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 |
|---|---|---|---|---|
| Molecular pathology interpr HCPCS G0452 | not published | not published | $6.85 – $81.71 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $39.71 – $45.56 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,256.80 | $22,040.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $1,850.02 – $3,188.39 | 4 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $139.68 – $278.87 | 2 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $328.30 – $655.44 | 2 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $600.23 – $1,198.26 | 2 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $658.16 – $1,313.89 | 2 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $617.80 – $1,233.36 | 2 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $1,848.27 – $3,689.74 | 2 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $4,368.00 – $8,720.00 | 2 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $146.64 | $349.14 | $0.26 – $17.75 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $57.96 | $138.00 | $28.23 – $31.04 | 3 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $12.79 – $13.66 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $17.43 – $42.71 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $625.66 – $673.69 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $175.29 – $1,235.67 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $413.70 | $985.00 | $180.60 – $625.66 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $2,212.88 – $2,392.63 | 3 |
| Motion analysis video/3d CPT 96000 | not published | not published | $334.28 – $334.28 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $448.55 – $448.55 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $371.79 – $371.79 | 1 |
| Mouth piece HCPCS A4617 | not published | not published | $4.14 – $4.14 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $102.89 – $208.97 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $625.66 – $786.45 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $187.45 – $345.70 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $134.13 – $625.66 | 2 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $328.30 – $655.44 | 2 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $43.78 – $87.42 | 2 |
| M.pneumon dna quant CPT 87582 | not published | not published | $660.92 – $1,319.42 | 2 |
| Mpsv4 vaccine subq CPT 90733 | $1,007.77 | $2,399.46 | $319.77 – $489.31 | 3 |
| MRA abdomen post contrast CPT 74185 | $4,745.16 | $11,298.00 | $755.38 – $1,081.60 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,484.32 | $8,296.00 | $746.57 – $1,063.07 | 2 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $1,016.05 – $1,016.05 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,393.14 | $3,317.00 | $751.84 – $1,079.11 | 2 |
| MRA pelvis CPT 72198 | $2,822.40 | $6,720.00 | $752.72 – $1,077.87 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $1,016.05 – $1,016.05 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $779.99 – $779.99 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,863.56 | $6,818.00 | $750.96 – $1,098.89 | 2 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $1,016.05 – $1,016.05 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $1,016.05 – $1,016.05 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $1,016.05 – $1,016.05 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $1,016.05 – $1,016.05 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Mr elastography CPT 76391 | not published | not published | $568.62 – $568.62 | 1 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $5,260.00 – $5,260.00 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $879.94 – $879.94 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $2,168.40 – $2,168.40 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $879.94 – $879.94 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $568.62 – $568.62 | 1 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $718.43 – $718.43 | 1 |
| MRI breast without cont bi CPT 77047 | $3,817.80 | $9,090.00 | $568.62 – $568.62 | 1 |
| MRI breast w IV cont bi CPT 77049 | $281.18 | $7,821.00 | $714.92 – $714.92 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,738.38 | $4,139.00 | $988.29 – $1,016.05 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,899.26 | $6,903.00 | $1,664.87 – $1,666.92 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,645.58 | $6,299.00 | $2,968.38 – $3,935.56 | 2 |
| MRI chest without contrast CPT 71550 | $3,281.46 | $7,813.00 | $568.62 – $988.29 | 2 |
| MRI chest without & w/contrast CPT 71552 | $5,994.24 | $14,272.00 | $931.71 – $1,666.92 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $1,473.55 – $1,661.20 | 2 |
| MRI compatible system HCPCS L0859 | $3,876.29 | $9,229.26 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $347.33 – $488.58 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $561.91 – $1,139.98 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,784.98 – $1,784.98 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $966.35 – $966.35 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $4,307.10 | $10,255.00 | $931.71 – $1,473.55 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,908.94 | $9,307.00 | $568.62 – $988.29 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,883.76 | $11,628.00 | $931.71 – $1,666.92 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,653.12 | $3,936.00 | $568.62 – $988.29 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,122.70 | $7,435.00 | $931.71 – $1,666.92 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,846.74 | $4,397.00 | $931.71 – $1,473.55 | 2 |
| MRI tmj CPT 70336 | not published | not published | $568.62 – $988.29 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,470.46 | $8,263.00 | $568.62 – $988.29 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,883.76 | $11,628.00 | $931.71 – $1,666.92 | 2 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $931.71 – $1,473.55 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $794.48 – $794.48 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Mr spectroscopy CPT 76390 | $2,454.48 | $5,844.00 | $908.36 – $908.36 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $465.87 – $929.99 | 2 |
| Msh2 gene full seq CPT 81295 | not published | not published | $833.65 – $1,664.21 | 2 |
| Msh2 gene known variants CPT 81296 | not published | not published | $737.59 – $1,472.50 | 2 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $519.80 – $1,037.68 | 2 |
| Msh6 gene full seq CPT 81298 | not published | not published | $1,401.79 – $2,798.47 | 2 |
| Msh6 gene known variants CPT 81299 | not published | not published | $672.67 – $1,342.88 | 2 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,565.60 – $15,638.81 | 5 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $142.70 – $284.88 | 2 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $58.70 – $117.20 | 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.