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 |
|---|---|---|---|---|
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $210.16 – $210.16 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Antibody CPT 86744 | not published | not published | $34.91 – $69.72 | 2 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $28.13 – $56.16 | 2 |
| Antibody elution rbc reference CPT 86860 | $620.34 | $1,477.00 | $71.64 – $625.66 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $42.27 – $84.37 | 2 |
| Antibody htlv-i CPT 86687 | not published | not published | $19.85 – $39.63 | 2 |
| Antibody htlv-ii CPT 86688 | not published | not published | $30.58 – $61.04 | 2 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $1,493.10 | $3,555.00 | $40.12 – $80.09 | 2 |
| Antibody id rbc panel CPT 86870 | $808.92 | $1,926.00 | $97.54 – $1,235.67 | 2 |
| Antibody influenza virus CPT 86710 | not published | not published | $29.60 – $59.08 | 2 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $28.13 – $56.11 | 2 |
| Antibody screen rbc CPT 86850 | $593.88 | $1,414.00 | $21.33 – $215.69 | 2 |
| Antibody tetanus CPT 86774 | not published | not published | $32.33 – $64.53 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $129.96 – $129.96 | 1 |
| Antigen therapy services CPT 95146 | not published | not published | $129.96 – $129.96 | 1 |
| Antigen therapy services CPT 95147 | not published | not published | $206.20 – $206.20 | 1 |
| Antigen therapy services CPT 95148 | not published | not published | $206.20 – $206.20 | 1 |
| Antigen therapy services CPT 95149 | not published | not published | $206.20 – $206.20 | 1 |
| Antigen therapy services CPT 95165 | not published | not published | $129.96 – $129.96 | 1 |
| Antigen therapy services CPT 95170 | not published | not published | $129.96 – $129.96 | 1 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $15,067.03 | $35,873.88 | $3.59 – $5.21 | 4 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $2.99 – $4.56 | 4 |
| Anti-inhibitor HCPCS J7198 | $28,171.68 | $67,075.42 | $6.58 – $8.63 | 4 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $52.54 – $52.54 | 1 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $52.54 – $52.54 | 1 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $52.54 – $52.54 | 1 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $911.43 – $2,444.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $946.08 – $2,444.00 | 3 |
| Antinuclear antibodies CPT 86038 | $973.56 | $2,318.00 | $26.42 – $52.71 | 2 |
| Antinuclear antibodies titer CPT 86039 | not published | not published | $24.36 – $48.66 | 2 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $35.12 – $70.07 | 2 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $12.60 – $25.16 | 2 |
| Antistreptolysin o titer CPT 86060 | $18.90 | $45.00 | $15.96 – $31.83 | 2 |
| Antithrombin iii activity CPT 85300 | $88.20 | $210.00 | $25.88 – $51.67 | 2 |
| Antithrombin iii injection HCPCS J7197 | $11,851.26 | $28,217.29 | $13.76 – $14.71 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $7,456.92 – $17,545.89 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | $6,064.56 | $14,439.44 | $3,090.62 – $3,530.31 | 4 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $371.79 – $371.79 | 1 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $371.79 – $371.79 | 1 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $874.23 – $1,574.41 | 2 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $1,100.74 – $2,197.44 | 2 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $2,948.81 – $5,886.83 | 2 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $436.80 – $872.00 | 2 |
| Apc gene full sequence CPT 81201 | not published | not published | $1,703.52 – $3,400.80 | 2 |
| Apc gene known fam variants CPT 81202 | not published | not published | $611.52 – $1,220.80 | 2 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $187.58 – $187.58 | 1 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $1,840.18 – $8,068.00 | 3 |
| Apheresis plasma CPT 36514 | $5,573.82 | $13,271.00 | $1,245.46 – $4,524.00 | 3 |
| Apheresis platelets CPT 36513 | not published | not published | $417.63 – $4,524.00 | 3 |
| Apheresis rbc CPT 36512 | $4,606.98 | $10,969.00 | $1,245.46 – $4,524.00 | 3 |
| Apheresis wbc CPT 36511 | $4,606.98 | $10,969.00 | $1,245.46 – $4,524.00 | 3 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $452.76 – $903.87 | 2 |
| Appendectomy CPT 44950 | not published | not published | $2,697.56 – $6,622.89 | 3 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,067.83 – $1,950.55 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $4,459.99 – $10,295.80 | 3 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,660.87 – $4,524.00 | 3 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $2,966.88 | $7,064.00 | $2,444.00 – $2,444.00 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $6,722.94 | $16,007.00 | $2,716.00 – $6,341.63 | 3 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,460.76 | $3,478.00 | $2,444.00 – $2,444.00 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $3,382.26 | $8,053.00 | $2,444.00 – $2,444.00 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $82.69 – $143.95 | 2 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $263.50 – $489.52 | 2 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $263.50 – $489.52 | 2 |
| Appl body cast sho to hips CPT 29035 | $338.10 | $805.00 | $144.38 – $247.34 | 2 |
| Appl cast figure-of-eight CPT 29049 | $338.10 | $805.00 | $43.46 – $132.21 | 2 |
| Appl cast plaster velpeau CPT 29058 | $338.10 | $805.00 | $83.96 – $148.35 | 2 |
| Appl cast shoulder spica CPT 29055 | $338.10 | $805.00 | $144.38 – $247.34 | 2 |
| Appl halo type body cast CPT 29000 | not published | not published | $263.50 – $489.52 | 2 |
| Appl hip spica cast1&1/2 CPT 29325 | $338.10 | $805.00 | $144.38 – $4,524.00 | 3 |
| Appl hip spica cast 1 leg CPT 29305 | $338.10 | $805.00 | $144.38 – $2,444.00 | 3 |
| Application clubfoot cast CPT 29450 | $205.38 | $489.00 | $78.06 – $139.13 | 2 |
| Application finger splntstatic 29130 CPT 29130 | $454.86 | $1,083.00 | $61.80 – $117.17 | 2 |
| Application halo femoral CPT 20663 | not published | not published | $1,682.62 – $11,141.85 | 5 |
| Application halo pelvic CPT 20662 | not published | not published | $1,073.94 – $11,141.85 | 5 |
| Application long leg splint 29505 CPT 29505 | $399.42 | $951.00 | $67.09 – $123.75 | 2 |
| Application lower leg splint 29515 CPT 29515 | $634.20 | $1,510.00 | $51.90 – $89.93 | 2 |
| Application multi layer compression below knee (both sides) CPT 29581 | $279.72 | $666.00 | $62.87 – $143.95 | 2 |
| Application of body cast CPT 29010 | not published | not published | $144.38 – $247.34 | 2 |
| Application of body cast CPT 29015 | not published | not published | $144.38 – $247.34 | 2 |
| Application of cylinder cast 29365 CPT 29365 | $338.10 | $805.00 | $89.45 – $158.34 | 2 |
| Application of forearm cast 29075 CPT 29075 | $214.62 | $511.00 | $66.66 – $117.62 | 2 |
| Application of long arm cast 29065 CPT 29065 | $291.90 | $695.00 | $73.00 – $128.38 | 2 |
| Application of long leg cast CPT 29355 | not published | not published | $94.09 – $170.66 | 2 |
| Application of long leg cast 29345 CPT 29345 | $500.22 | $1,191.00 | $94.94 – $2,444.00 | 3 |
| Application of paste boot 29580 CPT 29580 | $698.88 | $1,664.00 | $37.13 – $89.93 | 2 |
| Application short leg cast 29405 CPT 29405 | $243.60 | $580.00 | $59.92 – $103.01 | 2 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $4,092.90 | $9,745.00 | $1,660.87 – $4,524.00 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,501.10 | $5,955.00 | $1,660.87 – $4,524.00 | 3 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $1,101.32 | $2,622.18 | not published | 0 |
| Appl long leg cast brace CPT 29358 | $500.22 | $1,191.00 | $121.94 – $215.24 | 2 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,300.00 – $25,348.51 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $24.59 – $24.59 | 1 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $63.00 | $150.00 | $44.23 – $44.23 | 1 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $130.30 – $130.30 | 1 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $68.77 – $143.95 | 2 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $84.39 – $142.99 | 2 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $2,150.00 – $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.