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 |
|---|---|---|---|---|
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,256.62 – $7,034.24 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $879.87 – $4,579.48 | 6 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,040.34 | $2,477.00 | $879.87 – $4,579.48 | 6 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $288.27 – $2,444.00 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $2,194.50 | $5,225.00 | $1,000.00 – $4,579.48 | 6 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $2,260.03 – $6,388.04 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,256.62 – $4,524.00 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $1,256.62 – $6,388.04 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $879.87 – $3,317.26 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,296.68 – $10,331.63 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,256.62 – $4,524.00 | 4 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,256.62 – $6,388.04 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,256.62 – $3,317.26 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,256.62 – $3,317.26 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,256.62 – $3,317.26 | 3 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,605.98 – $2,891.67 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,000.00 – $3,317.26 | 4 |
| Esophagus motility study CPT 91010 | $3,580.92 | $8,526.00 | $426.45 – $2,444.00 | 2 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $1,487.00 – $1,487.00 | 1 |
| Esoph egd dilation <30 mm CPT 43249 | $1,962.24 | $4,672.00 | $1,256.62 – $7,034.24 | 6 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $999.77 – $1,823.90 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,395.46 – $2,502.47 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $56.54 – $56.54 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $394.50 – $394.50 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $1,343.23 – $1,343.23 | 1 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,256.62 – $3,317.26 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $879.87 – $4,579.48 | 6 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,000.00 – $3,317.26 | 4 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,404.55 – $7,994.12 | 2 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $4,595.56 – $8,324.98 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,856.54 – $6,984.70 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,317.23 – $7,802.98 | 2 |
| Esrd svc pr day pt 20+ CPT 90970 | $3,379.32 | $8,046.00 | not published | 0 |
| Essure 58565 CPT 58565 | not published | not published | $4,695.75 – $9,098.38 | 4 |
| Establish access to aorta CPT 36160 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,306.25 – $2,330.54 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,011.39 – $3,613.25 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $716.96 – $2,082.59 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,219.60 – $2,194.67 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,729.00 – $3,092.80 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,279.63 – $2,247.62 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $31.95 – $31.95 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $88.49 – $88.49 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $176.98 – $176.98 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $272.83 – $272.83 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $384.65 – $384.65 | 1 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Estradiol total CPT 82670 | $277.62 | $661.00 | $61.02 – $121.82 | 2 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $25.77 – $35.11 | 4 |
| Estrogens total-sendout CPT 82672 | not published | not published | $47.41 – $94.61 | 2 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,036.65 – $3,004.96 | 3 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $1,598.89 – $1,818.31 | 4 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $523.41 – $710.98 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $32.56 – $64.96 | 2 |
| Etonogestrel implant system HCPCS J7307 | $3,142.49 | $7,482.12 | $3,496.23 – $5,272.65 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $652.13 | $1,552.68 | $2.43 – $4.56 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $216.36 – $291.12 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $400.69 – $683.12 | 4 |
| Euglobulin lysis CPT 85360 | not published | not published | $18.38 – $36.67 | 2 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,178.67 – $6,725.00 | 4 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $62.68 – $62.68 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $471.77 – $471.77 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $453.46 – $453.46 | 1 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $22.68 – $45.26 | 2 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $572.04 | $1,362.00 | $214.27 – $427.76 | 2 |
| Evaluation heart device CPT 93640 | not published | not published | $639.03 – $8,068.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $610.68 | $1,454.00 | $394.50 – $394.50 | 1 |
| Evaluation psychiatric diagnostic CPT 90791 | $94.08 | $224.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,746.00 | $11,300.00 | $652.74 – $1,235.89 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,993.38 | $11,889.00 | $278.05 – $538.10 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,769.62 – $2,769.62 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,512.80 – $7,334.00 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,259.88 – $7,334.00 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,826.54 – $7,334.00 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $993.33 – $993.33 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,704.65 – $7,334.00 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,835.44 – $7,334.00 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,410.73 – $7,334.00 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,270.46 – $7,334.00 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $2,186.21 – $2,186.21 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,739.46 – $1,739.46 | 1 |
| Event monitor CPT 93270 | not published | not published | $123.61 – $123.61 | 1 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $15.99 – $15.99 | 1 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $12.28 – $12.28 | 1 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $328.44 | $782.00 | $145.75 – $145.75 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $361.29 – $361.29 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $172.03 – $172.03 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | $97.86 | $233.00 | $63.29 – $2,444.00 | 3 |
| Exam pelvic add-on CPT 99459 | not published | not published | $78.57 – $78.57 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,982.44 | $9,482.00 | $2,150.00 – $7,034.24 | 6 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,582.97 – $7,034.24 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $893.66 – $6,725.00 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,152.83 – $5,260.00 | 3 |
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.