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 |
|---|---|---|---|---|
| Incision of tongue fold CPT 41010 | $2,431.38 | $5,789.00 | $763.11 – $4,579.48 | 6 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Incision of urethra CPT 53000 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Incision of urethra CPT 53010 | not published | not published | $1,000.00 – $9,013.35 | 6 |
| Incision of urethra CPT 53020 | $2,612.82 | $6,221.00 | $1,000.00 – $4,579.48 | 6 |
| Incision of urethra CPT 53025 | not published | not published | $1,053.21 – $2,444.00 | 3 |
| Incision of vagus nerve CPT 64760 | not published | not published | $626.92 – $1,134.57 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $2,296.68 – $10,331.63 | 2 |
| Incision of windpipe CPT 31610 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Incision secondary cataract CPT 66820 | not published | not published | $371.03 – $4,306.56 | 3 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,449.53 – $7,034.24 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $145.15 – $4,524.00 | 4 |
| Incisn windpipe CPT 31600 | $4,444.86 | $10,583.00 | $2,296.68 – $7,034.24 | 5 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $708.09 – $2,444.00 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,949.86 – $6,725.00 | 3 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,014.13 – $6,725.00 | 3 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.71 – $19.24 | 4 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $110.76 – $2,444.00 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $596.91 – $4,524.00 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $627.34 – $4,524.00 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $507.70 – $921.16 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $486.57 – $4,524.00 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $609.58 – $4,524.00 | 3 |
| Induced abortion d&c CPT 59840 | $3,982.44 | $9,482.00 | $2,178.67 – $6,725.00 | 4 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,178.67 – $6,725.00 | 4 |
| Induction of vomiting CPT 99175 | $811.86 | $1,933.00 | $89.72 – $89.72 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $284.70 – $568.33 | 2 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $32.76 – $65.40 | 2 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $30.85 – $61.61 | 2 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $562.27 – $1,122.48 | 2 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $562.27 – $1,122.48 | 2 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $281.13 – $561.26 | 2 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $562.27 – $1,122.48 | 2 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $381.78 | $909.00 | $71.57 – $142.88 | 2 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $77.08 – $153.86 | 2 |
| Infect ag ia optc obs influenza CPT 87804 | $115.50 | $275.00 | $36.15 – $72.16 | 2 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $26.17 – $52.23 | 2 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $40.09 – $80.05 | 2 |
| Infect ag if influenza a CPT 87276 | not published | not published | $35.12 – $70.07 | 2 |
| Infect ag if influenza b CPT 87275 | not published | not published | $26.75 – $53.41 | 2 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $34.08 – $68.02 | 2 |
| Infect ag if nos ea CPT 87299 | not published | not published | $35.18 – $70.20 | 2 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $26.17 – $52.23 | 2 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $29.30 – $58.51 | 2 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $116.79 – $233.13 | 2 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $76.64 – $152.99 | 2 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $93.58 – $186.78 | 2 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $76.64 – $152.99 | 2 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $254.10 | $605.00 | $209.22 – $417.69 | 2 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $112.05 – $223.71 | 2 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,414.98 | $3,369.00 | $910.25 – $1,817.16 | 2 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $1,067.23 – $2,130.56 | 2 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $56.95 – $113.67 | 2 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $43.04 – $43.04 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $577.08 | $1,374.00 | $26.17 – $52.23 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $29.30 – $58.51 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $357.84 | $852.00 | $30.18 – $60.26 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $357.84 | $852.00 | $26.17 – $52.23 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $31.41 – $62.70 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $484.68 | $1,154.00 | $22.54 – $45.04 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $22.54 – $45.04 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $430.08 | $1,024.00 | $52.59 – $104.99 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $26.17 – $52.23 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $412.44 | $982.00 | $26.17 – $52.23 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $139.44 | $332.00 | $26.17 – $52.23 | 2 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $243.60 | $580.00 | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $141.12 | $336.00 | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $257.46 | $613.00 | $81.41 – $162.50 | 2 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $866.04 | $2,062.00 | $910.25 – $1,817.16 | 2 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $44.10 | $105.00 | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $91.03 – $181.72 | 2 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $141.12 | $336.00 | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $231.84 | $552.00 | $53.36 – $53.36 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $179.76 | $428.00 | $148.34 – $148.34 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $179.76 | $428.00 | $148.34 – $148.34 | 1 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $50.82 | $121.00 | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $241.92 | $576.00 | $76.64 – $152.99 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $910.25 – $1,817.16 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $280.19 – $559.34 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $944.16 | $2,248.00 | $574.36 – $1,146.64 | 2 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $93.58 – $186.78 | 2 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $93.58 – $186.78 | 2 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $93.58 – $186.78 | 2 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $185.88 – $371.04 | 2 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $179.76 | $428.00 | $311.50 – $621.87 | 2 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $7,057.16 | $16,802.76 | $109.13 – $433.65 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $2,786.42 | $6,634.33 | $73.10 – $198.84 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $3,257.97 | $7,757.06 | $54.30 – $357.87 | 4 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $63.80 – $127.40 | 2 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $133.71 – $292.22 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $63.46 – $101.05 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,828.73 – $6,843.46 | 2 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,728.12 – $6,768.99 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $471.85 – $471.85 | 1 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $242.11 – $242.11 | 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.