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 |
|---|---|---|---|---|
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $14.61 – $14.61 | 1 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $15.31 – $15.31 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $7,156.03 | $17,038.16 | $64.26 – $76.22 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $28,551.05 | $67,978.69 | $150.42 – $188.21 | 4 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.64 – $0.64 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $10.89 – $309.81 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | $355.32 | $846.00 | $346.56 – $346.56 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $84.23 – $168.17 | 2 |
| Drug assay posaconazole CPT 80187 | not published | not published | $59.21 – $118.20 | 2 |
| Drug assay rufinamide CPT 80210 | not published | not published | $59.21 – $118.20 | 2 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $84.23 – $168.17 | 2 |
| Drug assay voriconazole CPT 80285 | not published | not published | $59.21 – $118.20 | 2 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $81.27 – $81.27 | 1 |
| Drug of abuse screen urine CPT 80305 | $345.66 | $823.00 | $27.52 – $54.94 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $59.21 – $118.20 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $341.99 – $866.51 | 2 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $249.92 – $498.91 | 2 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $341.99 – $1,076.57 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $341.99 – $682.73 | 2 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $135.71 – $270.93 | 2 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $37.44 – $74.73 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $345.66 | $823.00 | $135.71 – $270.93 | 2 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $39.28 – $78.39 | 2 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $350.53 – $4,579.48 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $678.77 – $2,444.00 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $182.28 – $4,524.00 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $162.02 – $2,444.00 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $179.33 – $2,444.00 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $183.09 – $4,524.00 | 3 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $286.86 – $2,444.00 | 3 |
| Ductogram sgl duct CPT 77053 | not published | not published | $705.32 – $1,016.05 | 2 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,197.39 – $3,984.02 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $326.88 – $2,444.00 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $705.32 – $1,010.34 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $333.97 – $575.08 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,064.28 | $2,534.00 | $333.97 – $382.19 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $2,076.90 | $4,945.00 | $487.90 – $810.51 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,279.76 | $5,428.00 | $576.36 – $705.32 | 2 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $14,438.37 | $34,377.08 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $18,844.77 | $44,868.49 | $278.18 – $306.70 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $870.66 | $2,073.00 | $333.97 – $488.67 | 2 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $507.51 – $507.51 | 1 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $60.08 – $60.08 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,245.13 – $4,524.00 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,599.84 | $10,952.00 | $1,245.13 – $4,524.00 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,976.56 | $9,468.00 | $1,000.00 – $4,579.48 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $1,239.84 – $1,239.84 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $188.26 – $2,444.00 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $188.26 – $2,444.00 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | $676.62 | $1,611.00 | $155.48 – $2,444.00 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | $204.96 | $488.00 | $294.69 – $2,444.00 | 3 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $155.13 – $155.13 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $415.16 – $415.16 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $135.94 – $135.94 | 1 |
| Dx laryngoscopy newborn CPT 31520 | $619.08 | $1,474.00 | $455.98 – $2,444.00 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | $2,624.16 | $6,248.00 | $1,486.37 – $7,034.24 | 6 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $264.48 – $264.48 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $73.00 – $137.60 | 2 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $863.07 – $863.07 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $77.41 – $77.41 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $428.71 – $940.86 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $128.26 – $233.68 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,495.00 – $20,628.27 | 6 |
| Ear irrigation 69209 CPT 69209 | $158.76 | $378.00 | $66.02 – $2,444.00 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $145.75 – $145.75 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $1,833.68 – $2,049.45 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $375.90 | $895.00 | $187.58 – $187.58 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $24.59 – $24.59 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $315.42 | $751.00 | $187.58 – $187.58 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | $165.48 | $394.00 | $580.04 – $580.04 | 1 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $371.79 – $371.79 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $371.79 – $371.79 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $147.54 – $147.54 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $242.68 – $242.68 | 1 |
| Ecg record/review CPT 93268 | not published | not published | $700.48 – $700.48 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $88.49 – $88.49 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,850.54 | $6,787.00 | $462.09 – $462.09 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $951.30 | $2,265.00 | $76.18 – $76.18 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,850.54 | $6,787.00 | $2,321.60 – $2,321.60 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $654.36 | $1,558.00 | $251.93 – $251.93 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $537.18 | $1,279.00 | $1,302.11 – $1,302.11 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $67.59 – $67.59 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $333.97 – $488.67 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $333.97 – $488.67 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $247.94 – $347.97 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $75.61 – $100.24 | 2 |
| Echo exam of fetal heart CPT 76825 | $944.16 | $2,248.00 | $850.07 – $1,479.99 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $542.08 – $705.32 | 2 |
| Echo exam of fetal heart CPT 76827 | $944.16 | $2,248.00 | $333.97 – $488.67 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $333.97 – $488.67 | 2 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $705.32 – $1,016.05 | 2 |
| Echograp trans r pros study CPT 76873 | $512.82 | $1,221.00 | $333.97 – $422.70 | 2 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $110.00 – $110.00 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $203.45 – $203.45 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $147.11 – $147.11 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $58.12 – $58.12 | 1 |
| Echo guide for artery repair CPT 76936 | $756.84 | $1,802.00 | $758.95 – $810.51 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $147.72 – $147.72 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $309.56 – $309.56 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $177.54 – $177.54 | 1 |
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.