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 |
|---|---|---|---|---|
| Lb with mastopexy 15839 CPT 15839 | $3,743.04 | $8,912.00 | $1,582.97 – $5,260.00 | 4 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,934.60 | $9,368.10 | not published | 0 |
| Lead capillary CPT 83655 | not published | not published | $26.44 – $52.80 | 2 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,851.42 | $11,551.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,601.96 | $13,338.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,647.83 – $6,355.00 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,762.39 – $6,355.00 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,198.24 – $6,355.00 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,778.04 – $6,355.00 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.35 – $2.35 | 1 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.54 – $1.54 | 1 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.35 – $2.35 | 1 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $43.78 – $87.42 | 2 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $91.20 – $182.07 | 2 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,800.87 – $5,902.83 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $766.50 | $1,825.00 | $557.94 – $705.32 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $26.75 – $53.41 | 2 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,000.00 – $5,830.77 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $2,750.00 – $10,331.63 | 4 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,447.02 – $6,725.00 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,282.17 – $15,638.81 | 5 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,600.00 – $25,348.51 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Lens, intraocular (new tech) HCPCS C1780 | $1,366.60 | $3,253.80 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,716.35 | $6,467.50 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,716.35 | $6,467.50 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $377.71 | $899.30 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $558.68 – $2,140.46 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $527.91 | $1,256.93 | $9.61 – $16.99 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $172.24 – $625.66 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $22.68 – $45.30 | 2 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $6,750.79 | $16,073.31 | $543.97 – $1,752.81 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $16,823.44 | $40,055.82 | $2,842.81 – $6,079.84 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $52.25 – $146.29 | 3 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $772.60 – $1,682.55 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $179.92 – $227.24 | 3 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $212.61 – $212.61 | 1 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $342.88 – $342.88 | 1 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $566.54 – $566.54 | 1 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $857.79 – $857.79 | 1 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $1,269.47 – $1,269.47 | 1 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $7.45 – $7.45 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | $572.78 | $1,363.77 | $1.05 – $6.15 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | $86.96 | $207.04 | $0.19 – $4.63 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $105.72 | $251.72 | $0.16 – $0.44 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $28.93 – $57.77 | 2 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $82.03 | $195.30 | $3.46 – $6.86 | 4 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $1,445.86 – $1,445.86 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,196.39 | $2,848.54 | $26.94 – $26.94 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $6,308.04 – $8,068.00 | 2 |
| Liberta rc ipg HCPCS C1820 | $41,854.20 | $99,652.85 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.07 – $0.11 | 3 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $58.51 | $139.31 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $32.08 – $64.05 | 2 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $0.00 | $0.01 | not published | 0 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,864.28 – $3,396.01 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,235.21 – $5,260.00 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $93.00 – $2,444.00 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,888.37 – $3,223.29 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,300.00 – $5,902.83 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,300.00 – $5,902.83 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,178.67 – $5,320.95 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $2,112.60 | $5,030.00 | $1,582.97 – $7,034.24 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,610.20 – $2,922.38 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,951.58 – $5,902.83 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,562.81 – $5,902.83 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,951.58 – $3,474.31 | 2 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,365.02 – $2,460.26 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $127.68 | $304.00 | $472.20 – $852.83 | 2 |
| Ligation major artery neck CPT 37615 | $4,551.54 | $10,837.00 | $2,562.81 – $3,474.31 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,657.55 – $2,981.49 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,150.00 – $5,902.83 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,562.81 – $9,789.88 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,562.81 – $5,902.83 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,300.00 – $8,068.00 | 4 |
| Ligation of shunt CPT 49428 | not published | not published | $653.13 – $960.31 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,300.00 – $5,902.83 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $2,802.76 – $4,046.35 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $253.16 – $253.16 | 1 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Limited autopsy CPT 88036 | not published | not published | $230.17 – $2,026.96 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $204.23 – $1,646.73 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $187.58 – $187.58 | 1 |
| Lincomycin injection HCPCS J2010 | not published | not published | $19.64 – $37.39 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $362.41 | $862.87 | $12.15 – $57.50 | 4 |
| Lipase CPT 83690 | $187.32 | $446.00 | $15.05 – $30.04 | 2 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,150.00 – $7,034.24 | 6 |
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.