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 |
|---|---|---|---|---|
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Floor of mouth biopsy 41108 CPT 41108 | $2,112.60 | $5,030.00 | $128.26 – $2,444.00 | 3 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $10,472.00 – $15,504.00 | 3 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $2,379.39 – $2,379.39 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $2,223.39 – $2,223.39 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $185.95 – $384.99 | 2 |
| Flow cytometry marker each additional CPT 88185 | $192.78 | $459.00 | $50.30 – $108.43 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $391.02 | $931.00 | $152.41 – $1,235.67 | 2 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $673.20 – $718.69 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $325.88 – $328.78 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $137.16 – $287.54 | 2 |
| Floxuridine injection HCPCS J9200 | not published | not published | $307.62 – $14,439.43 | 4 |
| Flt3 gene CPT 81245 | not published | not published | $361.47 – $721.62 | 2 |
| Flt3 gene analysis CPT 81246 | not published | not published | $181.27 – $361.88 | 2 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $116.66 | $277.76 | $7.90 – $25.19 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $2,004.96 | $4,773.71 | $244.30 – $661.09 | 4 |
| Fluidotherapy charges pt CPT 97022 | $45.36 | $108.00 | $62.68 – $62.68 | 1 |
| Fluid pressure muscle 20950 CPT 20950 | $914.34 | $2,177.00 | $191.13 – $2,444.00 | 3 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $28.01 – $29.91 | 2 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $1,724.25 – $1,865.61 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $1,136.39 – $1,283.74 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $167.12 – $167.12 | 1 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $608.31 – $608.31 | 1 |
| Fluorescent antibody titer dna CPT 86256 | not published | not published | $26.31 – $52.54 | 2 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $1,858.29 – $1,858.29 | 1 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $2.81 – $2.99 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,806.00 | $4,300.00 | $300.10 – $300.10 | 1 |
| Fluoroguide needle placement CPT 77002 | $2,557.80 | $6,090.00 | $325.26 – $325.26 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $41.30 – $82.45 | 2 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,094.52 | $2,606.00 | $139.83 – $705.32 | 2 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $567.57 | $1,351.35 | $6.00 – $12.24 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $56.70 | $135.00 | $26.36 – $78.58 | 4 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $4.53 – $4.83 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $9,863.73 – $15,048.00 | 3 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $46.06 – $62.45 | 3 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $39.34 – $293.59 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $314.81 – $459.83 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $568.62 – $988.29 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | $5,525.94 | $13,157.00 | $656.53 – $2,444.00 | 2 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $656.53 – $2,444.00 | 2 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $65.30 | $155.48 | $26.62 – $26.62 | 1 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $27.19 | $64.74 | $12.97 – $12.97 | 1 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $13.75 – $13.75 | 1 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $39.24 – $39.24 | 1 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $9.98 – $9.98 | 1 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $11.96 – $11.96 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $41.30 – $82.45 | 2 |
| Folic acid CPT 82746 | $205.38 | $489.00 | $32.12 – $64.09 | 2 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $56.70 | $135.00 | $0.20 – $0.20 | 1 |
| Follow-up angiography CPT 75898 | $3,514.98 | $8,369.00 | $4,768.92 – $8,770.58 | 2 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $395.32 – $395.32 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,068.23 – $7,034.24 | 6 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,959.39 | $14,189.03 | $23.03 – $41.40 | 3 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $2.52 – $9.30 | 4 |
| Foot X-ray CPT 73630 | $580.44 | $1,382.00 | $247.94 – $347.97 | 2 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $4,713.66 | $11,223.00 | $2,300.00 – $6,341.63 | 4 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $1,276.47 – $6,123.36 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $28.19 – $215.69 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $258.72 | $616.00 | $252.28 – $4,579.48 | 6 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $6.88 – $67.92 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2,109.18 | $5,021.85 | $0.40 – $5.75 | 4 |
| Foscarnet sodium injection HCPCS J1455 | $1,817.16 | $4,326.56 | $54.54 – $309.88 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $296.60 | $706.18 | $12.27 – $18.24 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $62.26 – $124.26 | 2 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $247.94 – $347.97 | 2 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $98.05 – $195.72 | 2 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,674.49 – $15,160.00 | 5 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,795.99 – $11,141.85 | 5 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,337.54 – $8,068.00 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,665.37 – $4,839.94 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,827.27 – $11,141.85 | 5 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,981.79 – $3,598.66 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,961.50 – $3,541.08 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,802.32 – $11,141.85 | 5 |
| Frenectomy 41115 CPT 41115 | not published | not published | $215.61 – $4,579.48 | 5 |
| Frenotomy 40806 CPT 40806 | not published | not published | $116.87 – $4,579.48 | 5 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,138.51 – $4,524.00 | 4 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $18.06 | $43.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $21.84 | $52.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $123.90 | $295.00 | $44.96 – $56.55 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $145.75 – $224.81 | 2 |
| Frozen blood prep CPT 86930 | not published | not published | $264.44 – $1,235.67 | 2 |
| Frozen blood thaw CPT 86931 | not published | not published | $198.14 – $1,235.67 | 2 |
| Frozen cell preparation CPT 88241 | not published | not published | $26.42 – $52.71 | 2 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $349.41 – $349.41 | 1 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $36.59 – $73.07 | 2 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $3,248.41 – $3,248.41 | 1 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $151.84 – $151.84 | 1 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $335.27 – $335.27 | 1 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $121.30 – $121.30 | 1 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $118.61 – $118.61 | 1 |
| Full field erg w/i&r CPT 92273 | not published | not published | $334.28 – $334.28 | 1 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $705.32 – $1,016.05 | 2 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,501.10 | $5,955.00 | $1,660.87 – $7,034.24 | 6 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,660.87 – $7,034.24 | 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.