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 pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $10,187.54 | $24,256.05 | $97.95 – $1,410.23 | 4 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $184.60 – $281.41 | 4 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $6,634.78 | $15,797.10 | $34.08 – $40.50 | 3 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $291.49 – $291.49 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $22.84 – $40.99 | 3 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | $928.16 | $2,209.91 | $17.24 – $43.57 | 3 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $2,157.13 | $5,136.03 | $4.23 – $38.15 | 3 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $13.27 – $75.85 | 3 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $25,336.50 – $25,336.50 | 1 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $43.95 – $280.35 | 2 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $35.83 – $44.16 | 4 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $111.75 – $120.84 | 2 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $11.78 – $13.68 | 4 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj proc elbow arthro CPT 24220 | $114.24 | $272.00 | $2,444.00 – $2,444.00 | 1 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,095.00 – $4,579.48 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $558.18 | $1,329.00 | $2,444.00 – $2,444.00 | 1 |
| Inj proc sialogram CPT 42550 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | $56.70 | $135.00 | $2.19 – $9.38 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $4.95 – $6.31 | 3 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $7.90 – $8.86 | 4 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,199.09 | $2,854.97 | $1.43 – $2.84 | 3 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $2.65 – $4.27 | 4 |
| Inj retro urethrocysto CPT 51610 | $283.50 | $675.00 | $2,095.00 – $4,579.48 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $14.33 – $46.70 | 4 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $42,197.71 – $45,629.68 | 2 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $3.33 – $3.55 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $99.81 – $128.86 | 3 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $94.50 – $2,444.00 | 4 |
| Inj scleros sol sgl vein CPT 36470 | $443.10 | $1,055.00 | $124.89 – $2,444.00 | 3 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $2.43 – $5.32 | 3 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $1,901.64 – $2,047.25 | 3 |
| Inj secretin synthetic human HCPCS J2850 | $3,461.85 | $8,242.50 | $122.71 – $158.61 | 3 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $62.45 – $62.45 | 1 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $4.97 – $6.08 | 2 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $228.84 – $250.73 | 3 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $94.50 – $2,444.00 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $65.07 – $115.79 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $274.51 – $346.51 | 3 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $60.96 – $67.53 | 3 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $983.43 – $1,237.13 | 4 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $143.72 – $171.11 | 4 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $24,643.71 | $58,675.50 | $116.44 – $128.77 | 3 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $5.57 – $6.76 | 4 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $131.78 – $151.02 | 3 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $62,876.51 | $149,705.98 | $1,246.40 – $1,404.00 | 4 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.19 – $0.20 | 4 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $4.64 – $4.64 | 1 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.07 – $0.11 | 4 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $1.46 – $3.99 | 3 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $42.83 – $42.83 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $9.31 – $10.07 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $441.83 – $555.59 | 4 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $200.96 – $200.96 | 1 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $543.69 – $627.98 | 3 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $20.28 – $20.28 | 1 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $683.38 – $683.38 | 1 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $63.73 – $71.23 | 4 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.11 – $0.11 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $35.57 – $97.62 | 4 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $10,480.34 – $13,204.98 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $12.19 – $30.06 | 4 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $16.41 – $16.41 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $87.76 – $102.81 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $22.69 – $26.67 | 2 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $25.00 – $27.00 | 2 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.47 – $0.47 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $1.66 – $8.75 | 3 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $10.28 – $10.28 | 1 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $12,912.86 | $30,744.91 | $152.67 – $275.16 | 3 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $1,490.02 – $1,627.67 | 3 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $791.01 – $1,202.47 | 3 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $210.08 – $224.27 | 3 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $228.91 – $228.91 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $326.76 | $778.00 | $98.31 – $4,524.00 | 3 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $52.19 – $74.86 | 4 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $168.00 – $184.60 | 3 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $1,734.24 – $2,010.20 | 4 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $87.78 – $87.78 | 1 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $5,074.55 – $9,080.34 | 2 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $54,969.61 | $130,880.03 | $8,243.30 – $9,804.57 | 4 |
| Inpatient consultation CPT 99251 | not published | not published | $169.58 – $169.58 | 1 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $345.33 – $345.33 | 1 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $469.45 – $469.45 | 1 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $696.80 – $696.80 | 1 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $133.94 – $133.94 | 1 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $249.48 – $249.48 | 1 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $358.83 – $358.83 | 1 |
| Ins cath ren art 1st bi CPT 36252 | $8,876.28 | $21,134.00 | $3,021.50 – $5,902.83 | 3 |
| Ins cath ren art 1st uni CPT 36251 | $7,442.82 | $17,721.00 | $3,021.50 – $5,902.83 | 3 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $3,021.50 – $5,902.83 | 3 |
| Ins cath ren art 2nd+ uni CPT 36253 | $3,237.36 | $7,708.00 | $3,021.50 – $9,789.88 | 3 |
| Ins cerv dilator (sep proc) CPT 59200 | $411.60 | $980.00 | $45.15 – $2,444.00 | 3 |
| Ins device for right guide open CPT 49412 | not published | not published | $101.04 – $184.99 | 2 |
| Insemination of oocytes CPT 89268 | not published | not published | $313.42 – $625.66 | 2 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $890.71 – $7,034.24 | 5 |
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.