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 |
|---|---|---|---|---|
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $45.46 – $45.46 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $9,291.21 | $22,121.92 | $134.75 – $149.95 | 4 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,737.88 – $3,144.22 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $432.46 – $786.82 | 2 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $8,458.64 – $16,886.28 | 2 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $5,482.31 – $10,944.52 | 2 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $8,458.64 – $16,886.28 | 2 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $8,458.64 – $16,886.28 | 2 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $16,886.28 – $16,886.28 | 1 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $15,709.52 – $31,361.48 | 2 |
| Oncology colon mrna CPT 81525 | not published | not published | $6,805.34 – $13,585.76 | 2 |
| Oncology colorectal scr CPT 81528 | not published | not published | $1,111.39 – $2,218.67 | 2 |
| Oncology gynecologic CPT 81535 | not published | not published | $1,265.55 – $2,526.45 | 2 |
| Oncology gynecologic CPT 81536 | not published | not published | $387.78 – $774.16 | 2 |
| Oncology lung CPT 81538 | not published | not published | $6,270.26 – $12,517.56 | 2 |
| Oncology prostate prob score CPT 81539 | not published | not published | $1,659.84 – $3,313.60 | 2 |
| Oncology thyroid CPT 81545 | not published | not published | $15,696.00 – $15,696.00 | 1 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $8,190.01 – $16,350.00 | 2 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $1,959.05 – $1,959.05 | 1 |
| Oncoprotein dcp CPT 83951 | not published | not published | $140.68 – $280.83 | 2 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $140.68 – $280.83 | 2 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $4,433.53 – $8,850.80 | 2 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $8,458.64 – $16,886.28 | 2 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $8,458.64 – $16,886.28 | 2 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $7,862.40 – $15,696.00 | 2 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $8,502.00 – $16,982.78 | 2 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $3.37 – $3.59 | 2 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $70.15 | $167.02 | $0.04 – $0.92 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $56.70 | $135.00 | $0.32 – $2.36 | 4 |
| Oocyte identification CPT 89254 | not published | not published | $313.42 – $625.66 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,422.09 – $2,624.54 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,645.29 – $6,725.00 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,761.55 – $6,725.00 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,211.34 – $3,899.58 | 2 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,377.90 – $4,142.15 | 2 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,377.90 – $4,297.98 | 2 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,524.00 – $6,452.94 | 2 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $936.37 – $1,686.49 | 2 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $284.08 – $512.01 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,296.68 – $17,789.31 | 6 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,602.79 – $4,674.11 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $332.49 – $4,524.00 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $3,800.87 – $9,789.88 | 4 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,693.48 – $6,725.00 | 3 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $887.75 – $6,725.00 | 3 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,296.68 – $17,789.31 | 6 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,296.68 – $20,628.27 | 6 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,674.47 – $7,334.00 | 3 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $2,410.49 – $12,741.55 | 3 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $2,410.49 – $12,741.55 | 3 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $2,410.49 – $5,260.00 | 3 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $659.48 – $6,355.00 | 3 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $987.94 – $1,780.91 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $987.94 – $1,780.15 | 2 |
| Ophthalmic biometry CPT 92136 | not published | not published | $371.79 – $371.79 | 1 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $1,342.66 – $1,433.39 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $114.00 – $114.00 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $343.11 – $475.37 | 2 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $333.97 – $488.67 | 2 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $333.97 – $488.67 | 2 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,475.77 – $8,068.00 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $764.31 – $7,334.00 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $4,524.00 – $62,022.92 | 3 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,000.00 – $41,065.16 | 4 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,000.00 – $41,065.16 | 6 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,300.00 – $13,178.59 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $4,524.00 – $64,035.21 | 2 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,411.52 – $6,725.00 | 3 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,477.05 – $17,789.31 | 5 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $2,296.68 – $10,331.63 | 4 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,383.20 – $6,725.00 | 3 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,468.18 – $6,725.00 | 3 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $7,737.24 | $18,422.00 | $4,401.74 – $15,638.81 | 5 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $4,401.74 – $20,628.27 | 5 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $4,401.74 – $20,628.27 | 5 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $1,199.60 – $1,199.60 | 1 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $920.78 – $1,752.81 | 3 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $187.58 – $187.58 | 1 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $187.58 – $187.58 | 1 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $107.46 – $223.14 | 2 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $14.73 – $14.73 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | $9,316.86 | $22,183.00 | $2,300.00 – $12,741.55 | 6 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,116.23 – $6,355.00 | 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.