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 |
|---|---|---|---|---|
| Noninv pace analysis CPT 93724 | $186.90 | $445.00 | $115.53 – $115.53 | 1 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $1,664.87 – $1,664.87 | 1 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.06 – $0.06 | 1 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $4,681.63 – $9,346.10 | 2 |
| No pt prsnt train initial 30 HCPCS G0541 | $176.40 | $420.00 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $8.23 – $3,799.62 | 3 |
| Npm1 gene CPT 81310 | not published | not published | $538.41 – $1,074.83 | 2 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $4,524.00 – $10,833.29 | 2 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $2,444.00 – $10,833.29 | 2 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $9.66 | $23.00 | $79.90 – $79.90 | 1 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $9.66 | $23.00 | $13.50 – $13.50 | 1 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $24.78 | $59.00 | $72.50 – $72.50 | 1 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $273.42 | $651.00 | $471.77 – $471.77 | 1 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $136.92 | $326.00 | $286.34 – $286.34 | 1 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $44.23 – $44.23 | 1 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $44.23 – $44.23 | 1 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $44.23 – $44.23 | 1 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $646.00 – $1,289.64 | 2 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $3,435.60 | $8,180.00 | $5,172.01 – $5,172.01 | 1 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $2,150.00 – $11,734.19 | 6 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $2,150.00 – $11,734.19 | 6 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $2,150.00 – $11,734.19 | 6 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $2,150.00 – $11,734.19 | 6 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $2,300.00 – $11,734.19 | 6 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $2,300.00 – $11,734.19 | 6 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $2,300.00 – $11,734.19 | 6 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $2,300.00 – $11,734.19 | 6 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $4,524.00 – $11,734.19 | 3 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $3,623.74 – $11,587.97 | 3 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $3,623.74 – $11,587.97 | 3 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $5,739.71 – $11,587.97 | 3 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $1,985.65 – $5,260.00 | 3 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $4,038.25 – $6,355.00 | 3 |
| Nsl/sins ndsc surg max sins CPT 31295 | $10,154.34 | $24,177.00 | $1,985.65 – $5,260.00 | 3 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $3,623.74 – $11,587.97 | 3 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $1,299.90 – $5,260.00 | 3 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $5,739.71 – $11,587.97 | 3 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $5,739.71 – $11,587.97 | 3 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,372.27 – $15,638.81 | 6 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $5,260.00 – $11,884.78 | 2 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $5,260.00 – $11,884.78 | 2 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $543.37 – $5,260.00 | 3 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $97.08 – $97.08 | 1 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $452.76 – $903.87 | 2 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $452.76 – $903.87 | 2 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $452.76 – $903.87 | 2 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $1,131.92 – $2,259.70 | 2 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $5,223.12 | $12,436.00 | $4,040.42 – $4,040.42 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $5,223.12 | $12,436.00 | $2,020.21 – $2,020.21 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $708.67 – $708.67 | 1 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $1,342.57 – $1,342.57 | 1 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $47.58 – $94.96 | 2 |
| Nuclear rx intra-arterial CPT 79445 | $1,102.92 | $2,626.00 | $512.26 – $512.26 | 1 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $171.26 – $171.26 | 1 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $230.99 – $230.99 | 1 |
| Nuclear rx IV admin CPT 79101 | $1,102.92 | $2,626.00 | $219.96 – $219.96 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,769.12 | $13,736.00 | $1,417.82 – $1,784.98 | 2 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $300.10 – $300.10 | 1 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $636.32 – $1,270.33 | 2 |
| Nursing fac care supervision CPT 99379 | not published | not published | $196.62 – $196.62 | 1 |
| Nursing fac care supervision CPT 99380 | not published | not published | $307.24 – $307.24 | 1 |
| Nushield 1 square cm HCPCS Q4160 | $5,532.28 | $13,172.10 | $372.36 – $1,855.00 | 2 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $3,898.95 – $4,162.42 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $23,395.23 | $55,702.92 | $243.29 – $274.61 | 4 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,886.25 – $3,392.17 | 2 |
| Observation care discharge CPT 99217 | not published | not published | $253.16 – $253.16 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $128.52 | $306.00 | $433.82 – $433.82 | 1 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $753.34 – $753.34 | 1 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $460.86 – $460.86 | 1 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $586.21 – $586.21 | 1 |
| Observation per hour HCPCS G0378 | not published | not published | $433.82 – $433.82 | 1 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,280.90 – $2,444.00 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $163.50 – $326.39 | 2 |
| Obstetrics panel CPT 80055 | not published | not published | $104.43 – $208.45 | 2 |
| Obtaining screen pap smear HCPCS Q0091 | $44.52 | $106.00 | $86.42 – $86.42 | 1 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $656.88 | $1,564.00 | $333.97 – $488.67 | 2 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $127.27 – $127.27 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,178.67 – $5,320.95 | 3 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $72,025.92 | $171,490.29 | $202.37 – $227.05 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $56.70 | $135.00 | $2.12 – $4.52 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $35,182.46 | $83,767.77 | $742.70 – $832.96 | 4 |
| Ocular function screen CPT 99172 | not published | not published | $163.44 – $163.44 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $19.68 – $19.68 | 1 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $15.99 – $15.99 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $185.65 – $2,444.00 | 3 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,750.00 – $6,725.00 | 4 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,750.00 – $8,133.04 | 4 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,750.00 – $6,725.00 | 4 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $217.56 – $243.05 | 3 |
| Office consultation CPT 99241 | not published | not published | $113.08 – $113.08 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $331.83 – $331.83 | 1 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $533.36 – $533.36 | 1 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $659.94 – $659.94 | 1 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $237.20 – $237.20 | 1 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,499.07 | $3,569.21 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $368.68 | $877.82 | $3.18 – $3.61 | 2 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $10.21 – $11.10 | 4 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $93.40 – $93.40 | 1 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $148.71 – $148.71 | 1 |
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.