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 |
|---|---|---|---|---|
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $22.94 – $22.94 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $395.64 | $942.00 | $104.74 – $354.37 | 2 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $914.34 | $2,177.00 | $104.74 – $2,444.00 | 3 |
| Drainage external ear complex 69005 CPT 69005 | $2,112.60 | $5,030.00 | $154.00 – $2,444.00 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $364.56 | $868.00 | $104.74 – $2,444.00 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,638.88 | $8,664.00 | $1,000.00 – $4,939.24 | 6 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,930.34 – $7,034.24 | 6 |
| Drainage mouth roof lesion CPT 42000 | $420.42 | $1,001.00 | $428.71 – $7,034.24 | 6 |
| Drainage of abdomen CPT 48000 | $1,973.16 | $4,698.00 | $2,302.66 – $4,198.19 | 2 |
| Drainage of arm bursa 23931 CPT 23931 | $2,173.08 | $5,174.00 | $1,021.90 – $7,034.24 | 6 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,000.00 – $4,939.24 | 4 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,162.95 – $7,034.24 | 5 |
| Drainage of bone lesion CPT 27303 | not published | not published | $774.45 – $7,034.24 | 5 |
| Drainage of eye CPT 65800 | $2,879.10 | $6,855.00 | $371.03 – $4,579.48 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $2,068.23 – $11,141.85 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $2,068.23 – $7,034.24 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,959.91 – $7,034.24 | 6 |
| Drainage of kidney lesion CPT 50390 | $388.92 | $926.00 | $1,000.00 – $4,579.48 | 6 |
| Drainage of mouth lesion CPT 41005 | $292.74 | $697.00 | $428.71 – $4,579.48 | 6 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Drainage of mouth lesion CPT 41007 | $1,955.10 | $4,655.00 | $1,000.00 – $4,579.48 | 6 |
| Drainage of mouth lesion CPT 41008 | $5,699.40 | $13,570.00 | $1,000.00 – $5,579.09 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $428.71 – $4,579.48 | 6 |
| Drainage of mouth lesion CPT 41015 | $643.44 | $1,532.00 | $428.71 – $4,579.48 | 6 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,000.00 – $10,331.63 | 6 |
| Drainage of mouth lesion CPT 41017 | $4,007.22 | $9,541.00 | $1,000.00 – $5,579.09 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $763.11 – $4,579.48 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | $292.74 | $697.00 | $83.88 – $2,444.00 | 3 |
| Drainage of nose lesion sept 30020 CPT 30020 | $643.44 | $1,532.00 | $208.44 – $2,444.00 | 3 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | $4,192.86 | $9,983.00 | $1,000.00 – $5,830.77 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,150.00 – $6,429.49 | 4 |
| Drainage of rectal abscess CPT 45005 | $1,160.88 | $2,764.00 | $1,717.20 – $7,034.24 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,717.20 – $7,034.24 | 6 |
| Drainage of salivary gland CPT 42305 | $4,007.22 | $9,541.00 | $2,150.00 – $7,034.24 | 6 |
| Drainage of salivary gland CPT 42320 | $643.44 | $1,532.00 | $428.71 – $4,579.48 | 6 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,780.99 – $3,105.84 | 2 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,168.64 – $3,846.61 | 2 |
| Drainage of throat abscess CPT 42725 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,922.07 – $7,034.24 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,612.82 | $6,221.00 | $94.94 – $2,444.00 | 3 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $1,185.41 – $5,260.00 | 4 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,922.07 – $3,773.40 | 2 |
| Drain bladder by trocar/cath CPT 51101 | $1,316.28 | $3,134.00 | $73.22 – $2,444.00 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $294.84 | $702.00 | $61.80 – $2,444.00 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $5,225.22 | $12,441.00 | $1,242.19 – $5,260.00 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $5,120.64 | $12,192.00 | $1,242.19 – $4,524.00 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $907.62 | $2,161.00 | $439.89 – $4,579.48 | 6 |
| Drain chest lesion CPT 21502 | not published | not published | $1,959.91 – $7,034.24 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $408.24 | $972.00 | $104.74 – $188.06 | 2 |
| Drain lower leg bursa CPT 27604 | $4,313.40 | $10,270.00 | $2,150.00 – $7,034.24 | 6 |
| Drain lower leg lesion 27603 CPT 27603 | $3,638.88 | $8,664.00 | $1,930.34 – $7,034.24 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,638.88 | $8,664.00 | $1,930.34 – $7,034.24 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,406.03 – $2,513.23 | 2 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.61 – $3.61 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,178.67 – $5,320.95 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,178.67 – $11,141.85 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,342.61 – $2,440.30 | 2 |
| Drain penis lesion CPT 54015 | $2,112.60 | $5,030.00 | $1,930.34 – $15,638.81 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $1,930.34 – $5,260.00 | 4 |
| Drain shoulder lesion CPT 23030 | $3,638.88 | $8,664.00 | $1,000.00 – $4,939.24 | 6 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,638.88 | $8,664.00 | $1,930.34 – $11,141.85 | 6 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $763.11 – $4,579.48 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $905.08 – $1,641.97 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $615.30 | $1,465.00 | $172.46 – $4,524.00 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $495.60 | $1,180.00 | $64.14 – $2,444.00 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $719.88 | $1,714.00 | $334.13 – $4,579.48 | 6 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $818.58 | $1,949.00 | $155.48 – $2,444.00 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $15,247.86 | $36,304.42 | $145.79 – $171.91 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $120.96 | $288.00 | $1,138.01 – $1,998.15 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $6,170.22 | $14,691.00 | $395.26 – $706.22 | 2 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,000.00 – $2,444.00 | 2 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,000.00 – $2,444.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $947.78 – $1,720.27 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,192.86 | $9,983.00 | $1,449.53 – $7,034.24 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $192.93 – $2,444.00 | 3 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,112.60 | $5,030.00 | $1,000.00 – $4,579.48 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $73.41 – $136.83 | 2 |
| Drng of mouth lesion 40801 CPT 40801 | $643.44 | $1,532.00 | $763.11 – $7,034.24 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,178.67 – $11,141.85 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,449.53 – $7,034.24 | 6 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,000.00 – $5,830.77 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,525.44 | $3,632.00 | $1,000.00 – $4,579.48 | 6 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,176.02 | $5,181.00 | $1,000.00 – $4,579.48 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,343.89 – $2,444.13 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,223.40 – $2,218.46 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $839.56 – $5,260.00 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,948.39 – $3,541.08 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | $1,955.10 | $4,655.00 | $763.11 – $4,579.48 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $643.44 | $1,532.00 | $428.71 – $4,579.48 | 6 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $3.08 – $6.47 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $56.70 | $135.00 | $6.25 – $39.25 | 4 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,372.29 | $5,648.30 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $3,964.00 | $9,438.10 | $5.76 – $49.36 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $886.80 | $2,111.42 | $40.96 – $50.96 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $39.52 | $94.09 | $8.68 – $35.26 | 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.