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 |
|---|---|---|---|---|
| Apply finger cast 29086 CPT 29086 | $205.38 | $489.00 | $64.55 – $116.09 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | $163.80 | $390.00 | $61.80 – $232.23 | 2 |
| Apply halo w/removal cranial CPT 20661 | $120.96 | $288.00 | $618.89 – $11,141.85 | 5 |
| Apply hand/wrist cast 29085 CPT 29085 | $205.38 | $489.00 | $72.57 – $127.61 | 2 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $1,554.01 – $1,554.01 | 1 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $1,186.70 – $1,186.70 | 1 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $902.74 – $902.74 | 1 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $788.31 – $788.31 | 1 |
| Apply of finger splint 29131 CPT 29131 | $81.06 | $193.00 | $61.80 – $117.17 | 2 |
| Apply rem fixation device CPT 20660 | $2,021.04 | $4,812.00 | $841.70 – $7,034.24 | 5 |
| Apply rigid leg cast 29445 CPT 29445 | $460.74 | $1,097.00 | $79.75 – $132.21 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | $338.10 | $805.00 | $56.54 – $96.85 | 2 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $251.47 – $251.47 | 1 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $3,070.73 – $33,965.15 | 3 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $461.21 – $5,260.00 | 3 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,838.97 | $4,378.49 | $6.21 – $10.78 | 4 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $76.64 – $152.99 | 2 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $52.54 – $52.54 | 1 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $52.54 – $52.54 | 1 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $50.27 – $50.27 | 1 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $173.04 | $412.00 | $135.17 – $135.17 | 1 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $63.90 – $63.90 | 1 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $3,684.87 – $8,133.04 | 3 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $2.36 – $6.92 | 2 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $5.08 – $15.69 | 3 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $2.59 – $5.51 | 4 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $10.85 – $11.82 | 4 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $1.25 – $2.83 | 3 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $8,106.97 | $19,302.32 | $20.50 – $163.94 | 4 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,320.83 – $4,123.72 | 2 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,942.48 – $3,456.65 | 2 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $2,181.74 – $3,666.22 | 2 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,963.19 – $3,531.88 | 2 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $2,152.59 – $3,818.20 | 2 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $2,210.92 – $3,908.78 | 2 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,380.23 – $2,437.23 | 2 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,720.97 – $3,045.20 | 2 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,475.77 – $2,610.72 | 2 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,758.16 – $3,107.37 | 2 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,584.85 – $2,812.60 | 2 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,360.37 – $2,412.67 | 2 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,359.10 – $2,405.77 | 2 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,469.44 – $2,609.95 | 2 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,309.64 – $2,299.06 | 2 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,365.02 – $2,408.84 | 2 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $3,214.92 – $5,425.62 | 2 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,929.15 – $5,146.97 | 2 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,537.50 – $2,735.07 | 2 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,754.78 – $3,110.44 | 2 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,583.14 – $2,691.32 | 2 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,666.85 – $2,943.87 | 2 |
| Arterial blood draw/perc 36620 CPT 36620 | $529.62 | $1,261.00 | $2,444.00 – $2,444.00 | 1 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,663.90 – $2,925.45 | 2 |
| Artery to vein shunt CPT 36835 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $986.67 – $1,754.03 | 2 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Artery xray each vessel 7577426 CPT 75774 | $4,448.64 | $10,592.00 | $289.11 – $289.11 | 1 |
| Artery xray of abdomen 75726-26 CPT 75726 | $12,213.18 | $29,079.00 | $14,620.51 – $20,039.39 | 2 |
| Artery x-rays adrenal gland CPT 75731 | $9,476.04 | $22,562.00 | $487.10 – $8,770.58 | 2 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $8,770.58 – $12,082.78 | 2 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $5,708.64 | $13,592.00 | $8,770.58 – $12,082.78 | 2 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $7,103.46 | $16,913.00 | $8,770.58 – $12,082.78 | 2 |
| Artery x-rays chest CPT 75756 | $2,917.74 | $6,947.00 | $8,770.58 – $12,082.78 | 2 |
| Artery x-rays lung CPT 75741 | $5,708.64 | $13,592.00 | $8,770.58 – $12,082.78 | 2 |
| Artery x-rays lung CPT 75746 | $2,660.70 | $6,335.00 | $405.39 – $8,770.58 | 2 |
| Artery x-rays lungs CPT 75743 | $6,538.14 | $15,567.00 | $8,770.58 – $12,082.78 | 2 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $7,103.46 | $16,913.00 | $14,620.51 – $20,039.39 | 2 |
| Artery x-rays spine CPT 75705 | $11,240.88 | $26,764.00 | $14,620.51 – $20,039.39 | 2 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $257.87 – $465.96 | 2 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $7,334.00 – $25,348.51 | 3 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,896.40 – $7,334.00 | 3 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $7,334.00 – $25,348.51 | 3 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,290.82 – $25,348.51 | 3 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $2,750.00 – $12,741.55 | 4 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $3,300.00 – $25,348.51 | 6 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,940.37 – $34,574.64 | 3 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $6,725.00 – $33,965.15 | 3 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $6,725.00 – $37,820.88 | 2 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $9,316.86 | $22,183.00 | $2,600.00 – $15,638.81 | 6 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $716.94 | $1,707.00 | $27.85 – $2,444.00 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,876.14 | $4,467.00 | $48.53 – $2,444.00 | 3 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,978.62 | $4,711.00 | $56.97 – $2,444.00 | 3 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $516.18 | $1,229.00 | $26.16 – $2,444.00 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $716.94 | $1,707.00 | $34.18 – $2,444.00 | 3 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $716.94 | $1,707.00 | $44.72 – $2,444.00 | 3 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $497.56 – $2,444.00 | 2 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $408.79 – $408.79 | 1 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $617.20 – $2,444.00 | 3 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $2,600.00 – $33,965.15 | 6 |
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.