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 |
|---|---|---|---|---|
| Echo guide villus sampling CPT 76945 | not published | not published | $155.56 – $155.56 | 1 |
| Echo stress CPT 93350 | $1,609.44 | $3,832.00 | $404.32 – $404.32 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $97.08 – $97.08 | 1 |
| Echo tee guidance CPT 93355 | not published | not published | $807.42 – $807.42 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,018.08 | $2,424.00 | $474.37 – $474.37 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $40.54 – $40.54 | 1 |
| Echo transesophageal CPT 93314 | not published | not published | $506.32 – $506.32 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $1,695.93 – $1,695.93 | 1 |
| Echo transesophageal CPT 93317 | not published | not published | $324.43 – $324.43 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $1,695.93 – $1,695.93 | 1 |
| Echo transthoracic CPT 93303 | $1,261.68 | $3,004.00 | $594.81 – $594.81 | 1 |
| Echo transthoracic CPT 93304 | $331.38 | $789.00 | $428.91 – $428.91 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $330.60 – $330.60 | 1 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $5,924.52 | $14,106.00 | $292.11 – $515.84 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $5,924.52 | $14,106.00 | $300.14 – $530.43 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $11,230.80 | $26,740.00 | $419.78 – $765.33 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $11,230.80 | $26,740.00 | $380.05 – $690.10 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,098.27 – $1,862.28 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,039.08 – $1,859.21 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $608.32 – $1,062.40 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $28,129.92 | $66,976.00 | $545.32 – $950.32 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $592.26 – $1,065.47 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $28,129.92 | $66,976.00 | $530.12 – $954.18 | 2 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $676.80 – $1,152.99 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $642.98 – $1,162.96 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $359.32 – $612.57 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $5,423.04 | $12,912.00 | $243.93 – $412.99 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $352.56 – $633.29 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $5,924.52 | $14,106.00 | $292.96 – $530.43 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $633.68 – $1,095.42 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $618.89 – $1,050.11 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $309.87 – $525.07 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $7,712.46 | $18,363.00 | $243.93 – $412.99 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $290.84 – $522.00 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $7,712.46 | $18,363.00 | $235.89 – $412.22 | 2 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $123.61 – $123.61 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $27.65 – $55.20 | 2 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,068.23 – $4,524.00 | 4 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $36,391.56 | $86,646.57 | $156.70 – $156.70 | 1 |
| Eculizumab injection HCPCS J1300 | not published | not published | $802.64 – $857.62 | 3 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $13,921.89 – $24,519.50 | 4 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $1.25 – $4.95 | 3 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $89.72 – $89.72 | 1 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $383.42 – $383.42 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $94.63 – $94.63 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $926.60 – $926.60 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $138.86 – $138.86 | 1 |
| Eeg during surgery CPT 95955 | $1,324.68 | $3,154.00 | $540.72 – $540.72 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $1,211.74 – $1,211.74 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $985.59 – $985.59 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $804.72 | $1,916.00 | $1,059.35 – $1,059.35 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,168.86 | $2,783.00 | $1,098.67 – $1,098.67 | 1 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $727.52 – $727.52 | 1 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $884.83 – $884.83 | 1 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $900.82 – $900.82 | 1 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $1,128.16 – $1,128.16 | 1 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $1,024.94 – $1,024.94 | 1 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $1,425.55 – $1,425.55 | 1 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $725.07 – $725.07 | 1 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $356.38 – $356.38 | 1 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $468.23 – $468.23 | 1 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $553.03 – $553.03 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $2,606.94 | $6,207.00 | $1,135.53 – $1,135.53 | 1 |
| Eeg recording awake and asleep CPT 95819 | $2,018.52 | $4,806.00 | $1,281.78 – $1,281.78 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $863.07 – $863.07 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $136.92 | $326.00 | $863.07 – $863.07 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $863.07 – $863.07 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| E equine encephalitis igg CPT 86652 | not published | not published | $28.80 – $57.51 | 2 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $33,858.77 | $80,616.11 | $113.39 – $131.31 | 3 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,256.62 – $4,524.00 | 3 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,256.62 – $7,034.24 | 6 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,256.62 – $7,034.24 | 6 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,256.62 – $5,260.00 | 3 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $3,746.84 – $10,183.17 | 3 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $4,264.30 – $17,919.92 | 3 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $3,709.59 – $5,260.00 | 2 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $1,758.34 – $4,524.00 | 2 |
| Egd guide wire insertion CPT 43248 | not published | not published | $879.87 – $7,034.24 | 6 |
| Egd injection varices CPT 43243 | not published | not published | $879.87 – $7,034.24 | 6 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $879.87 – $7,034.24 | 6 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,256.62 – $5,260.00 | 3 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,256.62 – $6,388.04 | 3 |
| Egd remove foreign body CPT 43247 | $1,127.28 | $2,684.00 | $879.87 – $7,034.24 | 6 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,256.62 – $7,034.24 | 6 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,256.62 – $7,034.24 | 6 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,256.62 – $11,141.85 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,256.62 – $4,524.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $2,194.50 | $5,225.00 | $1,256.62 – $4,524.00 | 4 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,256.62 – $5,260.00 | 3 |
| Egd varices ligation CPT 43244 | not published | not published | $1,256.62 – $4,524.00 | 4 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,260.03 – $6,388.04 | 4 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $2,150.00 – $6,388.04 | 4 |
| Egfr gene com variants CPT 81235 | not published | not published | $708.90 – $1,415.17 | 2 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $152.99 – $152.99 | 1 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $42.74 – $85.33 | 2 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $75.43 – $75.43 | 1 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $75.43 – $75.43 | 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.