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 |
|---|---|---|---|---|
| Excise lesion testis CPT 54512 | not published | not published | $2,138.51 – $6,429.49 | 4 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $2,150.00 – $10,331.63 | 4 |
| Excise mandible lesion CPT 21040 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $390.29 – $4,524.00 | 3 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $428.71 – $4,579.48 | 6 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $3,300.00 – $10,331.63 | 4 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,655.02 – $2,979.19 | 2 |
| Excise pharynx lesion CPT 42808 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Excise/repair mouth lesion CPT 40812 | $1,955.10 | $4,655.00 | $239.24 – $2,444.00 | 3 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,689.04 – $4,934.34 | 2 |
| Excise sublingual gland CPT 42450 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Excise submaxillary gland CPT 42440 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $1,582.97 – $4,524.00 | 3 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $1,959.91 – $6,355.00 | 3 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $2,300.00 – $11,141.85 | 4 |
| Excision aural polyp CPT 69540 | not published | not published | $190.71 – $4,524.00 | 3 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $914.34 | $2,177.00 | $127.00 – $4,524.00 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,112.60 | $5,030.00 | $128.26 – $2,444.00 | 4 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $914.34 | $2,177.00 | $127.00 – $2,444.00 | 4 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,112.60 | $5,030.00 | $1,582.97 – $7,034.24 | 6 |
| Excision breast lesion CPT 19125 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,636.84 – $2,910.09 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $1,000.00 – $5,579.09 | 6 |
| Excision graft abdomen CPT 35907 | not published | not published | $2,394.38 – $4,241.17 | 2 |
| Excision graft extremity CPT 35903 | not published | not published | $2,951.58 – $5,902.83 | 2 |
| Excision graft neck CPT 35901 | not published | not published | $615.93 – $1,040.14 | 2 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,201.62 – $3,706.90 | 2 |
| Excision gum each quadrant CPT 41820 | not published | not published | $1,258.47 – $2,444.00 | 3 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $231.64 – $7,034.24 | 5 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $195.77 – $2,444.00 | 3 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $1,000.00 – $4,993.10 | 6 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,627.97 – $2,952.31 | 2 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,898.51 – $3,464.32 | 2 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $2,448.50 – $4,443.05 | 2 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $1,202.69 – $2,188.51 | 2 |
| Excision of brain tumor CPT 61545 | not published | not published | $4,006.29 – $7,140.53 | 2 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $768.11 – $1,379.43 | 2 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $1,304.15 – $2,229.98 | 2 |
| Excision of gum flap CPT 41821 | not published | not published | $763.11 – $2,874.09 | 3 |
| Excision of gum lesion CPT 41822 | not published | not published | $263.71 – $2,444.00 | 3 |
| Excision of gum lesion CPT 41823 | not published | not published | $373.41 – $4,524.00 | 3 |
| Excision of gum lesion CPT 41826 | not published | not published | $270.46 – $2,444.00 | 4 |
| Excision of gum lesion CPT 41827 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Excision of gum lesion CPT 41828 | not published | not published | $225.31 – $2,444.00 | 3 |
| Excision of gum lesion 41825 CPT 41825 | $4,007.22 | $9,541.00 | $191.14 – $2,444.00 | 3 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,037.82 – $1,863.05 | 2 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $935.95 – $1,706.45 | 2 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Excision of neck cyst CPT 42815 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Excision of rectal lesion CPT 45160 | not published | not published | $2,150.00 – $4,993.10 | 4 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,685.87 – $2,893.20 | 2 |
| Excision of rectal stricture CPT 45150 | not published | not published | $2,095.00 – $4,579.48 | 6 |
| Excision of salivary cyst CPT 42408 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,091.28 – $4,243.47 | 2 |
| Excision of skull/sutures CPT 61559 | not published | not published | $3,005.24 – $5,106.29 | 2 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,489.50 – $4,416.19 | 2 |
| Excision of skull tumor CPT 61564 | not published | not published | $3,026.38 – $5,446.35 | 2 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,200.57 – $2,188.51 | 2 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,493.53 – $2,730.47 | 2 |
| Excision of tongue lesion CPT 41112 | not published | not published | $1,495.00 – $7,034.24 | 6 |
| Excision of tongue lesion CPT 41114 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $1,495.00 – $7,034.24 | 6 |
| Excision of tonsil tags CPT 42860 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Excision of uvula CPT 42140 | not published | not published | $1,495.00 – $7,034.24 | 6 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,089.39 – $1,995.09 | 2 |
| Excision radial head CPT 24130 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $183.97 – $4,579.48 | 5 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $2,528.40 | $6,020.00 | $2,152.83 – $5,260.00 | 3 |
| Excis partial tal calc CPT 28120 | not published | not published | $2,057.49 – $20,628.27 | 6 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $1,582.97 – $11,141.85 | 6 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $185.23 – $4,524.00 | 3 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $1,811.03 – $4,524.00 | 4 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $1,811.03 – $7,034.24 | 6 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $186.92 – $2,444.00 | 3 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $2,362.00 – $2,362.00 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $294.77 – $294.77 | 1 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,868.41 – $1,868.41 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $157.80 – $4,524.00 | 4 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $196.63 – $4,524.00 | 4 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $1,582.97 – $7,034.24 | 6 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $152.31 – $2,444.00 | 4 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $914.34 | $2,177.00 | $173.41 – $2,444.00 | 4 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $207.59 – $2,444.00 | 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.