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 |
|---|---|---|---|---|
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $158.03 | $376.25 | $13.36 – $22.64 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $9,916.68 | $23,611.14 | $1,060.23 – $4,191.60 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,044.06 | $14,390.62 | $54.43 – $61.29 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $63.14 – $74.14 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $3,260.41 | $7,762.89 | $0.11 – $2.24 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.18 – $0.18 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $24,177.42 | $57,565.28 | $182.59 – $194.92 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $4,673.41 | $11,127.17 | $6.96 – $11.13 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $6.96 – $11.13 | 4 |
| Dark field exam spec collj CPT 87164 | not published | not published | $23.46 – $46.83 | 2 |
| Dark field exam without collj CPT 87166 | not published | not published | $24.69 – $49.27 | 2 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $25,236.98 | $60,088.05 | $718.98 – $892.82 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $989.26 | $2,355.37 | $69.17 – $185.10 | 4 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $199.08 – $945.88 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $595.83 – $2,444.00 | 2 |
| D&c after delivery 59160 CPT 59160 | $4,096.68 | $9,754.00 | $2,178.67 – $5,320.95 | 4 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,982.44 | $9,482.00 | $2,150.00 – $7,034.24 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $11.02 – $21.97 | 2 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $317.06 – $317.06 | 1 |
| Dch validity tests CPT 81002 | $106.26 | $253.00 | $7.60 – $15.17 | 2 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $3,478.33 – $6,725.00 | 4 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $4,401.74 – $5,579.09 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,178.67 – $5,320.95 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $50.27 – $50.27 | 1 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $856.90 – $1,569.04 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $818.58 | $1,949.00 | $37.55 – $2,444.00 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $318.36 | $758.00 | $39.32 – $2,444.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,131.10 | $7,455.00 | $975.43 – $7,034.24 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $341.46 | $813.00 | $2,444.00 – $2,444.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,061.34 | $2,527.00 | $2,444.00 – $2,444.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,640.52 | $3,906.00 | $334.13 – $7,034.24 | 6 |
| Debride nail1-5 11720 CPT 11720 | $149.10 | $355.00 | $61.80 – $2,444.00 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $149.10 | $355.00 | $61.80 – $2,444.00 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $914.34 | $2,177.00 | $446.73 – $4,524.00 | 4 |
| Debride skin bone at fx site CPT 11012 | $3,638.88 | $8,664.00 | $975.43 – $4,939.24 | 4 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $707.66 – $1,281.17 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $956.23 – $1,737.93 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $341.46 | $813.00 | $2,444.00 – $2,444.00 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $116.22 – $372.17 | 2 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $849.66 | $2,023.00 | $975.43 – $4,524.00 | 4 |
| Debr inf skin add-on 11001 CPT 11001 | $409.08 | $974.00 | $2,444.00 – $2,444.00 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,052.54 | $4,887.00 | $334.13 – $7,034.24 | 6 |
| Decalcification CPT 88311 | $175.56 | $418.00 | $19.05 – $39.28 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,475.57 | $3,513.25 | $5.57 – $31.62 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $872.34 | $2,077.00 | $36.29 – $2,444.00 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $2,300.00 – $5,260.00 | 4 |
| Decompress fasciotomyhand 26037 CPT 26037 | $4,313.40 | $10,270.00 | $1,449.53 – $15,638.81 | 5 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,449.53 – $15,638.81 | 5 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Decompression fasct forearm CPT 24495 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Decompression of leg CPT 27892 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Decompression of leg CPT 27893 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Decompression of leg CPT 27894 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Decompression of lower leg CPT 27600 | $4,192.86 | $9,983.00 | $1,959.91 – $5,830.77 | 4 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,959.91 – $5,830.77 | 4 |
| Decompression of thigh/knee CPT 27496 | $4,192.86 | $9,983.00 | $2,750.00 – $6,725.00 | 4 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,959.91 – $5,830.77 | 4 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $2,300.00 – $5,260.00 | 4 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,633.31 – $15,638.81 | 6 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,974.38 – $5,354.24 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,811.03 – $6,660.64 | 4 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $4,853.87 – $12,741.55 | 3 |
| Decompress small bowel CPT 44021 | not published | not published | $1,193.39 – $2,172.41 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $4,853.87 – $12,741.55 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $4,853.87 – $12,741.55 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | $5,045.46 | $12,013.00 | $1,582.97 – $11,141.85 | 6 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $180.18 | $429.00 | $26.63 – $32.68 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $15.25 – $23.68 | 4 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $2,300.00 – $17,328.74 | 6 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,660.87 – $15,638.81 | 6 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Delivery of placenta 59414 CPT 59414 | $3,982.44 | $9,482.00 | $2,178.67 – $5,320.95 | 2 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,167.18 – $2,077.22 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,590.76 – $2,877.86 | 2 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $841.52 – $5,260.00 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $395.32 – $395.32 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $270.06 | $643.00 | $627.30 – $627.30 | 1 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $474.28 – $474.28 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $20,855.17 | $49,655.17 | $69.34 – $102.33 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $433.86 | $1,033.00 | $191.13 – $4,579.48 | 6 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $3.46 – $3.46 | 1 |
| Depo-estradiol cypionate inj HCPCS J1000 | $360.07 | $857.32 | $49.56 – $164.19 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $244.78 – $806.38 | 2 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $416.02 – $656.53 | 2 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $183.09 – $343.89 | 2 |
| Dermabrasion total face CPT 15780 | not published | not published | $598.73 – $1,205.32 | 2 |
| Derma-fat-fascia graft 15770 CPT 15770 | $4,713.66 | $11,223.00 | $2,300.00 – $11,141.85 | 6 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $8.23 – $3,049.79 | 3 |
| Dermagraft HCPCS Q4106 | not published | not published | $137.37 – $170.77 | 3 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $158.93 – $191.60 | 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.