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 |
|---|---|---|---|---|
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $170.59 – $242.68 | 2 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $429.25 | $1,022.02 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $265.36 | $631.80 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $209.99 | $499.98 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $2,150.00 – $11,155.43 | 6 |
| Immune complex assay CPT 86332 | not published | not published | $53.22 – $106.25 | 2 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $14,173.80 | $33,747.15 | $167.29 – $185.98 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $109.81 – $298.30 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $18,583.21 | $44,245.74 | $169.32 – $260.92 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $213.71 – $237.45 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $653.52 | $1,556.00 | $45.46 – $90.73 | 2 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $45.46 – $90.73 | 2 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $55.85 – $111.49 | 2 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $26.17 – $52.23 | 2 |
| Immunodiffusion nes CPT 86329 | not published | not published | $30.68 – $61.26 | 2 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $65.36 – $130.45 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $1,042.44 | $2,482.00 | $48.79 – $97.40 | 2 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $177.58 – $212.11 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $239.31 – $1,235.67 | 2 |
| Immunoglobulin assay CPT 86023 | not published | not published | $27.22 – $54.33 | 2 |
| Immunology procedure CPT 86849 | not published | not published | $77.24 – $77.24 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $371.79 – $371.79 | 1 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $6,355.00 – $6,355.00 | 1 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $878.18 – $5,260.00 | 2 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,498.54 | $13,091.76 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,856.93 | $4,421.25 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $6,725.00 – $6,725.00 | 1 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,971.65 – $3,551.84 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,532.43 – $2,707.44 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,909.09 – $3,412.90 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,986.87 – $3,534.95 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $6,967.80 | $16,590.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $3,300.00 – $70,520.72 | 6 |
| Implant cochlear osia osi300 HCPCS L8690 | $19,965.32 | $47,536.47 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $2,600.00 – $27,426.16 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $155.48 – $2,444.00 | 3 |
| Implant nerve end CPT 64787 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $360.17 – $641.75 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $629.45 – $1,130.73 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,884.14 – $3,376.05 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,853.90 – $5,133.94 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $7,334.00 – $41,065.16 | 3 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,000.00 – $13,178.59 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,444.00 – $13,178.59 | 3 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,300.00 – $13,178.59 | 4 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,231.86 – $2,163.19 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,967.42 – $3,514.22 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,300.00 – $62,022.92 | 4 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $3,300.00 – $3,300.00 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $595.63 – $15,638.81 | 5 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,617.82 – $2,913.16 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $3,218.00 – $12,741.55 | 5 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,150.00 – $35,180.02 | 6 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,150.00 – $35,180.02 | 6 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,586.05 – $3,049.03 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,124.49 – $2,061.86 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $2,716.56 | $6,468.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $2,150.00 – $13,178.59 | 6 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $2,150.00 – $11,734.19 | 6 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $15,160.00 – $26,823.71 | 2 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $15,160.00 – $27,792.41 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $6,200.00 – $25,348.51 | 4 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,043.94 – $3,711.50 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $110.76 – $198.81 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $2,116.94 – $6,355.00 | 3 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $3,126.81 – $5,701.20 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $1,252.49 – $1,487.40 | 3 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $2.56 – $2.56 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,064.11 – $1,586.62 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,089.01 – $1,738.06 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,247.28 – $2,411.96 | 2 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $972.98 – $1,489.00 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,021.08 – $1,611.22 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,064.11 – $1,586.62 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $219.16 – $418.15 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,420.65 – $2,110.11 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,007.15 – $1,521.27 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $988.18 – $1,499.75 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,109.26 – $1,681.93 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $566.66 – $869.40 | 2 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $149.79 – $167.28 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $13,321.69 – $14,221.89 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $13,321.69 – $14,221.89 | 2 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $16,375.29 – $17,481.83 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $13,037.64 – $13,918.64 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $6,660.83 – $7,110.93 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $1,539.16 – $1,643.17 | 2 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $21,143.34 – $22,572.08 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $929.58 – $1,161.70 | 3 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $536.45 – $11,141.85 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,959.91 – $12,741.55 | 6 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,959.91 – $7,034.24 | 6 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,205.43 – $6,725.00 | 3 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,824.11 – $6,725.00 | 3 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,826.22 – $6,725.00 | 3 |
| Incis addl spine segment CPT 22216 | not published | not published | $450.22 – $2,444.00 | 3 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,551.87 – $2,817.99 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $78.48 – $4,524.00 | 3 |
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.