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 |
|---|---|---|---|---|
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $231.80 – $462.77 | 2 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,612.82 | $6,221.00 | $2,138.51 – $7,034.24 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,705.24 | $8,822.00 | $1,717.20 – $11,141.85 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,082.76 | $2,578.00 | $200.84 – $2,444.00 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $767.76 | $1,828.00 | $104.74 – $2,444.00 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $65.36 – $130.45 | 2 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $366.24 | $872.00 | $138.23 – $2,444.00 | 3 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $293.58 | $699.00 | $177.81 – $7,034.24 | 6 |
| Ghs inf midline insertion CPT 36140 | $1,640.10 | $3,905.00 | $2,444.00 – $2,444.00 | 1 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $28.13 – $56.11 | 2 |
| Ghs init tx 1st degree burn CPT 16000 | $146.58 | $349.00 | $116.22 – $372.17 | 2 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,200.78 | $2,859.00 | $1,000.00 – $4,579.48 | 6 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $103.80 – $2,444.00 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $383.46 | $913.00 | $37.13 – $2,444.00 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $1,000.00 – $2,444.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $793.08 – $2,444.00 | 4 |
| Ghs insertion of needle - bone CPT 36680 | $917.28 | $2,184.00 | $155.48 – $2,444.00 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,336.86 | $3,183.00 | $507.58 – $7,034.24 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,198.68 | $2,854.00 | $507.58 – $7,034.24 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,431.38 | $5,789.00 | $507.58 – $7,034.24 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $40.74 | $97.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,519.14 | $3,617.00 | $252.28 – $4,579.48 | 6 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $129.96 – $2,444.00 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $1,055.74 – $1,055.74 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $1,055.74 – $1,055.74 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $468.00 – $468.00 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $229.74 | $547.00 | $230.35 – $659.45 | 2 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $380.52 | $906.00 | $153.08 – $7,034.24 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $866.88 | $2,064.00 | $142.21 – $2,444.00 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,154.16 | $2,748.00 | $142.21 – $2,444.00 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $684.18 | $1,629.00 | $142.21 – $2,444.00 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $803.46 | $1,913.00 | $142.21 – $2,444.00 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,529.64 | $3,642.00 | $142.21 – $2,444.00 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,021.02 | $2,431.00 | $142.21 – $2,444.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,217.16 | $2,898.00 | $259.54 – $7,034.24 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,578.36 | $3,758.00 | $259.54 – $7,034.24 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,140.72 | $2,716.00 | $259.54 – $7,034.24 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,627.08 | $3,874.00 | $259.54 – $7,034.24 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,189.44 | $2,832.00 | $259.54 – $7,034.24 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,678.74 | $3,997.00 | $259.54 – $7,034.24 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,238.16 | $2,948.00 | $259.54 – $7,034.24 | 6 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,767.80 | $6,590.00 | $507.58 – $7,034.24 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,286.88 | $3,064.00 | $259.54 – $7,034.24 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $275.94 | $657.00 | $18.78 – $37.50 | 2 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $38.09 – $38.09 | 1 |
| Ghs mbp CPT 83873 | not published | not published | $37.57 – $74.99 | 2 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $511.14 | $1,217.00 | $88.49 – $88.49 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $422.10 | $1,005.00 | $312.15 – $312.15 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $303.24 | $722.00 | $275.29 – $275.29 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $202.02 | $481.00 | $36.86 – $36.86 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $202.02 | $481.00 | $223.66 – $223.66 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | $338.10 | $805.00 | $167.12 – $167.12 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $215.88 | $514.00 | $146.25 – $146.25 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $303.24 | $722.00 | $153.62 – $153.62 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $1,147.02 | $2,731.00 | $53.41 – $53.41 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,150.38 | $2,739.00 | $259.54 – $2,444.00 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,970.64 | $4,692.00 | $793.08 – $4,579.48 | 6 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,864.38 | $4,439.00 | $439.89 – $4,579.48 | 6 |
| Ghs nerve block axillary nerve CPT 64417 | $1,200.78 | $2,859.00 | $439.89 – $4,579.48 | 6 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $439.89 – $4,579.48 | 6 |
| Ghs nerve block celiac plexus CPT 64530 | $1,200.78 | $2,859.00 | $793.08 – $4,579.48 | 6 |
| Ghs nerve block interscaline CPT 64510 | $1,200.78 | $2,859.00 | $793.08 – $4,579.48 | 6 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,012.62 | $2,411.00 | $793.08 – $4,579.48 | 6 |
| Ghs nerve block sciatic nerve CPT 64445 | $819.42 | $1,951.00 | $92.82 – $2,444.00 | 3 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $92.25 – $2,444.00 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | $711.06 | $1,693.00 | $178.18 – $4,524.00 | 3 |
| Ghs o2 saturation CPT 82810 | not published | not published | $21.33 – $42.60 | 2 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $471.77 – $471.77 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $114.00 – $114.00 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $53.76 | $128.00 | $129.96 – $129.96 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | $815.22 | $1,941.00 | $575.95 – $4,524.00 | 4 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $995.40 – $4,524.00 | 4 |
| Ghs optokenetic CPT 92544 | not published | not published | $9.82 – $9.82 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $9.82 – $9.82 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $29.82 | $71.00 | $83.61 – $83.61 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $29.82 | $71.00 | $83.61 – $83.61 | 1 |
| Ghs ot dds rom CPT 95851 | $184.80 | $440.00 | $27.04 – $27.04 | 1 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $77.41 – $77.41 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $142.57 – $142.57 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $152.04 | $362.00 | $148.71 – $148.71 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $160.99 – $160.99 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $487.20 | $1,160.00 | $555.23 – $1,142.66 | 2 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $48.02 – $141.44 | 2 |
| Ghs peritonsillar abscess i andd CPT 42700 | $422.10 | $1,005.00 | $428.71 – $4,579.48 | 6 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $12.03 – $23.98 | 2 |
| Ghs picc line insert < 5 CPT 36568 | $2,059.68 | $4,904.00 | $995.40 – $2,444.00 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $991.20 | $2,360.00 | $138.27 – $4,524.00 | 3 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $9.41 – $18.79 | 2 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $8,731.38 | $20,789.00 | $2,712.25 – $2,712.25 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $371.79 – $371.79 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $22.11 – $100.24 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $21.10 – $42.12 | 2 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $12.27 – $24.46 | 2 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $31.35 – $62.57 | 2 |
| Ghs pr without cont pulse ox CPT 94625 | $64.26 | $153.00 | $67.59 – $67.59 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $26.75 – $53.41 | 2 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $319.52 – $319.52 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $31.89 – $63.66 | 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.