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 |
|---|---|---|---|---|
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.67 – $7.48 | 3 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $2,094.40 – $2,637.88 | 4 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $6.99 – $10.26 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $788.48 | $1,877.33 | $11.63 – $201.40 | 3 |
| Inj, fulvestrant (teva) HCPCS J9393 | $1,479.06 | $3,521.58 | $64.29 – $80.56 | 2 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $11.92 – $11.92 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $186.25 – $228.00 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $495.55 – $529.04 | 2 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $897.79 | $2,137.59 | $16.01 – $33.36 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $410.17 – $476.37 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $9,696.99 – $11,274.19 | 3 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $6.48 – $6.48 | 1 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $56.70 | $135.00 | not published | 0 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $596.01 – $636.28 | 3 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $17.36 – $24.68 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $262.02 – $433.57 | 4 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $34.67 – $49.93 | 3 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $14,098,000.00 – $14,098,000.00 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $96.63 | $230.07 | $1.23 – $17.40 | 3 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $220.41 – $320.34 | 4 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $266.63 – $266.63 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $153.18 – $411.41 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $295.68 | $704.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $4.26 – $5.32 | 4 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $39.83 – $69.08 | 3 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $208.84 – $283.56 | 4 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $7.97 – $9.35 | 4 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $158.16 – $277.25 | 4 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.45 – $0.45 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $1,682.14 – $1,799.34 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $141.56 – $153.06 | 3 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $5.39 – $7.30 | 2 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $254.52 | $606.00 | $116.22 – $2,444.00 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $116.22 – $2,444.00 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $45.34 – $50.42 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | $14,906.40 | $35,491.42 | $176.51 – $190.49 | 4 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $6.70 – $7.29 | 3 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $8.19 – $9.28 | 4 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $18,577.60 | $44,232.39 | $4.23 – $5.53 | 4 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $4.84 – $9.73 | 3 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $276.50 – $390.83 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $85.58 – $253.50 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $4,327.71 | $10,304.06 | $4.64 – $5.13 | 3 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $2.74 – $3.19 | 3 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $77.08 – $83.33 | 3 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $285.08 | $678.75 | $85.02 – $134.22 | 4 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.12 – $0.96 | 4 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $523.27 | $1,245.87 | $24.83 – $24.83 | 1 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $17.98 – $17.98 | 1 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $56.70 | $135.00 | not published | 0 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $22.18 – $76.23 | 3 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $1,084.00 – $1,214.33 | 3 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $80.26 – $88.88 | 3 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $8,392.56 – $8,959.68 | 2 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $177.50 – $177.50 | 1 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $11.67 – $14.29 | 3 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $378.11 – $5,512.92 | 4 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $1,913.30 – $2,081.12 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $2,757.26 – $2,757.26 | 1 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $739.21 – $789.16 | 2 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $56.70 | $135.00 | $4.94 – $13.38 | 4 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $7.26 – $8.86 | 3 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $6.17 – $7.90 | 3 |
| Inj meropenem (wg crit care) HCPCS J2183 | $239.04 | $569.15 | $5.68 – $5.68 | 1 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $3.72 – $3.72 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | $337.52 | $803.62 | $1.01 – $1.29 | 3 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $168.96 – $168.96 | 1 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $16,713.90 | $39,795.00 | $730.01 – $889.85 | 4 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $88.26 – $88.26 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $30.49 – $44.00 | 4 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $22.08 – $40.50 | 3 |
| Inj multihance HCPCS A9577 | not published | not published | $6.10 – $8.62 | 3 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $5.99 – $8.62 | 3 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $1.45 – $2.77 | 2 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $27.70 – $65.88 | 3 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $1,896.78 – $2,400.67 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,316.70 | $3,135.00 | $618.93 – $2,444.00 | 3 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $69.30 | $165.00 | not published | 0 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $329.40 – $329.40 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,746.49 – $4,524.00 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,746.49 – $4,524.00 | 3 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $165.35 – $165.35 | 1 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $3,693.89 – $3,943.50 | 2 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $144.20 – $186.86 | 4 |
| Inj ogivri 10 mg HCPCS Q5114 | $9,090.36 | $21,643.71 | $156.07 – $362.02 | 4 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $185.17 – $223.97 | 3 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.46 – $4.52 | 2 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $1,378.38 – $1,575.96 | 3 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $11.67 – $15.05 | 3 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $12.90 – $14.04 | 4 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $76.95 – $411.41 | 4 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $205.92 – $205.92 | 1 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $56.70 | $135.00 | not published | 0 |
| Inj, panzyga, 500 mg HCPCS J1576 | $25,944.09 | $61,771.65 | $252.47 – $273.69 | 3 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $788.69 – $1,973.27 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $349.37 – $379.92 | 4 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $340.23 – $365.52 | 2 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $496.69 – $575.55 | 2 |
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.