68.46 | $163.00 | $31.41 – $62.74 | 2 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $110.46 | $263.00 | $36.79 – $73.47 | 2 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $29.30 – $58.51 | 2 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $4,325.31 – $6,869.91 | 4 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $65.59 – $130.93 | 2 |
| Cyto/molecular report CPT 88291 | not published | not published | $73.92 – $147.72 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $55.41 – $110.61 | 2 |
| Cytopath c/v automated CPT 88147 | not published | not published | $110.42 – $220.44 | 2 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $60.38 – $120.51 | 2 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $34.94 – $69.76 | 2 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $31.99 – $63.87 | 2 |
| Cytopath c/v manual CPT 88150 | not published | not published | $33.10 – $65.92 | 2 |
| Cytopath c/v redo CPT 88153 | not published | not published | $52.49 – $104.77 | 2 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $50.34 – $100.45 | 2 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $100.24 – $103.66 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $368.34 | $877.00 | $86.90 – $215.69 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $58.13 – $116.02 | 2 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $44.25 – $88.33 | 2 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $293.58 | $699.00 | $89.91 – $145.75 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $293.58 | $699.00 | $86.90 – $145.75 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $67.20 | $160.00 | $15.99 – $31.44 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $413.70 | $985.00 | $43.45 – $625.66 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $526.68 | $1,254.00 | $186.72 – $215.69 | 2 |
| Cytopath smear other source CPT 88160 | $231.00 | $550.00 | $100.24 – $100.60 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $142.50 – $215.69 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $100.24 – $101.37 | 2 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $33.10 – $65.92 | 2 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $33.10 – $65.92 | 2 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $92.20 – $184.08 | 2 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $33.10 – $65.92 | 2 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $171.76 – $342.91 | 2 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $64.82 – $129.40 | 2 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $891.61 – $1,235.67 | 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.