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 |
|---|---|---|---|---|
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,640.21 – $2,991.46 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,603.02 – $2,907.79 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | $1,235.37 | $2,941.35 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,403.27 – $4,337.13 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $879.87 – $1,674.01 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $786.15 – $989.94 | 2 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $3.24 – $3.24 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.46 – $3.46 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.85 – $2.85 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.28 – $1.28 | 1 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.82 – $4.82 | 1 |
| Gba gene CPT 81251 | not published | not published | $103.18 – $206.01 | 2 |
| Gefitinib oral HCPCS J8565 | not published | not published | $1,000.15 – $1,105.80 | 3 |
| Gel-one HCPCS J7326 | not published | not published | $1,834.06 – $2,108.16 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $1.86 – $3.95 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $458.87 | $1,092.54 | $10.35 – $20.36 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $23,434.26 | $55,795.85 | $722.31 – $859.86 | 4 |
| General health panel CPT 80050 | $1,695.54 | $4,037.00 | $99.05 – $154.00 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $62,253.40 | $148,222.38 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $36,467.76 | $86,828.00 | not published | 0 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $159.76 – $159.76 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $5,347.64 – $10,675.72 | 2 |
| Genioplasty augmentation CPT 21120 | not published | not published | $3,300.00 – $10,331.63 | 4 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $2,296.68 – $8,068.00 | 4 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $2,296.68 – $8,068.00 | 4 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $2,296.68 – $10,331.63 | 4 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $7,115.20 – $7,115.20 | 1 |
| Genome re-evaluation CPT 81427 | not published | not published | $5,105.42 – $10,192.15 | 2 |
| Genome sequence analysis CPT 81425 | not published | not published | $10,988.14 – $21,936.03 | 2 |
| Genome sequence analysis CPT 81426 | not published | not published | $5,918.54 – $11,815.38 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $182.90 | $435.48 | $6.17 – $10.22 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $780.36 | $1,858.00 | $35.79 – $71.42 | 2 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $21.08 – $30.58 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,598.94 | $3,807.00 | $1,388.69 – $1,388.69 | 1 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $584.64 | $1,392.00 | $522.20 – $4,579.48 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,638.88 | $8,664.00 | $1,930.34 – $7,034.24 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $21.44 – $42.77 | 2 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $37.36 – $74.60 | 2 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $223.34 – $445.85 | 2 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $371.79 – $371.79 | 1 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $31.41 – $62.74 | 2 |
| Ghs aspiration bladder - needle CPT 51100 | $302.82 | $721.00 | $37.97 – $2,444.00 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $477.54 | $1,137.00 | $73.22 – $2,444.00 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $10.52 – $21.02 | 2 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $907.62 | $2,161.00 | $76.79 – $2,444.00 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | $4,593.12 | $10,936.00 | $995.40 – $3,474.31 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $881.16 | $2,098.00 | $500.34 – $2,444.00 | 2 |
| Ghs chemo >8 hrs CPT 96416 | $553.14 | $1,317.00 | $489.13 – $489.13 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $631.67 – $631.67 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | $226.80 | $540.00 | $202.76 – $202.76 | 1 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $243.60 | $580.00 | $76.64 – $152.99 | 2 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $338.10 | $805.00 | $199.54 – $459.31 | 2 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,091.16 | $2,598.00 | $252.34 – $4,579.48 | 6 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,061.78 | $4,909.00 | $841.70 – $4,579.48 | 6 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $367.92 | $876.00 | $252.34 – $4,579.48 | 6 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,105.04 | $5,012.00 | $1,000.00 – $4,579.48 | 6 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,431.38 | $5,789.00 | $1,660.87 – $7,034.24 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $291.90 | $695.00 | $252.34 – $4,579.48 | 6 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $4,041.66 | $9,623.00 | $1,000.00 – $4,579.48 | 6 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,399.46 | $5,713.00 | $1,548.47 – $7,034.24 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,131.48 | $2,694.00 | $252.34 – $4,579.48 | 6 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $1,728.30 | $4,115.00 | $138.27 – $232.08 | 2 |
| Ghs community re-entry 15 minutes CPT 97537 | $129.36 | $308.00 | $114.30 – $114.30 | 1 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $537.60 | $1,280.00 | $119.01 – $774.45 | 2 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $485.10 | $1,155.00 | $119.01 – $232.23 | 2 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $632.52 | $1,506.00 | $119.01 – $774.45 | 2 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $632.52 | $1,506.00 | $119.01 – $232.23 | 2 |
| Ghs cricothyroidotomy CPT 31605 | $2,451.54 | $5,837.00 | $433.75 – $2,444.00 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | $532.14 | $1,267.00 | $155.48 – $2,444.00 | 3 |
| Ghs cutdown placement under 1 yr CPT 36420 | $163.80 | $390.00 | $117.17 – $2,444.00 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $33.23 – $66.32 | 2 |
| Ghs dislocation elbow closed treatment CPT 24600 | $2,832.48 | $6,744.00 | $252.34 – $4,579.48 | 6 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,196.58 | $2,849.00 | $577.47 – $4,524.00 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $695.94 | $1,657.00 | $45.99 – $86.09 | 2 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,377.18 | $3,279.00 | $1,331.36 – $2,444.00 | 2 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $7,659.12 | $18,236.00 | $863.07 – $863.07 | 1 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $31.95 – $31.95 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $309.70 – $309.70 | 1 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $25.81 – $25.81 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $94.50 – $680.56 | 2 |
| Ghs excision ingrown nail CPT 11765 | $225.12 | $536.00 | $94.50 – $2,444.00 | 3 |
| Ghs eye exam CPT 92002 | $184.80 | $440.00 | $395.32 – $395.32 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $353.22 | $841.00 | $192.93 – $2,444.00 | 3 |
| Ghs fat & muscle CPT 89160 | not published | not published | $10.58 – $21.15 | 2 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,112.60 | $5,030.00 | $1,582.97 – $7,034.24 | 6 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,638.88 | $8,664.00 | $2,152.83 – $11,141.85 | 6 |
| Ghs fb removal - incisional CPT 10121 | $2,112.60 | $5,030.00 | $1,582.97 – $4,524.00 | 4 |
| Ghs fb removal - non-incisional CPT 20520 | $2,112.60 | $5,030.00 | $152.31 – $4,524.00 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $15.26 – $30.43 | 2 |
| Ghs fish cytogen CPT 88271 | not published | not published | $46.77 – $93.39 | 2 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $111.78 – $223.19 | 2 |
| Ghs flow volume loop CPT 94375 | not published | not published | $863.07 – $863.07 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | $372.96 | $888.00 | $155.48 – $2,444.00 | 3 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $76.64 – $152.99 | 2 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $50.17 – $100.15 | 2 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $33.83 – $67.54 | 2 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $20.70 – $41.29 | 2 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $28.93 – $57.77 | 2 |
| Ghs HIV antibody CPT 86703 | not published | not published | $29.93 – $59.78 | 2 |
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.