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 |
|---|---|---|---|---|
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $2,578.32 – $2,824.73 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $383.46 | $913.00 | $46.41 – $2,444.00 | 3 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $596.01 – $631.67 | 2 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $8.90 – $9.50 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | $13,545.49 | $32,251.17 | $196.72 – $244.42 | 4 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $1.83 – $1.96 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $1.31 – $2.75 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $598.92 | $1,426.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | $6,723.24 | $16,007.71 | $65.93 – $82.92 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $2,095.80 | $4,990.00 | $793.08 – $4,579.48 | 6 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $1.25 – $1.25 | 1 |
| Injection eye drug CPT 67028 | $529.20 | $1,260.00 | $56.54 – $2,444.00 | 3 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $2.17 – $2.32 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $205.80 | $490.00 | $2,444.00 – $2,444.00 | 1 |
| Injection for bladder x-ray CPT 51600 | $373.80 | $890.00 | $2,095.00 – $4,579.48 | 2 |
| Injection for hip x-ray CPT 27095 | $205.80 | $490.00 | $2,444.00 – $2,444.00 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $254.10 | $605.00 | $2,444.00 – $2,444.00 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $2,095.00 – $4,579.48 | 3 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $2,095.00 – $4,579.48 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $184.20 – $196.64 | 2 |
| Injection, fulvestrant HCPCS J9395 | $6,160.46 | $14,667.75 | $24.42 – $329.00 | 4 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $349.65 – $592.72 | 3 |
| Injection, glucarpidase HCPCS C9293 | $69,264.72 | $164,916.00 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $22,244.53 | $52,963.17 | $42.64 – $46.09 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $793.08 – $4,579.48 | 6 |
| Injection into brain canal CPT 61055 | not published | not published | $557.57 – $4,579.48 | 6 |
| Injection into hemorrhoid(s) CPT 46500 | $1,170.54 | $2,787.00 | $206.33 – $501.98 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $793.08 – $11,141.85 | 6 |
| Injection into vocal cord CPT 31513 | not published | not published | $455.98 – $7,034.24 | 6 |
| Injection intraop add-on CPT 48400 | not published | not published | $131.90 – $235.66 | 2 |
| Injection, isavuconazonium HCPCS J1833 | $2,638.21 | $6,281.45 | $3.18 – $3.57 | 3 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $3.93 – $9.06 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $20.06 – $22.24 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $169.27 – $169.27 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | $65.82 – $2,444.00 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $7,925.99 | $18,871.40 | $6.96 – $23.32 | 4 |
| Injection, pentamidine iseth HCPCS S0080 | $782.53 | $1,863.16 | $388.85 – $415.12 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $5.91 – $6.38 | 3 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $6.47 – $6.91 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $76.38 – $149.12 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $384.72 | $916.00 | $330.74 – $2,444.00 | 3 |
| Injection, renflexis HCPCS Q5104 | $3,476.45 | $8,277.26 | $87.69 – $284.92 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $107.08 – $128.58 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $793.08 – $2,444.00 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $385.14 | $917.00 | $74.69 – $103.01 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $907.62 | $2,161.00 | $61.60 – $2,444.00 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $793.08 – $2,444.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $422.94 | $1,007.00 | $2,444.00 – $2,444.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,190.28 | $2,834.00 | $793.08 – $2,444.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $793.08 – $2,444.00 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $907.62 | $2,161.00 | $598.28 – $2,444.00 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $907.62 | $2,161.00 | $598.28 – $2,444.00 | 3 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $400.74 – $566.84 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $717.78 | $1,709.00 | $35.44 – $2,444.00 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $419.58 | $999.00 | $35.44 – $2,444.00 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $532.98 | $1,269.00 | $41.77 – $2,444.00 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $280.56 | $668.00 | $57.77 – $57.77 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $280.56 | $668.00 | $81.12 – $81.12 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $250.32 | $596.00 | $135.17 – $135.17 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $236.04 | $562.00 | $206.20 – $206.20 | 1 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $49.67 – $53.02 | 2 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $7.70 – $8.23 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $887.63 – $4,579.48 | 6 |
| Injection treatment of eye CPT 66030 | $2,879.10 | $6,855.00 | $887.63 – $4,579.48 | 6 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Injection treatment of nerve CPT 64681 | not published | not published | $793.08 – $4,524.00 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $99.15 – $176.04 | 2 |
| Inject sacroiliac joint CPT 27096 | $254.52 | $606.00 | $102.30 – $2,444.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $352.07 – $576.14 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $48.95 – $2,444.00 | 3 |
| Inject/treat eye socket CPT 67515 | not published | not published | $52.33 – $2,444.00 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $57,550.36 | $137,024.66 | $116.58 – $122.51 | 3 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $73.91 – $127.01 | 3 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $1,335.74 – $1,926.21 | 3 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $166.39 – $201.02 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $907.62 | $2,161.00 | $598.28 – $2,444.00 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,200.78 | $2,859.00 | $598.28 – $2,444.00 | 3 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.79 – $6.80 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $3.67 – $4.52 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $9.92 – $13.06 | 3 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $598.40 – $729.60 | 3 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $582.06 – $680.73 | 3 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $60.80 – $159.07 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $33.47 – $35.73 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $120.67 – $158.46 | 3 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $13,628.48 | $32,448.76 | $5.20 – $71.67 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $491.49 – $531.87 | 3 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.11 – $0.15 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | $5,659.76 | $13,475.62 | $4.11 – $4.39 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $56.70 | $135.00 | $25.99 – $31.42 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $10.04 – $10.04 | 1 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $684.05 – $730.27 | 2 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $706.86 – $754.63 | 2 |
| Inj for ext venography CPT 36005 | $808.92 | $1,926.00 | $2,444.00 – $2,444.00 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $2,444.00 – $2,444.00 | 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.