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 |
|---|---|---|---|---|
| Diagnostic anoscopy CPT 46601 | $190.68 | $454.00 | $155.48 – $2,444.00 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $976.42 – $2,444.00 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $190.68 | $454.00 | $155.48 – $2,444.00 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $77.28 | $184.00 | $374.65 – $410.10 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $77.28 | $184.00 | $292.92 – $410.10 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $293.58 | $699.00 | $70.89 – $1,000.00 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $247.38 | $589.00 | $84.81 – $4,524.00 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $421.26 | $1,003.00 | $374.65 – $524.81 | 2 |
| Diagnostic Mammogram (one breast) CPT 77065 | $316.26 | $753.00 | $292.92 – $410.10 | 2 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $247.94 – $347.97 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Dialysis one evaluation CPT 90945 | $842.10 | $2,005.00 | not published | 0 |
| Diathermy eg microwave CPT 97024 | not published | not published | $24.59 – $24.59 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $37.80 | $90.00 | $0.26 – $0.36 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $96.23 | $229.13 | $20.79 – $24.75 | 4 |
| Dicyclomine injection HCPCS J0500 | $217.90 | $518.80 | $40.86 – $112.12 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.67 – $1.06 | 2 |
| Diffusing capacity CPT 94729 | $522.48 | $1,244.00 | $159.76 – $159.76 | 1 |
| Digital analysis of eeg CPT 95957 | $699.30 | $1,665.00 | $573.90 – $573.90 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $1,010.07 | $2,404.92 | $14.00 – $35.76 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $14,290.54 – $18,154.27 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $627.06 | $1,493.00 | $28.99 – $57.90 | 2 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $160.89 – $775.07 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $4,066.86 | $9,683.00 | $2,444.00 – $2,444.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $879.87 – $4,579.48 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,022.30 | $4,815.00 | $530.95 – $755.34 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,898.40 | $4,520.00 | $265.91 – $377.67 | 2 |
| Dilate ic vasospasm init CPT 61640 | $3,037.44 | $7,232.00 | $754.59 – $1,075.46 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $119.01 – $774.45 | 2 |
| Dilate urethra stricture CPT 53600 | $302.82 | $721.00 | $43.04 – $2,444.00 | 4 |
| Dilate urethra stricture CPT 53601 | not published | not published | $51.05 – $2,444.00 | 4 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,447.90 – $7,034.24 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $67.94 – $2,444.00 | 4 |
| Dilation/female urethra/initial 53660 CPT 53660 | $204.96 | $488.00 | $51.05 – $2,444.00 | 4 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $35.87 – $4,579.48 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $93.25 – $2,444.00 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $48.95 – $1,000.00 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $64.97 – $2,444.00 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $881.16 | $2,098.00 | $63.29 – $2,444.00 | 4 |
| Dilator fascial 10fx20cm HCPCS C2627 | $669.20 | $1,593.34 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,444.00 – $3,773.40 | 2 |
| Dilat xst trc new access rcs CPT 50437 | $676.62 | $1,611.00 | $4,524.00 – $6,429.49 | 2 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.13 – $0.13 | 1 |
| Dimecaprol injection HCPCS J0470 | $1,242.61 | $2,958.59 | $211.01 – $227.28 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $27.09 – $40.05 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $2,313.53 – $2,600.13 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.10 | $5.00 | $0.07 – $4.83 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $56.70 | $135.00 | $2.58 – $3.16 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $64.71 – $149.97 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $10.25 – $14.14 | 4 |
| Direct advanced life support CPT 99288 | not published | not published | $534.59 – $534.59 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $114.00 – $114.00 | 1 |
| Disability dlco CPT 94727 | $498.96 | $1,188.00 | $471.77 – $471.77 | 1 |
| Disaccharidases CPT 82657 | not published | not published | $48.42 – $96.66 | 2 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,376.44 – $2,492.50 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,857.10 – $3,396.01 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $235.04 – $465.19 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $5,376.95 – $7,496.37 | 2 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $181.60 – $4,524.00 | 2 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,908.23 – $3,388.34 | 2 |
| Dissolve clot heart vessel CPT 92975 | $3,240.30 | $7,715.00 | $480.66 – $842.86 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $3,800.87 – $9,789.88 | 3 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,340.08 – $2,563.90 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $395.26 – $4,524.00 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $366.77 – $2,444.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $609.33 – $1,216.44 | 2 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $600.23 – $1,198.26 | 2 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $299.21 – $597.32 | 2 |
| Dna antibody native/double stranded CPT 86225 | $575.40 | $1,370.00 | $30.01 – $59.91 | 2 |
| Dna gardnerella CPT 87510 | $138.60 | $330.00 | $43.78 – $87.42 | 2 |
| Dna probe chlamydia CPT 87490 | not published | not published | $49.69 – $99.19 | 2 |
| Dna probe gc CPT 87590 | not published | not published | $58.70 – $117.20 | 2 |
| Dna trichomonas CPT 87660 | $138.60 | $330.00 | $43.78 – $87.42 | 2 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $56.70 | $135.00 | $10.66 – $37.43 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,353.54 | $3,222.71 | $1.33 – $9.66 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $4.15 – $171.77 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $13.68 – $23.32 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $357.21 – $546.33 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $129.87 | $309.22 | $0.94 – $2.93 | 4 |
| Doppler echo complete CPT 93320 | $575.40 | $1,370.00 | $121.67 – $121.67 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $541.80 | $1,290.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,734.18 | $4,129.00 | $387.10 – $427.70 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,433.04 | $3,412.00 | $343.11 – $371.79 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.47 – $2.87 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | $571.64 | $1,361.05 | $154.72 – $197.90 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | $26,981.22 | $64,241.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $27,650.98 | $65,835.66 | $853.38 – $895.62 | 3 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,841.85 – $15,638.81 | 5 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,032.72 | $2,458.86 | $9.53 – $13.93 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,661.81 | $11,099.55 | $324.82 – $1,337.12 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $171.75 | $408.94 | $0.41 – $0.41 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $381.79 – $762.17 | 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.