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 |
|---|---|---|---|---|
| Assay of prostaglandin CPT 84150 | not published | not published | $91.22 – $182.12 | 2 |
| Assay of PSA complexed CPT 84152 | not published | not published | $40.15 – $80.18 | 2 |
| Assay of quinine CPT 84228 | not published | not published | $25.40 – $50.71 | 2 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $20.64 – $41.16 | 2 |
| Assay of salicylate CPT 80179 | not published | not published | $40.72 – $81.27 | 2 |
| Assay of semen fructose CPT 82757 | not published | not published | $37.86 – $75.60 | 2 |
| Assay of sialic acid CPT 84275 | not published | not published | $29.37 – $58.60 | 2 |
| Assay of silica CPT 84285 | not published | not published | $55.07 – $109.92 | 2 |
| Assay of somatostatin CPT 84307 | not published | not published | $39.92 – $79.70 | 2 |
| Assay of thiocyanate CPT 84430 | not published | not published | $25.40 – $50.71 | 2 |
| Assay of troponin qual CPT 84512 | not published | not published | $22.04 – $43.99 | 2 |
| Assay of tyrosine CPT 84510 | not published | not published | $23.21 – $46.35 | 2 |
| Assay of urine sulfate CPT 84392 | not published | not published | $12.00 – $23.94 | 2 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $20.87 – $41.64 | 2 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $13.21 – $26.38 | 2 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $36.09 – $72.03 | 2 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $23.42 – $46.78 | 2 |
| Assay rbc glutathione CPT 82979 | not published | not published | $20.64 – $41.16 | 2 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $43.11 – $86.07 | 2 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $625.53 – $625.53 | 1 |
| Assess cyst contrast inject CPT 49424 | $375.06 | $893.00 | $2,444.00 – $2,444.00 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $9.35 – $18.62 | 2 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $471.77 – $471.77 | 1 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $6,725.00 – $6,725.00 | 1 |
| Assistive tech assessment, ot CPT 97755 | $94.50 | $225.00 | $132.72 – $132.72 | 1 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $1,371.99 – $2,738.95 | 2 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $313.42 – $625.66 | 2 |
| Ast/sgot CPT 84450 | $213.78 | $509.00 | $11.33 – $22.58 | 2 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $26,637.58 | $63,422.81 | $282.41 – $323.04 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $15,731.52 | $37,456.00 | $6,355.00 – $21,105.06 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $15,691.20 | $37,360.00 | $6,355.00 – $33,952.14 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $34.75 – $69.32 | 2 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $117.97 | $280.89 | $0.19 – $0.30 | 4 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $938.90 – $8,068.00 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $795.17 – $8,068.00 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $260.52 – $260.52 | 1 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $335.51 – $335.51 | 1 |
| Audiometry air + bone CPT 92553 | not published | not published | $471.77 – $471.77 | 1 |
| Auditory function 60 min CPT 92620 | not published | not published | $471.77 – $471.77 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $2,296.68 – $10,331.63 | 4 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $4,401.74 – $10,331.63 | 4 |
| Augmentation of facial bones CPT 21208 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,394.75 | $15,225.60 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $16,821.00 | $40,050.00 | $2,444.00 – $2,444.00 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $23,476.32 | $55,896.00 | $6,725.00 – $12,741.55 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $5,128.10 – $12,741.55 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,260.00 – $12,741.55 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $1,835.98 – $3,665.23 | 2 |
| Autologous blood op salvage CPT 86891 | not published | not published | $317.01 – $2,738.95 | 2 |
| Autologous blood process CPT 86890 | not published | not published | $224.81 – $625.66 | 2 |
| Autolog prp diab wound ulcer HCPCS G0465 | $1,967.28 | $4,684.00 | not published | 0 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $507.58 – $3,456.44 | 2 |
| Automated diff wbc count CPT 85004 | not published | not published | $14.15 – $28.21 | 2 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $371.79 – $371.79 | 1 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $131.49 – $131.49 | 1 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $371.79 – $371.79 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $8,835.04 | $21,035.80 | $307.47 – $351.05 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $2,600.00 – $9,789.88 | 4 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,300.00 – $9,789.88 | 4 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $2,300.00 – $9,789.88 | 4 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,300.00 – $9,789.88 | 4 |
| Avul nail plate addl CPT 11732 | $240.24 | $572.00 | $2,444.00 – $2,444.00 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $394.38 | $939.00 | $68.35 – $2,444.00 | 3 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $1,325,269.00 – $1,865,767.67 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $2,150.00 – $10,295.80 | 6 |
| Azacitidine injection HCPCS J9025 | $4,035.41 | $9,608.11 | $0.73 – $4.15 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.99 | $14.27 | $2.28 – $17.33 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $437.58 – $911.77 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $69.30 | $165.00 | $9.15 – $16.57 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $436.32 | $1,038.85 | $9.33 – $10.81 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $6,232.25 | $14,838.69 | $499.66 – $675.64 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $131.89 | $314.03 | $123.31 – $235.21 | 4 |
| Baclofen eval charges CPT 97750 | $138.18 | $329.00 | $121.67 – $121.67 | 1 |
| Bacterial meningitis antigen CPT 86403 | $749.28 | $1,784.00 | $25.21 – $50.31 | 2 |
| Bacterial vaginosis pcr CPT 87801 | $145.74 | $347.00 | $153.31 – $306.07 | 2 |
| Bactericidal level serum CPT 87197 | not published | not published | $32.79 – $65.49 | 2 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $76.64 – $152.99 | 2 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $7.53 – $7.53 | 1 |
| Balloon dilate urtrl strix CPT 50706 | $1,742.16 | $4,148.00 | $2,444.00 – $2,444.00 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.32 – $0.32 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.24 – $3.24 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $13.19 – $13.19 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $8.30 – $8.30 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $6.58 – $6.58 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $11.71 – $11.71 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,982.44 | $9,482.00 | $2,150.00 – $7,034.24 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $76.64 – $152.99 | 2 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $86.03 – $86.03 | 1 |
| Basiliximab HCPCS J0480 | not published | not published | $13,718.58 – $17,009.83 | 4 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,755.37 | $6,560.40 | not published | 0 |
| B cells total count CPT 86355 | $480.48 | $1,144.00 | $82.39 – $164.50 | 2 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $10.93 – $12.14 | 4 |
| Bckdhb gene CPT 81205 | not published | not published | $207.45 – $414.16 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $139.46 – $148.89 | 2 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $6,045.24 | $14,393.44 | $13.61 – $15.09 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $14,158.77 | $33,711.35 | $159.29 – $197.60 | 4 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $9.10 – $9.10 | 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.