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 |
|---|---|---|---|---|
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $4.56 – $5.31 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $11.03 – $12.24 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $34.41 – $37.73 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $57.67 – $65.09 | 4 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,193.81 – $2,631.21 | 3 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | $17.22 | $41.00 | $93.16 – $93.16 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | $94.08 | $224.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $94.08 | $224.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $56.70 | $135.00 | $0.03 – $0.03 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $13,543.29 | $32,245.92 | $100.72 – $107.52 | 4 |
| Fancc gene CPT 81242 | not published | not published | $79.97 – $159.66 | 2 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,108.00 – $4,524.00 | 3 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $11.16 – $22.24 | 2 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $40.99 – $81.84 | 2 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,143.98 | $2,723.76 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $9.95 – $19.88 | 2 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $223.50 – $239.32 | 3 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $155.48 – $2,444.00 | 3 |
| #fecal-sodium CPT 84302 | not published | not published | $10.62 – $21.19 | 2 |
| Feeding tube reposition CPT 74355 | not published | not published | $169.69 – $169.69 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $145.03 – $145.03 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $349.01 – $349.01 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $40.72 – $81.27 | 2 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $296.34 – $525.83 | 2 |
| Fem/popl revasc w/stent CPT 37226 | $17,198.58 | $40,949.00 | $6,355.00 – $21,105.06 | 3 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $11.86 – $11.86 | 1 |
| Feno poc CPT 95012 | not published | not published | $114.00 – $114.00 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $172.47 | $410.65 | $1.46 – $3.69 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $21.27 – $42.47 | 2 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,728.35 | $16,019.88 | $4.00 – $5.55 | 4 |
| Ferritin CPT 82728 | $556.08 | $1,324.00 | $29.78 – $59.43 | 2 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,261.01 | $3,002.41 | $1.08 – $7.87 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $1.08 – $7.87 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $3,466.20 – $3,466.20 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $655.62 | $1,561.00 | $298.53 – $333.97 | 2 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $1,657.76 – $3,309.46 | 2 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $1,657.76 – $3,309.46 | 2 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $250.74 | $597.00 | $146.15 – $146.15 | 1 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $266.88 – $576.63 | 2 |
| Fetal fibronectin CPT 82731 | $532.56 | $1,268.00 | $140.68 – $280.83 | 2 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $266.88 – $2,444.00 | 3 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $278.04 | $662.00 | $16.87 – $33.70 | 2 |
| Fetal hemoglobin rosette CPT 85461 | not published | not published | $20.43 – $40.81 | 2 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $42.20 – $84.24 | 2 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $51.57 – $92.89 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $62.57 – $112.08 | 2 |
| Fetal non stress test CPT 59025 | $1,087.38 | $2,589.00 | $81.71 – $81.71 | 1 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $266.88 – $576.63 | 2 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $266.88 – $2,444.00 | 3 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $25.84 – $29.96 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $224.28 | $534.00 | $22.25 – $44.38 | 2 |
| Fibrin degradation products CPT 85362 | $206.64 | $492.00 | $15.05 – $30.04 | 2 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $21.24 – $42.38 | 2 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $22.25 – $44.38 | 2 |
| Fibrinogen activity CPT 85384 | $254.52 | $606.00 | $21.24 – $42.38 | 2 |
| Fibrinogen test CPT 85370 | not published | not published | $27.15 – $54.19 | 2 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $115.08 | $274.00 | $33.81 – $67.49 | 2 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $16.84 – $33.62 | 2 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $16.84 – $33.62 | 2 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $37.53 – $74.95 | 2 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $22.25 – $44.38 | 2 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $14.25 – $28.47 | 2 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,073.73 – $15,638.81 | 5 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,050.13 | $2,500.30 | $1.00 – $2.87 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $3,665.46 | $8,727.29 | $3.45 – $3.99 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,674.06 | $3,985.86 | $1.22 – $3.59 | 4 |
| Filleted finger/toe flap CPT 14350 | $2,431.38 | $5,789.00 | $1,660.87 – $11,141.85 | 6 |
| Filtered speech hearing test CPT 92571 | not published | not published | $114.00 – $114.00 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,130.56 | $16,977.52 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,073.27 | $9,698.25 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $971.45 – $6,725.00 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.52 – $0.56 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $495.05 – $2,444.00 | 2 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $262.92 | $626.00 | $2,444.00 – $2,444.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $2,404.08 | $5,724.00 | $2,444.00 – $2,444.00 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $520.80 | $1,240.00 | $117.30 – $2,444.00 | 3 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,308.79 – $2,286.77 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $767.26 – $1,456.96 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $187.58 – $187.58 | 1 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $187.58 – $187.58 | 1 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $349.01 – $349.01 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $114.00 – $114.00 | 1 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $114.00 – $114.00 | 1 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $83.58 – $83.58 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $65.13 – $65.13 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $94.63 – $94.63 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $29.54 – $75.34 | 2 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,000.00 – $5,830.77 | 6 |
| Fixation of knee joint CPT 27570 | $2,021.04 | $4,812.00 | $1,000.00 – $4,579.48 | 6 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,070.73 – $20,628.27 | 6 |
| Fix g/colon tube w/device CPT 49460 | $1,196.58 | $2,849.00 | $575.95 – $2,444.00 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $4,192.86 | $9,983.00 | $2,300.00 – $5,830.77 | 4 |
| Flebogamma injection HCPCS J1572 | not published | not published | $158.58 – $213.26 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $40.72 – $81.27 | 2 |
| Fl exam g/colon tube w contrast CPT 49465 | $202.86 | $483.00 | $178.18 – $2,444.00 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | $1,047.06 | $2,493.00 | $118.14 – $2,444.00 | 4 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,300.00 – $12,741.55 | 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.