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 |
|---|---|---|---|---|
| Amino acid screen, urine CPT 82128 | not published | not published | $30.31 – $60.47 | 2 |
| Amino acid single qual CPT 82127 | not published | not published | $30.99 – $61.82 | 2 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $42.84 – $85.50 | 2 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $57.19 | $136.17 | $5.23 – $5.23 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $5.35 – $6.34 | 4 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $35.92 – $71.72 | 2 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $1,378.56 – $1,539.24 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $101.89 | $242.60 | $2.54 – $29.05 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $9.14 – $24.59 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $56.70 | $135.00 | $0.75 – $3.12 | 4 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $16,703.54 | $39,770.33 | $74.54 – $77.72 | 3 |
| Ammonia CPT 82140 | $388.08 | $924.00 | $31.82 – $63.53 | 2 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $827.40 | $1,970.00 | $83.13 – $2,444.00 | 4 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $146.25 – $2,444.00 | 3 |
| Amniotic fluid scan CPT 82143 | not published | not published | $20.43 – $40.77 | 2 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,192.86 | $9,983.00 | $1,449.53 – $15,638.81 | 6 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $123.53 | $294.13 | $36.25 – $151.72 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $36.05 – $42.29 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $780.81 | $1,859.08 | $79.16 – $197.36 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $240.03 | $571.50 | $1.71 – $9.58 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $129.42 | $308.14 | $5.23 – $12.54 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $250.32 | $596.00 | not published | 0 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $4,313.40 | $10,270.00 | $2,057.49 – $7,034.24 | 6 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $884.37 – $1,591.30 | 2 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $990.05 – $1,761.72 | 2 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $1,959.91 – $12,741.55 | 3 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,959.91 – $5,830.77 | 2 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,959.91 – $5,830.77 | 4 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,133.79 – $2,018.88 | 2 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $811.66 – $1,450.06 | 2 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Amputation of lower leg CPT 27882 | not published | not published | $740.22 – $1,320.32 | 2 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $664.96 – $6,355.00 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,057.49 – $5,830.77 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | $4,192.86 | $9,983.00 | $2,057.49 – $7,034.24 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $4,538.10 | $10,805.00 | $2,057.49 – $7,034.24 | 6 |
| Amylase CPT 82150 | $179.76 | $428.00 | $14.15 – $28.25 | 2 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $261.17 – $261.17 | 1 |
| Ana ds-dna CPT 86226 | not published | not published | $26.44 – $52.80 | 2 |
| Anal pressure record CPT 91122 | not published | not published | $524.76 – $524.76 | 1 |
| Anal/urinary muscle study CPT 51784 | $163.80 | $390.00 | $62.26 – $73.22 | 2 |
| Anal/urinary muscle study CPT 51785 | $740.04 | $1,762.00 | $252.28 – $4,579.48 | 6 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $186.80 – $186.80 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $143.48 – $286.41 | 2 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $160.24 – $319.89 | 2 |
| Analysis nerve CPT 88356 | not published | not published | $215.69 – $248.44 | 2 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $140.08 – $140.08 | 1 |
| Analysis tumor CPT 88358 | not published | not published | $198.14 – $625.66 | 2 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $143.80 – $143.80 | 1 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $152.99 – $152.99 | 1 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,762.16 – $5,025.69 | 2 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $3,023.84 – $5,518.51 | 2 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,237.78 – $2,214.62 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $32.87 – $65.62 | 2 |
| An cholangiogram percutaneous compl CPT 47531 | $1,481.76 | $3,528.00 | $415.04 – $6,622.89 | 3 |
| Androstanediol CPT 82154 | not published | not published | $62.97 – $125.70 | 2 |
| An fluoro guide for cvp CPT 77001 | $630.84 | $1,502.00 | $317.41 – $317.41 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $11,252.64 | $26,792.00 | $2,444.00 – $2,444.00 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $13,526.94 | $32,207.00 | $5,356.65 – $10,551.83 | 3 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $13,526.94 | $32,207.00 | $5,356.65 – $10,551.83 | 3 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $12,778.50 | $30,425.00 | $2,444.00 – $2,444.00 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $44.83 – $89.47 | 2 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $12,272.88 | $29,221.15 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $14,672.70 | $34,935.00 | $6,355.00 – $21,105.06 | 3 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $9,445.80 | $22,490.00 | $2,444.00 – $2,444.00 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $11,252.64 | $26,792.00 | $5,691.71 – $10,551.83 | 3 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $10,578.54 | $25,187.00 | $2,444.00 – $2,444.00 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $10,789.80 | $25,690.00 | $5,691.71 – $10,551.83 | 3 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $1.69 – $7.19 | 4 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Ankle X-ray CPT 73610 | $611.94 | $1,457.00 | $247.94 – $347.97 | 2 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $420.00 | $1,000.00 | $110.96 – $4,524.00 | 3 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $310.92 – $310.92 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $336.74 – $336.74 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $339.19 – $339.19 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $412.92 – $412.92 | 1 |
| Anodyne therapy charges pt CPT 97026 | $63.00 | $150.00 | $22.13 – $22.13 | 1 |
| Anogenital exam child w imag CPT 99170 | $292.32 | $696.00 | $303.56 – $303.56 | 1 |
| Anora (draw only) CPT 99001 | not published | not published | $26.73 – $26.73 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Anoscopy CPT 46611 | not published | not published | $976.42 – $4,579.48 | 6 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $1,956.18 – $4,993.10 | 4 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $212.65 – $2,444.00 | 4 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $535.04 – $2,444.00 | 3 |
| Anoscopy control bleeding 46614 CPT 46614 | $1,777.86 | $4,233.00 | $106.75 – $2,444.00 | 3 |
| Anoscopy remove fb 46608 CPT 46608 | $1,364.16 | $3,248.00 | $976.42 – $4,579.48 | 6 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,000.00 – $4,993.10 | 6 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,000.00 – $4,993.10 | 6 |
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.