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 |
|---|---|---|---|---|
| Ins mark thor for right perq CPT 32553 | not published | not published | $1,225.55 – $2,652.57 | 3 |
| Ins picad w subq port 5yr> CPT 36571 | $7,940.94 | $18,907.00 | $2,300.00 – $5,902.83 | 4 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $815.22 | $1,941.00 | $1,342.99 – $2,444.00 | 2 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $5,260.00 – $48,378.46 | 3 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $5,260.00 – $39,007.16 | 3 |
| Ins pq tunnld ip cath w/img CPT 49418 | $7,284.90 | $17,345.00 | $2,700.31 – $6,622.89 | 3 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $4,524.00 – $27,645.16 | 2 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $2,150.00 – $62,022.92 | 6 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $42,475.02 | $101,131.00 | $6,355.00 – $33,952.14 | 2 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $2,300.00 – $21,836.63 | 4 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $13,860.42 | $33,001.00 | $2,300.00 – $16,277.14 | 4 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $18,137.28 | $43,184.00 | $8,068.00 – $21,836.63 | 3 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $2,150.00 – $41,065.16 | 6 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $8,068.00 – $60,750.86 | 2 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $2,150.00 – $41,065.16 | 6 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $2,737.05 – $2,737.05 | 1 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Install spinal shunt CPT 63740 | not published | not published | $1,195.08 – $2,179.31 | 2 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $3,478.33 – $11,734.19 | 3 |
| Inst fibrinolysis agent ini day CPT 32561 | $2,193.24 | $5,222.00 | $577.47 – $2,444.00 | 3 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $1,096.20 | $2,610.00 | $577.47 – $2,444.00 | 3 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $4,744.19 – $5,064.77 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $60.76 – $2,444.00 | 3 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $2.77 – $3.67 | 2 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $56.11 – $2,444.00 | 3 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $2,300.00 – $9,789.88 | 4 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $7,239.12 | $17,236.00 | $2,150.00 – $9,789.88 | 4 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,114.30 | $7,415.00 | $2,150.00 – $5,902.83 | 4 |
| Ins tun intraperit dia cath CPT 49421 | $5,132.40 | $12,220.00 | $1,000.00 – $6,622.89 | 6 |
| Inst via cath agent pleurds CPT 32560 | $974.40 | $2,320.00 | $577.47 – $4,524.00 | 3 |
| Insulin for insulin pump use HCPCS J1817 | $67.93 | $161.73 | $11.33 – $30.25 | 4 |
| Insulin suppression panel CPT 80432 | not published | not published | $361.71 – $722.06 | 2 |
| Insulin tolerance panel CPT 80434 | not published | not published | $622.50 – $1,242.73 | 2 |
| Insulin tolerance panel CPT 80435 | not published | not published | $224.95 – $449.08 | 2 |
| Insulin total CPT 83525 | $120.12 | $286.00 | $24.96 – $49.83 | 2 |
| Ins vag brachytx device CPT 57156 | $462.42 | $1,101.00 | $266.88 – $4,524.00 | 3 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $11,300.99 | $26,907.13 | $5,397.85 – $6,544.00 | 4 |
| Integra meshed bil wound mat HCPCS C9363 | $32,600.91 | $77,621.21 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $3,516.24 | $8,372.00 | not published | 0 |
| Intens cardiac rehab no exer HCPCS G0423 | $245.70 | $585.00 | $403.10 – $403.10 | 1 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $245.70 | $585.00 | $403.10 – $403.10 | 1 |
| Intercalary algrft compl CPT 20934 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Interdental fixation CPT 21110 | $1,955.10 | $4,655.00 | $418.15 – $2,444.00 | 3 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $763.11 – $7,034.24 | 6 |
| Interdiscal perq aspir dx CPT 62267 | $561.12 | $1,336.00 | $575.10 – $2,444.00 | 3 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $130.64 – $130.64 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | $9,837.62 | $23,422.90 | $87.25 – $123.77 | 3 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $23.64 – $38.41 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $109.84 – $137.33 | 3 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $204.02 – $229.50 | 3 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $6,475.59 – $7,260.62 | 3 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $1,661.27 – $1,837.76 | 3 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $25,194.25 – $37,127.98 | 3 |
| Interfyl, 1 mg HCPCS Q4171 | $4,640.49 | $11,048.78 | $37.14 – $44.61 | 2 |
| Intermediate visual field xm CPT 92082 | not published | not published | $187.58 – $187.58 | 1 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,000.00 – $4,579.48 | 4 |
| Interrogate subq defib CPT 93261 | not published | not published | $123.61 – $123.61 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $162.21 – $162.21 | 1 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $123.61 – $123.61 | 1 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $78.40 – $78.40 | 1 |
| Interrog device eval heart CPT 93289 | not published | not published | $123.61 – $123.61 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $123.61 – $123.61 | 1 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $314.50 – $314.50 | 1 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $970.45 – $970.45 | 1 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $314.50 – $314.50 | 1 |
| Interstitial brachy inter CPT 77799 | not published | not published | $481.02 – $481.02 | 1 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,697.30 – $3,068.22 | 2 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,311.33 – $2,390.41 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $3,749.26 – $6,808.14 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | $3,619.14 | $8,617.00 | $262.44 – $4,524.00 | 3 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,000.00 – $4,993.10 | 4 |
| Intra-atrial pacing CPT 93610 | not published | not published | $5,469.84 – $12,536.56 | 2 |
| Intra-atrial recording CPT 93602 | not published | not published | $5,469.84 – $12,536.56 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $4,303.32 | $10,246.00 | $500.18 – $500.18 | 1 |
| Intracran angioplsty w/stent CPT 61635 | $5,985.84 | $14,252.00 | $1,719.70 – $3,270.89 | 2 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,628.38 – $3,119.66 | 2 |
| Intracranial complete study CPT 93886 | $2,381.40 | $5,670.00 | $705.32 – $777.92 | 2 |
| Intracranial limited study CPT 93888 | $1,181.88 | $2,814.00 | $333.97 – $383.42 | 2 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,814.16 – $5,074.04 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $5,238.56 – $9,480.27 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $3,580.16 – $6,382.86 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $5,672.29 – $10,472.81 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,749.06 – $4,887.52 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $4,612.50 – $8,352.60 | 2 |
| Intranasal biopsy 30100 CPT 30100 | $1,955.10 | $4,655.00 | $124.89 – $2,444.00 | 3 |
| Intranasal reconstruction CPT 30620 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,412.05 – $1,412.05 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $97.08 – $97.08 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $643.44 | $1,532.00 | $134.18 – $4,579.48 | 5 |
| Intrapul surf admin endo tube CPT 94610 | $157.92 | $376.00 | $627.30 – $627.30 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $350.83 – $2,444.00 | 3 |
| Intraventricular pacing CPT 93612 | not published | not published | $5,469.84 – $12,536.56 | 2 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $32.93 – $65.75 | 2 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $395.32 – $395.32 | 1 |
| Intro cath dialysis circuit CPT 36901 | $6,967.38 | $16,589.00 | $435.88 – $2,444.00 | 3 |
| Intro cath dialysis circuit w/pta CPT 36902 | $11,252.64 | $26,792.00 | $5,691.71 – $10,551.83 | 3 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $8,068.00 – $21,105.06 | 3 |
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.