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 |
|---|---|---|---|---|
| Manipulate finger w/anesth CPT 26340 | not published | not published | $252.34 – $2,886.98 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | $2,021.04 | $4,812.00 | $1,548.47 – $2,886.98 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $254.94 | $607.00 | $371.79 – $371.79 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $332.22 | $791.00 | $371.79 – $371.79 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,357.89 – $7,034.24 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $1,357.89 – $7,034.24 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $73.41 – $2,444.00 | 3 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $7.83 – $12.26 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $4.48 – $26.27 | 3 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $11.09 – $22.11 | 2 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $308.47 – $308.47 | 1 |
| Mapping io sentinel lymph node CPT 38900 | $266.70 | $635.00 | $2,444.00 – $2,444.00 | 1 |
| Map tachycard site(s) CPT 93609 | $7,507.08 | $17,874.00 | $995.45 – $8,068.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $154.76 – $178.79 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,682.67 | $13,530.16 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $2,533.17 | $6,031.35 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,387.42 – $2,517.83 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $165.19 – $165.19 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $2,300.00 – $6,452.94 | 4 |
| Mast mod rad CPT 19307 | not published | not published | $4,897.86 – $11,155.43 | 3 |
| Mastoidectomy CPT 69501 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Mastoids complete CPT 70130 | $383.46 | $913.00 | $333.97 – $488.67 | 2 |
| Mastoid surgery revision CPT 69603 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Mastopexy CPT 19316 | not published | not published | $2,600.00 – $11,155.43 | 4 |
| Mast radical CPT 19305 | not published | not published | $1,368.83 – $2,512.46 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $1,455.49 – $2,662.16 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $2,600.00 – $11,155.43 | 4 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $8.23 – $396.04 | 3 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $9,753.35 – $9,753.35 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $8,953.23 | $21,317.22 | $70.49 – $72.96 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $76.64 – $152.99 | 2 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $59.61 – $118.98 | 2 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $93.58 – $186.78 | 2 |
| Maxillofacial fixation CPT 21100 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $31.58 – $63.05 | 2 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $33.47 – $66.80 | 2 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $33.47 – $66.80 | 2 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $84.23 – $168.17 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $32.29 – $64.44 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $29.37 – $58.60 | 2 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $32.93 – $65.75 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $265.65 – $530.31 | 2 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $200.19 – $399.64 | 2 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $299.21 – $597.32 | 2 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $2,533.44 – $5,057.60 | 2 |
| Mayo androstenedione CPT 82157 | not published | not published | $63.94 – $127.66 | 2 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $31.89 – $63.66 | 2 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $23.62 – $47.13 | 2 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $32.87 – $65.62 | 2 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $67.41 – $134.55 | 2 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $152.99 – $152.99 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $22.25 – $44.38 | 2 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $316.34 – $631.50 | 2 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $468.73 – $935.74 | 2 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $28.19 – $56.24 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $28.80 – $57.51 | 2 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $19.49 – $38.93 | 2 |
| Mayo c1 esterase inhibitor CPT 83883 | $79.80 | $190.00 | $29.70 – $59.30 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $36.86 – $73.55 | 2 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $58.50 – $116.76 | 2 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $266.92 – $532.88 | 2 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $23.46 – $46.83 | 2 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $30.85 – $61.56 | 2 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $28.13 – $56.16 | 2 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $25.80 – $51.54 | 2 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $27.69 – $55.28 | 2 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $254.42 – $507.90 | 2 |
| Mayo chromium CPT 82495 | not published | not published | $44.29 – $88.42 | 2 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $25.07 – $50.01 | 2 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $52.62 – $105.03 | 2 |
| Mayo cortisol free CPT 82530 | not published | not published | $36.50 – $72.86 | 2 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $128.94 | $307.00 | $43.82 – $43.82 | 1 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $26.48 – $52.84 | 2 |
| Mayo cyanide CPT 82600 | not published | not published | $42.37 – $84.58 | 2 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $625.66 – $1,255.12 | 2 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $28.93 – $57.77 | 2 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $55.20 – $110.18 | 2 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $63.94 – $127.66 | 2 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $21.06 – $42.03 | 2 |
| Mayo efpo chloride stool CPT 82438 | $227.64 | $542.00 | $10.92 – $21.80 | 2 |
| Mayo estriol CPT 82677 | not published | not published | $52.82 – $105.42 | 2 |
| Mayo estrone CPT 82679 | not published | not published | $54.51 – $108.78 | 2 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $35.69 – $71.24 | 2 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $29.97 – $59.86 | 2 |
| Mayo factor ii CPT 85210 | not published | not published | $28.36 – $56.59 | 2 |
| Mayo factor v CPT 85220 | not published | not published | $38.54 – $76.95 | 2 |
| Mayo factor vii CPT 85230 | not published | not published | $39.11 – $78.04 | 2 |
| Mayo factor viii vw factor antigen CPT 85246 | $170.52 | $406.00 | $50.09 – $100.02 | 2 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $50.09 – $100.02 | 2 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $168.00 | $400.00 | $50.09 – $100.02 | 2 |
| Mayo factor x CPT 85260 | not published | not published | $39.11 – $78.04 | 2 |
| Mayo factor xi CPT 85270 | not published | not published | $39.11 – $78.04 | 2 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $36.69 – $73.25 | 2 |
| Mayo fbl culture fungi blood CPT 87103 | $428.40 | $1,020.00 | $44.69 – $89.21 | 2 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $175.73 – $350.81 | 2 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $17.07 – $34.10 | 2 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $31.58 – $63.05 | 2 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $47.35 – $94.48 | 2 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $111.83 – $367.01 | 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.