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 |
|---|---|---|---|---|
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.03 – $0.04 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $2.77 – $2.95 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $90.24 | $214.85 | $2.54 – $59.25 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $4.62 | $11.00 | $0.15 – $7.45 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $39.11 – $78.04 | 2 |
| Hymenotomy CPT 56442 | $4,096.68 | $9,754.00 | $1,000.00 – $5,320.95 | 4 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $53.63 – $65.59 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $2,296.68 – $10,331.63 | 3 |
| Hyoscyamine sulfate inj HCPCS J1980 | $176.01 | $419.06 | $111.49 – $134.75 | 3 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $392.35 – $392.35 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $22.25 – $44.38 | 2 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $2,702.57 – $2,702.57 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $1,517.28 – $1,517.28 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $1,724.96 – $1,724.96 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $2,494.88 – $2,494.88 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $3,865.24 – $3,865.24 | 1 |
| Hypothermia ill neonate CPT 99184 | $352.38 | $839.00 | $777.92 – $777.92 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $23,175.01 | $55,178.59 | $46.49 – $64.94 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,365.86 – $2,266.81 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,187.04 – $2,143.23 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,262.30 – $2,282.17 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,090.24 – $8,068.00 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $346.65 – $620.26 | 2 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $705.32 – $1,016.05 | 2 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $4,695.75 – $9,098.38 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $2,178.67 – $5,320.95 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,000.00 – $5,320.95 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $2,150.00 – $9,098.38 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,178.67 – $5,320.95 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $2,300.00 – $9,098.38 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $2,300.00 – $9,098.38 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,193.81 – $3,868.85 | 2 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $1,470.32 | $3,500.76 | $630.98 – $673.61 | 2 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $8,335.41 – $23,479.47 | 3 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $9,193.41 – $9,814.64 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $673.69 – $719.21 | 2 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $130.38 – $139.19 | 2 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $1,054.68 – $1,125.95 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $2,753.31 – $2,939.37 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $42.00 | $100.00 | $77.38 – $82.61 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $36.13 – $38.57 | 2 |
| I131 max 100uci HCPCS A9531 | not published | not published | $35.87 – $38.29 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $294.90 – $314.83 | 2 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $407.66 – $435.21 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $29.30 – $58.51 | 2 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $76.64 – $152.99 | 2 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $39.51 – $78.87 | 2 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $47.04 – $47.04 | 1 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $44.81 – $107.81 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $10,675.72 – $10,675.72 | 1 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $7.52 – $13.98 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $722.95 – $1,715.12 | 3 |
| Icatibant injection HCPCS J1744 | not published | not published | $649.23 – $730.67 | 3 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $35,816.55 | $85,277.50 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,909.00 | $66,450.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $11,566.80 | $27,540.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,356.07 | $15,133.50 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $550.58 – $550.58 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $114.00 – $114.00 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $187.58 – $187.58 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $78.40 – $78.40 | 1 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,107.57 – $6,725.00 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $4,007.22 | $9,541.00 | $1,000.00 – $5,579.09 | 6 |
| Idarubicin hcl injection HCPCS J9211 | $721.50 | $1,717.85 | $129.67 – $163.13 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $212.24 – $4,524.00 | 3 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,164,928.91 | $2,773,640.25 | $1,562,654.28 – $1,894,411.57 | 3 |
| Identify sperm tissue CPT 89264 | not published | not published | $108.06 – $215.69 | 2 |
| Idet 1 or more levels CPT 22527 | not published | not published | $186.00 – $5,260.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $409.63 – $5,260.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $4,192.86 | $9,983.00 | $1,000.00 – $5,830.77 | 6 |
| Idh1 common variants CPT 81120 | not published | not published | $422.05 – $842.57 | 2 |
| Idh2 common variants CPT 81121 | not published | not published | $646.00 – $1,289.64 | 2 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $4,837.98 | $11,519.00 | $2,150.00 – $7,034.24 | 6 |
| I&d lacrimal gland CPT 68400 | $1,163.82 | $2,771.00 | $259.49 – $2,444.00 | 3 |
| I&d lacrimal sac CPT 68420 | not published | not published | $274.26 – $2,444.00 | 3 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,638.88 | $8,664.00 | $1,000.00 – $4,939.24 | 6 |
| Idursulfase injection HCPCS J1743 | not published | not published | $1,935.11 – $2,065.88 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,638.88 | $8,664.00 | $1,000.00 – $4,939.24 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | $3,638.88 | $8,664.00 | $559.96 – $4,524.00 | 3 |
| Ifnl3 gene CPT 81283 | not published | not published | $160.24 – $319.89 | 2 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $942.12 | $2,243.15 | $82.24 – $101.65 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $452.76 – $903.87 | 2 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $149.72 – $298.88 | 2 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $432.40 – $863.24 | 2 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $643.24 – $1,284.11 | 2 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $377.22 – $753.10 | 2 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $351.96 | $838.00 | $142.50 – $281.26 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $808.08 | $1,924.00 | $305.59 – $1,235.67 | 2 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $413.70 | $985.00 | $154.69 – $625.66 | 2 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $48.53 – $63.32 | 3 |
| Ikbkap gene CPT 81260 | not published | not published | $85.84 – $171.39 | 2 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,277.09 – $2,321.32 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,244.09 – $15,638.81 | 5 |
| Iliac revasc add-on 37222 CPT 37222 | $14,507.22 | $34,541.00 | $2,444.00 – $2,444.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $503.78 – $557.35 | 4 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $49.07 – $52.38 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,095.32 – $1,973.59 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $199.58 – $199.58 | 1 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $114.00 – $114.00 | 1 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $114.00 – $114.00 | 1 |
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.