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 |
|---|---|---|---|---|
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $779.95 – $6,355.00 | 3 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,483.58 – $6,355.00 | 3 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,536.23 – $6,355.00 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Optx lunate dislocation CPT 25695 | $9,316.86 | $22,183.00 | $2,150.00 – $12,741.55 | 6 |
| Optx medial ankle fx CPT 27766 | $9,316.86 | $22,183.00 | $2,300.00 – $12,741.55 | 6 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Optx mndblr/max alv ridge fx CPT 21445 | $7,737.24 | $18,422.00 | $2,600.00 – $15,638.81 | 6 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $821.81 – $17,789.31 | 5 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $963.42 – $6,355.00 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Optx post ankle fx CPT 27769 | not published | not published | $4,989.85 – $12,741.55 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | $18,906.72 | $45,016.00 | $2,600.00 – $25,348.51 | 6 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,600.00 – $33,965.15 | 6 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,300.00 – $25,348.51 | 6 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,410.49 – $15,638.81 | 6 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx thigh fx CPT 27269 | not published | not published | $1,519.74 – $4,524.00 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Optx ulnar shft fx int fixj CPT 25545 | $9,316.86 | $22,183.00 | $2,300.00 – $12,741.55 | 6 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $4,989.85 – $12,741.55 | 3 |
| Oral aprepitant HCPCS J8501 | $3,653.35 | $8,698.46 | $9.51 – $29.07 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $90.25 – $1,316.93 | 3 |
| Oral everolimus HCPCS J7527 | not published | not published | $6.95 – $35.10 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $26.17 – $52.23 | 2 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $64.85 – $64.85 | 1 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $79.31 – $79.31 | 1 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $1,433.32 – $2,394.96 | 4 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $3,555.23 – $6,426.61 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $4,026.15 – $7,307.86 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $3,966.13 – $7,105.21 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,138.51 – $6,429.49 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,157.22 – $6,622.89 | 3 |
| Orchiopexy ingun/scrot appr CPT 54640 | $5,132.40 | $12,220.00 | $2,600.00 – $15,638.81 | 6 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $51.55 – $102.90 | 2 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $144.91 – $155.50 | 3 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $7,016.02 | $16,704.80 | $90.40 – $104.88 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | $2,218.86 | $5,283.00 | $124.05 – $2,444.00 | 3 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $33.07 – $43.04 | 4 |
| Orthopantogram CPT 70355 | $852.18 | $2,029.00 | $247.94 – $347.97 | 2 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $187.58 – $187.58 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $250.61 – $250.61 | 1 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,417.75 | $3,375.60 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $341.94 – $594.16 | 4 |
| Oscillation chest wall mechanical per session CPT 94669 | $53.34 | $127.00 | $627.30 – $627.30 | 1 |
| Osmolality blood CPT 83930 | $147.84 | $352.00 | $14.45 – $28.82 | 2 |
| Osmolality urine CPT 83935 | $54.60 | $130.00 | $14.88 – $29.74 | 2 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $5,260.00 – $25,348.51 | 3 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $4,440.64 – $12,741.55 | 3 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $6,159.02 – $12,741.55 | 3 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $29.82 | $71.00 | $83.61 – $83.61 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $29.82 | $71.00 | $83.61 – $83.61 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $29.82 | $71.00 | $83.61 – $83.61 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,962.77 – $6,725.00 | 3 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $447.68 – $2,444.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,939.95 – $6,725.00 | 3 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,913.31 – $6,725.00 | 3 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,350.22 – $6,725.00 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $3.16 – $3.16 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $65.30 – $65.30 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.65 – $3.65 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $4.78 – $4.78 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.36 – $6.36 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.31 – $2.31 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $12.08 – $12.08 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $11.37 – $11.37 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $908.04 | $2,162.00 | $317.06 – $317.06 | 1 |
| Ot evaluation low complexity patient/family CPT 97165 | $454.02 | $1,081.00 | $317.06 – $317.06 | 1 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $175.00 | $1,621.00 | $317.06 – $317.06 | 1 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,467.95 – $15,638.81 | 5 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $50.50 – $100.85 | 2 |
| Oth resp proc, group HCPCS G0239 | $102.48 | $244.00 | $43.00 – $43.00 | 1 |
| Oth resp proc, indiv HCPCS G0238 | $67.20 | $160.00 | $34.41 – $34.41 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $134.40 | $320.00 | $175.75 – $175.75 | 1 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $122.64 | $292.00 | $165.90 – $165.90 | 1 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $201.18 | $479.00 | $97.08 – $97.08 | 1 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $33.18 – $33.18 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,296.68 – $5,579.09 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $170.00 | $386.00 | $217.52 – $217.52 | 1 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $125.00 | $479.00 | $138.86 – $138.86 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $128.52 | $306.00 | $79.90 – $79.90 | 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.