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 |
|---|---|---|---|---|
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $2,302.62 – $3,669.79 | 2 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $2,302.62 – $3,669.79 | 2 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $2,302.62 – $3,669.79 | 2 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $260.84 – $469.03 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $2,444.00 – $6,200.00 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $1,503.99 – $5,260.00 | 3 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $2,444.00 – $6,200.00 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $3,832.79 – $5,260.00 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $18,488.61 | $44,020.51 | $116.43 – $133.11 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $2.47 – $3.04 | 3 |
| Enlarge breast CPT 19324 | not published | not published | $2,600.00 – $17,328.74 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $470.63 | $1,120.54 | $1.99 – $4.87 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $26.17 – $52.23 | 2 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $34.94 – $69.76 | 2 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $299.72 – $545.02 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $297.18 – $540.42 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,496.07 – $2,723.57 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $3,023.43 – $5,475.53 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $3,496.46 – $6,370.57 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,605.56 – $2,926.22 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,726.46 – $3,144.22 | 2 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,983.90 – $3,608.65 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,028.10 – $4,524.00 | 3 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $29.30 – $58.51 | 2 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $96.17 – $191.97 | 2 |
| Enzyme histochemistry CPT 88319 | not published | not published | $224.81 – $2,738.95 | 2 |
| Ep & ablate supravent arrhyt CPT 93653 | $28,102.62 | $66,911.00 | $8,068.00 – $43,527.13 | 2 |
| Ep & ablate ventric tachy CPT 93654 | $37,831.08 | $90,074.00 | $8,068.00 – $43,527.13 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $37,879.15 | $90,188.45 | $194.80 – $223.99 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,660.87 – $4,524.00 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,000.00 – $2,444.00 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $4,407.48 | $10,494.00 | $507.58 – $4,524.00 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,000.00 – $2,444.00 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $1,000.00 – $2,444.00 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,000.00 – $2,444.00 | 4 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $793.08 – $2,444.00 | 4 |
| Epidurography CPT 72275 | not published | not published | $372.39 – $372.39 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $2,150.00 – $10,331.63 | 4 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,562.44 – $8,068.00 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $111.83 – $5,347.64 | 2 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $3,367.58 – $8,068.00 | 2 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $7.62 – $7.62 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $4.62 – $4.62 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $2,180.36 | $5,191.33 | $2.03 – $2.03 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $7.99 – $7.99 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $412.78 | $982.80 | $5.20 – $5.55 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,753.12 | $8,936.00 | $106.75 – $4,524.00 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $2.69 – $6.39 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,721.47 | $6,479.70 | $26.48 – $42.80 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $3,490.14 | $8,309.85 | $26.87 – $63.72 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $4.95 – $7.19 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $4.95 – $7.19 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $89.40 | $212.85 | $33.70 – $60.65 | 4 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $28.66 – $57.20 | 2 |
| Epstein barr nuclear antigen antibody CPT 86664 | $186.06 | $443.00 | $33.40 – $66.66 | 2 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $220.92 | $526.00 | $39.61 – $79.09 | 2 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $12.73 – $60.69 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $12,728.86 | $30,306.80 | $55.69 – $69.46 | 4 |
| Ercp biliary & pancreas CPT 74330 | $2,013.90 | $4,795.00 | $202.70 – $202.70 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $3,746.84 – $10,183.17 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $2,304.76 – $6,388.04 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $2,304.76 – $6,388.04 | 3 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $2,150.00 – $10,183.17 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,304.76 – $6,388.04 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $3,746.84 – $10,183.17 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $17.80 – $19.01 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $9,722.44 | $23,148.67 | $366.04 – $509.28 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $951.07 | $2,264.45 | $31.57 – $134.63 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $325.08 | $774.00 | $237.40 – $237.40 | 1 |
| ER Visit (level 2) CPT 99282 | $541.80 | $1,290.00 | $436.34 – $436.34 | 1 |
| ER Visit (level 3) CPT 99283 | $937.86 | $2,233.00 | $761.59 – $761.59 | 1 |
| ER Visit (level 4) CPT 99284 | $1,706.04 | $4,062.00 | $1,199.60 – $1,199.60 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $3,231.06 | $7,693.00 | $1,720.38 – $1,720.38 | 1 |
| Erwinaze injection HCPCS J9019 | not published | not published | $1,507.52 – $1,623.63 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $569.33 | $1,355.55 | $262.69 – $306.96 | 4 |
| Escharotomy ea addl incision CPT 16036 | $262.92 | $626.00 | $98.93 – $181.16 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $5,204.42 – $5,260.00 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $631.31 | $1,503.12 | $1.46 – $2.02 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $57.10 | $135.96 | $0.99 – $1.05 | 3 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $125.70 – $125.70 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $142.89 – $258.69 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $831.23 – $831.23 | 1 |
| Esophageal recording CPT 93615 | not published | not published | $3,367.58 – $3,367.58 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $3,367.58 – $3,367.58 | 1 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $394.50 – $2,444.00 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,633.88 – $2,970.73 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,656.71 – $2,973.03 | 2 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $3,181.52 – $6,088.86 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,256.62 – $4,524.00 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $307.49 – $2,444.00 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,256.62 – $4,524.00 | 3 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $3,746.84 – $10,183.17 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,256.62 – $4,524.00 | 4 |
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.