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 |
|---|---|---|---|---|
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $264.21 – $264.21 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $762.72 | $1,816.00 | $627.30 – $627.30 | 1 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $395.32 – $395.32 | 1 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $1,210.52 – $1,210.52 | 1 |
| Initial observation care CPT 99218 | not published | not published | $345.33 – $345.33 | 1 |
| Initial observation care CPT 99219 | not published | not published | $470.68 – $470.68 | 1 |
| Initial observation care CPT 99220 | not published | not published | $642.72 – $642.72 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,092.42 | $2,601.00 | $627.30 – $627.30 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $218.75 – $218.75 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $443.64 – $443.64 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $137.63 – $137.63 | 1 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $21.12 – $24.50 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $16,852.42 | $40,124.80 | $21.06 – $25.88 | 4 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.76 – $0.76 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $69.30 | $165.00 | $0.17 – $0.23 | 3 |
| Inj acetaminophen -fresenius HCPCS J0134 | $56.70 | $135.00 | $0.19 – $0.56 | 3 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $61.77 | $147.06 | $0.18 – $0.30 | 3 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $14,655.99 – $15,562.22 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $222,008.69 – $598,400.00 | 3 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $20.92 – $49.44 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $124.55 – $124.55 | 1 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $3,041.79 – $3,041.79 | 1 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $1,119.08 – $1,119.08 | 1 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $5.47 – $6.59 | 4 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $10.70 – $17.18 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $15.90 – $24.20 | 3 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $458.93 – $458.93 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $149.10 – $230.20 | 2 |
| Inj, amisulpride, 1 mg HCPCS J0184 | $342.94 | $816.52 | $33.51 – $34.50 | 2 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $502.97 – $1,093.61 | 3 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $30,353.16 | $72,269.42 | $63.36 – $67.47 | 3 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $12,415.62 – $12,726.16 | 2 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $6.99 – $7.14 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $11.11 – $11.86 | 4 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $168.64 – $180.96 | 2 |
| Inj. asceniv HCPCS J1554 | not published | not published | $1,737.77 – $2,141.34 | 4 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $19,263.10 | $45,864.52 | $163.51 – $193.65 | 3 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $110.72 – $110.72 | 1 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $370.64 – $370.64 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $269.24 – $288.88 | 3 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $177.76 – $191.01 | 3 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $28,869.15 | $68,736.07 | $588.46 – $644.43 | 4 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $56.66 – $167.20 | 3 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $24,931.65 | $59,361.07 | $139.39 – $151.72 | 4 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $726.38 – $783.60 | 4 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.58 – $0.79 | 3 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $45.63 – $184.49 | 2 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $11.18 – $184.49 | 2 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $5.41 – $29.70 | 3 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $273.98 – $296.26 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $1,479.89 – $1,479.89 | 1 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $5,919.57 – $5,919.57 | 1 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $1,211.68 – $1,411.59 | 4 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $3,822.76 – $3,822.76 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | $151.51 | $360.74 | $5.23 – $5.23 | 1 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $1.94 – $3.67 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $217.54 – $712.54 | 3 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $56.70 | $135.00 | $2.81 – $4.07 | 3 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $69.92 – $76.60 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $4.66 – $4.86 | 3 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $56.70 | $135.00 | $3.20 – $4.34 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $3.50 – $3.50 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $20.55 – $22.59 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $17.76 – $21.09 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $7.07 – $8.40 | 3 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $21.32 – $31.95 | 4 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $333.23 – $355.75 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $55.88 – $59.65 | 4 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $302.80 – $1,013.20 | 3 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $314.29 – $314.29 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $69.30 | $165.00 | $6.01 – $16.19 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $236.04 | $562.00 | $2,444.00 – $2,444.00 | 1 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $300.14 – $332.73 | 3 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $3,465.90 – $4,871.13 | 4 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $49.72 – $52.78 | 3 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $56.85 – $61.56 | 4 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $17.60 – $17.60 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $13.61 – $31.51 | 3 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $1,858.33 | $4,424.60 | $2.74 – $13.65 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $4,426.75 | $10,539.87 | $4.05 – $4.05 | 1 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $14.74 – $14.74 | 1 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.22 – $0.38 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.20 – $0.27 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.14 – $0.22 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $10.88 – $10.88 | 1 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $2.72 – $6.58 | 3 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.04 – $12,524,800.00 | 2 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $18,233.40 | $43,412.85 | not published | 0 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.79 – $0.84 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $4,621.34 | $11,003.18 | $14.50 – $14.50 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $51.48 – $2,444.00 | 3 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $23.33 – $31.14 | 4 |
| Inj dx for sinogram CPT 20501 | $392.28 | $934.00 | $2,444.00 – $2,444.00 | 1 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $907.62 | $2,161.00 | $336.69 – $2,444.00 | 2 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $205.80 | $490.00 | $2,444.00 – $2,444.00 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $151.88 – $185.74 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $1,270.33 – $1,685.49 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $69.35 – $69.35 | 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.