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 |
|---|---|---|---|---|
| M.tuberculo dna quant CPT 87557 | not published | not published | $93.58 – $186.78 | 2 |
| Mucin synovial fluid CPT 83872 | not published | not published | $12.80 – $25.55 | 2 |
| Mucopolysaccharides CPT 83864 | not published | not published | $62.26 – $124.26 | 2 |
| Mucormycosis antibody CPT 86732 | not published | not published | $32.76 – $65.40 | 2 |
| Mult fam adapt bhv tx gdn CPT 97157 | $17.22 | $41.00 | $93.16 – $93.16 | 1 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $51.70 – $51.70 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $34.65 – $34.65 | 1 |
| Multi family grp psychotherapy CPT 90849 | $94.08 | $224.00 | not published | 0 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $199.08 – $199.08 | 1 |
| Multiple sleep latency test CPT 95805 | $4,220.58 | $10,049.00 | $1,252.29 – $1,252.29 | 1 |
| Mumps antibody igg CPT 86735 | not published | not published | $28.49 – $56.90 | 2 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Muscle-skin graft leg CPT 15738 | $4,713.66 | $11,223.00 | $2,300.00 – $11,141.85 | 6 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Muscle test cran nerv unilat CPT 95867 | $994.56 | $2,368.00 | $219.98 – $219.98 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $471.77 – $471.77 | 1 |
| Muscle test larynx CPT 95865 | not published | not published | $371.79 – $371.79 | 1 |
| Muscle test one fiber CPT 95872 | not published | not published | $151.17 – $151.17 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,198.37 – $6,341.63 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $105.37 – $210.33 | 2 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $43.78 – $87.42 | 2 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $93.58 – $186.78 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $68.14 | $162.23 | $0.55 – $2.28 | 4 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $1.29 – $7.87 | 4 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $28.93 – $57.73 | 2 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $383.08 – $764.74 | 2 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $2,191.93 – $2,968.38 | 2 |
| Myelography l-s spine CPT 72265 | $4,967.34 | $11,827.00 | $2,191.93 – $2,968.38 | 2 |
| Myelography neck spine CPT 72240 | not published | not published | $2,191.93 – $2,968.38 | 2 |
| Myelography thoracic spine CPT 72255 | not published | not published | $2,191.93 – $2,968.38 | 2 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $12,178.74 | $28,997.00 | $724.90 – $4,524.00 | 3 |
| Myelography via inj w/s&i cervical CPT 62302 | $12,178.74 | $28,997.00 | $724.90 – $2,444.00 | 3 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $12,178.74 | $28,997.00 | $724.90 – $2,444.00 | 3 |
| Myelography via inj w/s&i thoracic CPT 62303 | $12,178.74 | $28,997.00 | $724.90 – $2,444.00 | 3 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $67.20 | $160.00 | $25.17 – $50.27 | 2 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $3,227.18 – $5,850.13 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $255.86 – $5,997.66 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $372.39 – $372.39 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $438.40 – $438.40 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $479.25 – $479.25 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $321.39 – $5,997.66 | 2 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $411.67 – $411.67 | 1 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $353.55 – $353.55 | 1 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,383.20 – $2,498.64 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,110.52 – $8,068.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,178.67 – $17,789.31 | 6 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $11.76 – $1,468.66 | 2 |
| Myringoplasty CPT 69620 | not published | not published | $2,150.00 – $11,141.85 | 6 |
| Nabilone oral HCPCS J8650 | not published | not published | $58.48 – $156.51 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $92.75 | $220.83 | $0.20 – $0.20 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $56.70 | $135.00 | $6.73 – $12.30 | 4 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $56.70 | $135.00 | $0.24 – $0.24 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $12.30 – $15.05 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $14.93 – $14.93 | 1 |
| Narcosynthesis CPT 90865 | $94.08 | $224.00 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $293.58 | $699.00 | $97.42 – $4,524.00 | 3 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $153.08 – $2,444.00 | 3 |
| Nasal function studies CPT 92512 | not published | not published | $98.31 – $98.31 | 1 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $2,300.00 – $11,587.97 | 6 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,408.98 – $5,260.00 | 3 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,502.41 – $5,260.00 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,486.37 – $7,034.24 | 6 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $2,300.00 – $11,587.97 | 6 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $2,300.00 – $11,587.97 | 6 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $2,300.00 – $11,587.97 | 6 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $455.98 – $7,034.24 | 6 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Nasal sinus therapy CPT 30210 | not published | not published | $126.16 – $227.55 | 2 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $293.58 | $699.00 | $132.72 – $2,444.00 | 2 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $41,850.56 | $99,644.19 | $79.21 – $92.91 | 4 |
| Natriuretic peptide CPT 83880 | $258.72 | $616.00 | $85.75 – $171.17 | 2 |
| Natural killer cells total count CPT 86357 | $480.48 | $1,144.00 | $82.39 – $164.50 | 2 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $289.61 – $289.61 | 1 |
| N block inj common digit CPT 64632 | not published | not published | $47.26 – $2,444.00 | 3 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $793.08 – $4,524.00 | 4 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $12.66 – $2,444.00 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $163.80 | $390.00 | $187.58 – $187.58 | 1 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $35.28 | $84.00 | $57.77 – $2,444.00 | 2 |
| Ndl insj without njx 3+ musc CPT 20561 | $35.28 | $84.00 | $87.26 – $2,444.00 | 2 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $187.58 – $187.58 | 1 |
| Ndl round specialty proguide HCPCS C1715 | $2,593.50 | $6,175.00 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $6,159.26 – $12,741.55 | 3 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $389.19 – $389.19 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $6,133.26 | $14,603.00 | $444.62 – $930.67 | 2 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $4,058.04 | $9,662.00 | $831.32 – $931.71 | 2 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,707.74 | $6,447.00 | $273.48 – $414.14 | 2 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,848.06 | $11,543.00 | $931.71 – $1,666.92 | 2 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,801.84 | $9,052.00 | $931.71 – $1,473.55 | 2 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,564.54 | $8,487.00 | $568.62 – $988.29 | 2 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,693.48 | $8,794.00 | $931.71 – $1,666.92 | 2 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,429.30 | $8,165.00 | $931.71 – $1,473.55 | 2 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,354.08 | $3,224.00 | $568.62 – $988.29 | 2 |
| Neck spine disk surgery CPT 63020 | not published | not published | $4,853.87 – $12,741.55 | 3 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $4,853.87 – $12,741.55 | 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.