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 |
|---|---|---|---|---|
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $10.39 – $20.71 | 2 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | not published | not published | $76.64 – $152.99 | 2 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $76.64 – $152.99 | 2 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $30.11 – $60.12 | 2 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $56.39 – $112.53 | 2 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $74.76 | $178.00 | $19.43 – $38.76 | 2 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $113.82 | $271.00 | $29.53 – $58.95 | 2 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | not published | not published | $59.34 – $118.46 | 2 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $108.78 | $259.00 | $37.73 – $75.30 | 2 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $32.73 – $65.36 | 2 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $202.44 | $482.00 | $45.46 – $90.73 | 2 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $45.46 – $90.73 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | not published | not published | $35.12 – $70.07 | 2 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | not published | not published | $26.17 – $52.23 | 2 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | not published | not published | $76.64 – $152.99 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $76.64 – $152.99 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $243.60 | $580.00 | $76.64 – $152.99 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | not published | not published | $93.58 – $186.78 | 2 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $157.65 – $314.75 | 2 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $84.23 – $168.17 | 2 |
| Mayo inhab inhibin a CPT 86336 | not published | not published | $34.04 – $67.97 | 2 |
| Mayo insft insulin free CPT 83527 | not published | not published | $28.30 – $56.46 | 2 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $46.77 – $93.35 | 2 |
| Mayo iodine CPT 83789 | not published | not published | $52.65 – $105.12 | 2 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $59.21 – $118.20 | 2 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $59.21 – $118.20 | 2 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | not published | not published | $28.93 – $57.77 | 2 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $27.92 – $55.76 | 2 |
| Mayo legionella antibody CPT 86713 | not published | not published | $33.43 – $66.71 | 2 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $35.38 – $70.63 | 2 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $24.60 – $49.09 | 2 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | not published | not published | $33.83 – $67.54 | 2 |
| Mayo manganese CPT 83785 | not published | not published | $58.20 – $116.19 | 2 |
| Mayo metanephrines plasma CPT 83835 | not published | not published | $37.00 – $73.86 | 2 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $80.22 – $80.22 | 1 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $80.22 – $80.22 | 1 |
| Mayo microsomal antibody liver-kidney CPT 86376 | not published | not published | $31.79 – $63.44 | 2 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $361.20 | $860.00 | $40.72 – $81.27 | 2 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $299.21 – $597.32 | 2 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $404.48 – $807.47 | 2 |
| Mayo muramidase CPT 85549 | not published | not published | $40.96 – $81.75 | 2 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $80.22 – $80.22 | 1 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $39.42 – $78.70 | 2 |
| Mayo myoglobin CPT 83874 | not published | not published | $28.22 – $56.33 | 2 |
| Mayo nickel CPT 83885 | not published | not published | $53.53 – $106.86 | 2 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $46.33 – $92.48 | 2 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $35.92 – $71.72 | 2 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $31.55 – $63.00 | 2 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $25.17 – $50.27 | 2 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $32.83 – $65.53 | 2 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | not published | not published | $26.31 – $52.54 | 2 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $76.64 – $152.99 | 2 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $39.28 – $78.39 | 2 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | not published | not published | $30.04 – $59.99 | 2 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $18.45 – $36.80 | 2 |
| Mayo pregnenolone CPT 84140 | not published | not published | $45.16 – $90.12 | 2 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $36.23 – $72.33 | 2 |
| Mayo proinsulin CPT 84206 | not published | not published | $58.29 – $116.37 | 2 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $40.15 – $80.18 | 2 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $40.19 – $80.22 | 2 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $29.16 – $58.25 | 2 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $79.87 – $159.45 | 2 |
| Mayo renin CPT 84244 | not published | not published | $48.02 – $95.88 | 2 |
| Mayo repu protein electrophoresis urine CPT 84166 | $1,095.36 | $2,608.00 | $38.94 – $77.74 | 2 |
| Mayo selenium CPT 84255 | not published | not published | $55.74 – $111.31 | 2 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $379.68 | $904.00 | $33.87 – $67.58 | 2 |
| Mayo serotonin CPT 84260 | not published | not published | $67.68 – $135.07 | 2 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $42.27 – $84.37 | 2 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $319.62 | $761.00 | $29.97 – $59.86 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $211.26 | $503.00 | $9.35 – $18.62 | 2 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $456.29 – $910.89 | 2 |
| Mayo tgrp testosterone free CPT 84402 | not published | not published | $55.64 – $111.05 | 2 |
| Mayo tgrp testosterone total CPT 84403 | $238.14 | $567.00 | $56.39 – $112.53 | 2 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $96.66 – $96.66 | 1 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $35.08 – $70.02 | 2 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $22.25 – $44.38 | 2 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $27.05 – $54.02 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $111.99 – $223.58 | 2 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $30.91 – $61.74 | 2 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $29.57 – $59.03 | 2 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $77.15 – $154.04 | 2 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $44.22 – $88.25 | 2 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $37.27 – $74.38 | 2 |
| Mayo vitamin k CPT 84597 | not published | not published | $29.97 – $59.82 | 2 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $28.93 – $57.77 | 2 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,036.13 – $1,873.78 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $85.84 – $171.39 | 2 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $2,300.00 – $5,260.00 | 4 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $72.50 – $72.50 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,198.37 – $6,341.63 | 3 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $40.85 – $40.85 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $30.72 – $30.72 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $67.59 – $67.59 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $252.28 – $4,579.48 | 6 |
| Measurement post void urine by ultrasound CPT 51798 | $97.02 | $231.00 | $61.80 – $117.17 | 2 |
| Measure ureter pressure CPT 50686 | not published | not published | $73.22 – $148.91 | 2 |
| Mecasermin injection HCPCS J2170 | not published | not published | $417.38 – $641.71 | 3 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $487.77 – $1,273.68 | 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.