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 |
|---|---|---|---|---|
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $73.96 – $147.63 | 2 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $74.67 – $149.07 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $197.40 | $470.00 | $17.88 – $35.71 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $154.56 | $368.00 | $22.95 – $45.78 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $74.67 – $149.07 | 2 |
| Lip surgery procedure CPT 40799 | not published | not published | $153.08 – $433.75 | 2 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $1,171,627.63 | $2,789,589.60 | $1,528,383.91 – $1,895,724.80 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $28.80 – $57.51 | 2 |
| Lithium therapeutic drug level CPT 80178 | $292.32 | $696.00 | $14.45 – $28.82 | 2 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $2,051.10 – $2,051.10 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $2,443.37 – $2,443.37 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,471.97 – $2,699.78 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $2,194.82 – $2,194.82 | 1 |
| Liver elastography 91200 CPT 91200 | $285.18 | $679.00 | $471.77 – $471.77 | 1 |
| Liver Function Test CPT 80076 | $507.36 | $1,208.00 | $17.84 – $35.62 | 2 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,775.08 – $3,233.28 | 2 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $1,370.74 – $1,370.74 | 1 |
| Liver imaging CPT 78201 | $2,162.16 | $5,148.00 | $768.36 – $768.36 | 1 |
| Liver imaging (3d) CPT 78205 | not published | not published | $818.37 – $818.37 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $809.22 – $809.22 | 1 |
| Liver/spleen imag static only CPT 78215 | $1,666.14 | $3,967.00 | $773.07 – $773.07 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $458.22 | $1,091.00 | $455.66 – $455.66 | 1 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $1,811.03 – $4,121.98 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $37.80 | $90.00 | $2.51 – $6.30 | 4 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $323.58 – $345.45 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $54,013.58 | $128,603.75 | $758.60 – $777.85 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $57.96 | $138.00 | $1.38 – $4.60 | 4 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $555.45 | $1,322.50 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $471.77 – $471.77 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $4,853.87 – $12,741.55 | 3 |
| Low cost skin substitute app HCPCS C5271 | $818.58 | $1,949.00 | $507.58 – $4,524.00 | 3 |
| Low cost skin substitute app HCPCS C5273 | $2,431.38 | $5,789.00 | $1,660.87 – $4,524.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | $818.58 | $1,949.00 | $507.58 – $4,524.00 | 3 |
| Low cost skin substitute app HCPCS C5277 | $818.58 | $1,949.00 | $507.58 – $4,524.00 | 3 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,659.46 | $8,713.00 | $444.62 – $930.67 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,497.74 | $5,947.00 | $831.32 – $931.71 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,492.70 | $5,935.00 | $273.48 – $414.14 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $7,386.54 | $17,587.00 | $931.71 – $1,666.92 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,543.60 | $15,580.00 | $931.71 – $1,473.55 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $6,102.60 | $14,530.00 | $568.62 – $988.29 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $804.72 | $1,916.00 | $333.97 – $488.67 | 2 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | $252.00 | $600.00 | $595.83 – $595.83 | 1 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $56.10 – $68.40 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $6,465.82 – $10,295.80 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $6,465.82 – $17,919.92 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $6,465.82 – $17,919.92 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,465.82 – $17,919.92 | 3 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,658.09 | $6,328.79 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $48.02 – $95.88 | 2 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.14 – $2.14 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $5,376.95 – $7,496.37 | 2 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,334.00 – $25,348.51 | 3 |
| Lumizyme injection HCPCS J0221 | not published | not published | $592.53 – $749.66 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $187.58 – $187.58 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $352.38 | $839.00 | $471.77 – $471.77 | 1 |
| Lung perfusion imaging CPT 78580 | $1,693.86 | $4,033.00 | $916.08 – $916.08 | 1 |
| Lung transplant double CPT 32853 | not published | not published | $5,663.00 – $10,249.43 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $4,051.10 – $7,319.38 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,440.44 – $7,957.28 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $6,010.90 – $10,878.12 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,816.08 – $3,261.67 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $22,409.89 | $53,356.87 | $638.79 – $760.04 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $67,491.06 | $160,693.01 | $128.17 – $151.89 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $76,608.00 | $182,400.00 | $914.43 – $976.22 | 2 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $71,400.00 | $170,000.00 | $791.57 – $791.57 | 1 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,583.97 | $3,771.36 | not published | 0 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $48.97 – $61.80 | 2 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $43.78 – $87.42 | 2 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $859.00 – $1,572.88 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $2,162.16 | $5,148.00 | $1,351.34 – $1,351.34 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $79.83 – $159.40 | 2 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $107.08 – $213.77 | 2 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $413.89 – $826.26 | 2 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $103.93 – $207.49 | 2 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $1,659.99 – $2,749.02 | 2 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $4,309.62 – $4,768.92 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $4,768.92 – $8,770.58 | 2 |
| Lymph vessel x-ray trunk CPT 75807 | $4,233.60 | $10,080.00 | $8,770.58 – $12,082.78 | 2 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $428.71 – $7,034.24 | 6 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,000.00 – $5,320.95 | 6 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,138.51 – $4,524.00 | 4 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $53.45 – $65.49 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $17.55 – $29.87 | 2 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $9.35 – $18.62 | 2 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $9.41 – $18.79 | 2 |
| Magnesium CPT 83735 | $166.32 | $396.00 | $14.65 – $29.21 | 2 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $69.30 | $165.00 | $0.26 – $2.62 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $562.79 – $1,070.48 | 2 |
| Makena, 10 mg HCPCS J1726 | $5,294.98 | $12,607.10 | $45.90 – $66.40 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $28.80 – $57.51 | 2 |
| Male sling procedure CPT 53440 | not published | not published | $2,150.00 – $17,184.69 | 6 |
| Mammosite ced HCPCS C1728 | $5,386.50 | $12,825.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,710.37 – $6,755.17 | 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.