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 |
|---|---|---|---|---|
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $170.96 – $182.51 | 4 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $43,599.44 | $103,808.19 | not published | 0 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $11.76 – $11.76 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,817.42 | $13,851.00 | $312.14 – $601.31 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $54,040.64 | $128,668.20 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $4,134.06 | $9,843.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | $84.21 | $200.51 | $31.79 – $196.08 | 3 |
| Granisetron hcl injection HCPCS J1626 | $56.70 | $135.00 | $0.79 – $2.12 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $4,009.67 – $15,638.81 | 5 |
| Great toe with reduction 28495 CPT 28495 | $340.62 | $811.00 | $138.27 – $2,444.00 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $3,456.44 – $4,524.00 | 2 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $6,341.63 – $6,355.00 | 2 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $6,341.63 – $6,355.00 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $55.31 – $55.31 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $34.37 – $68.63 | 2 |
| Growth hormone panel CPT 80428 | not published | not published | $145.69 – $290.81 | 2 |
| Growth hormone panel CPT 80430 | not published | not published | $282.45 – $563.88 | 2 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $165.12 – $329.62 | 2 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | $17.22 | $41.00 | $93.16 – $93.16 | 1 |
| Grp adapt bhv tx by tech CPT 97154 | $42.84 | $102.00 | $93.16 – $93.16 | 1 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,350.85 – $4,284.15 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,568.36 – $2,809.53 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,973.34 – $3,608.65 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,208.38 – $3,999.37 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,396.30 – $2,655.24 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,260.03 – $3,317.26 | 2 |
| G-tube reposition CPT 43761 | $302.82 | $721.00 | $500.34 – $2,444.00 | 4 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,246.20 | $10,110.00 | $5,495.26 – $7,723.96 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $914.34 | $2,177.00 | $559.96 – $4,524.00 | 3 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,568.87 | $20,402.08 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,492.08 | $13,076.37 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $14,777.70 | $35,185.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $619.08 | $1,474.00 | $461.97 – $461.97 | 1 |
| Gum graft CPT 41870 | not published | not published | $2,874.09 – $4,524.00 | 3 |
| Gw stiffened micro access kit HCPCS C1894 | $17,065.86 | $40,633.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,557.99 – $6,452.94 | 4 |
| Hair analysis HCPCS P2031 | not published | not published | $21.58 – $21.58 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $183.09 – $534.93 | 2 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $259.54 – $5,260.00 | 4 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $259.54 – $5,260.00 | 4 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $60.92 | $145.05 | $16.39 – $48.07 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $56.70 | $135.00 | $2.93 – $15.85 | 4 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $31.77 – $31.77 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $53.41 – $53.41 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,661.20 | $15,860.00 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,449.53 – $15,638.81 | 6 |
| Hand tendon reconstruction CPT 26502 | $4,192.86 | $9,983.00 | $2,600.00 – $15,638.81 | 6 |
| Hand X-ray CPT 73130 | $596.82 | $1,421.00 | $247.94 – $347.97 | 2 |
| Haptoglobin quantitative CPT 83010 | $208.74 | $497.00 | $27.49 – $54.85 | 2 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $99.76 – $182.69 | 2 |
| Harvest auto stem cells CPT 38206 | $3,699.36 | $8,808.00 | $1,245.46 – $2,819.31 | 2 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $507.58 – $4,524.00 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,811.03 – $4,524.00 | 4 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $741.31 – $826.53 | 2 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $371.79 – $371.79 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $371.79 – $371.79 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $1,310.40 – $2,616.00 | 2 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $442.04 – $882.46 | 2 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $819.53 – $1,636.09 | 2 |
| Hbb full gene sequence CPT 81364 | not published | not published | $708.90 – $1,415.17 | 2 |
| Hbb gene com variants CPT 81361 | not published | not published | $381.79 – $762.17 | 2 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $442.04 – $882.46 | 2 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $819.53 – $1,636.09 | 2 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $21.20 – $42.34 | 2 |
| Hbot, full body chamber, 30m HCPCS G0277 | $1,209.18 | $2,879.00 | $392.35 – $392.35 | 1 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $58.99 – $58.99 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $840.84 | $2,002.00 | $547.23 – $794.48 | 2 |
| Hcg free betachain test CPT 84704 | not published | not published | $33.40 – $66.66 | 2 |
| Hcg qualitative CPT 84703 | $203.28 | $484.00 | $16.43 – $32.79 | 2 |
| Hcg quantitative CPT 84702 | $312.06 | $743.00 | $32.87 – $65.62 | 2 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $86.03 – $86.03 | 1 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $58.99 – $58.99 | 1 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $239.65 – $239.65 | 1 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $159.76 – $159.76 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $42.00 | $100.00 | $174.99 – $186.82 | 2 |
| Hc metata joint dislocation anes CPT 28635 | $2,021.04 | $4,812.00 | $1,000.00 – $4,579.48 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $278.13 – $4,524.00 | 3 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $278.13 – $4,524.00 | 3 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $458.59 – $579.79 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $1,605.05 – $1,605.05 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | $611.52 | $1,456.00 | $875.23 – $875.23 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $656.38 – $818.63 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $254.62 – $5,359.70 | 2 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $11,047.68 | $26,304.00 | $912.62 – $912.62 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $11,172.42 | $26,601.00 | $1,610.53 – $1,610.53 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $12,083.82 | $28,771.00 | $2,520.32 – $2,520.32 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $710.62 – $710.62 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $1,135.82 – $1,135.82 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $4,035.36 | $9,608.00 | $444.62 – $930.67 | 2 |
| Head CT scan (with contrast) CPT 70460 | $3,228.54 | $7,687.00 | $444.62 – $831.32 | 2 |
| Head CT scan (without contrast) CPT 70450 | $140.00 | $5,765.00 | $273.48 – $414.14 | 2 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $1,484.18 – $2,962.93 | 2 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $3,549.00 – $7,085.00 | 2 |
| Heart first pass add-on CPT 78496 | not published | not published | $72.95 – $87.98 | 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.