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 |
|---|---|---|---|---|
| Partial removal of rectum CPT 45116 | not published | not published | $1,895.55 – $3,463.55 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Partial removal of sternum CPT 21620 | not published | not published | $615.08 – $7,034.24 | 5 |
| Partial removal of thyroid CPT 60220 | not published | not published | $3,218.00 – $10,295.80 | 5 |
| Partial removal of thyroid CPT 60225 | not published | not published | $5,003.08 – $11,141.85 | 5 |
| Partial removal of tibia CPT 27640 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Partial removal of toe CPT 28160 | $4,192.86 | $9,983.00 | $2,057.49 – $5,830.77 | 4 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,593.30 – $2,923.91 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Partial removal of ulna CPT 25150 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $2,178.67 – $5,320.95 | 3 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Partial thyroid excision CPT 60210 | not published | not published | $5,003.08 – $10,295.80 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $5,003.08 – $10,295.80 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,921.76 | $11,718.48 | $8.94 – $12.74 | 4 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,112.23 – $6,725.00 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,031.90 – $6,725.00 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $478.49 | $1,139.25 | not published | 0 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $7.65 – $7.65 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $664.12 – $664.12 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $664.12 – $664.12 | 1 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $196.42 – $196.42 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $221.27 – $221.27 | 1 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $140.83 – $140.83 | 1 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $349.28 – $349.28 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $1,239.84 – $1,239.84 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $863.07 – $863.07 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $557.03 – $1,112.02 | 2 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $1,147.63 – $1,147.63 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $719.65 – $1,436.66 | 2 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $595.83 – $595.83 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $1,946.63 – $1,946.63 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $1,211.74 – $1,211.74 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $2,766.33 – $2,766.33 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $1,416.96 – $1,416.96 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $471.77 – $471.77 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $471.77 – $471.77 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | $2,501.10 | $5,955.00 | $1,660.87 – $11,141.85 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $594.78 – $1,386.00 | 3 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $2,760.42 – $3,491.44 | 3 |
| Pegaspargase injection HCPCS J9266 | $46,751.88 | $111,314.00 | $65,529.25 – $99,484.21 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,387.17 | $41,398.03 | $192.58 – $757.87 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $237.04 – $1,389.15 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,798.46 | $25,710.62 | $463.98 – $1,389.15 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $17,208.70 | $40,973.10 | $801.89 – $1,296.02 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $9,239.63 | $21,999.11 | $362.97 – $1,337.72 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $522.24 – $776.05 | 3 |
| Peginesatide injection HCPCS J0890 | not published | not published | $40.28 – $43.00 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $3,820.37 – $4,078.53 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $51,389.99 | $122,357.12 | $10,397.39 – $12,810.10 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $770.18 – $809.25 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $4,154.64 | $9,892.00 | $444.62 – $930.67 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $3,323.46 | $7,913.00 | $444.62 – $831.32 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,492.70 | $5,935.00 | $273.48 – $414.14 | 2 |
| Pelvic exenteration CPT 45126 | not published | not published | $3,321.03 – $6,184.05 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $441.31 | $11,629.00 | $931.71 – $1,666.92 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $3,930.36 | $9,358.00 | $931.71 – $1,473.55 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $3,908.94 | $9,307.00 | $568.62 – $988.29 | 2 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $3,070.73 – $12,741.55 | 3 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,177.74 – $7,334.00 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,051.26 | $2,503.00 | $333.97 – $488.67 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $521.64 | $1,242.00 | $333.97 – $488.67 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $16,340.69 | $38,906.40 | $179.52 – $211.77 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $16,348.00 | $38,923.81 | $13.07 – $281.41 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.20 – $66.80 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,562.96 | $3,721.34 | $47.12 – $102.55 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $102.59 | $244.25 | $2.93 – $5.91 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $78.65 – $155.57 | 3 |
| Penile injection CPT 54235 | $484.68 | $1,154.00 | $52.74 – $93.02 | 2 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $19,235.57 | $45,798.97 | not published | 0 |
| Penile vascular study CPT 93980 | $131.88 | $314.00 | $217.52 – $333.97 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $188.03 – $333.97 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Penis study CPT 54240 | not published | not published | $41.35 – $2,444.00 | 3 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $198.44 – $599.71 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $102.03 – $481.76 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | $295.43 | $703.41 | $136.55 – $256.58 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $10,280.77 | $24,478.02 | $8,499.15 – $9,073.47 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $21,997.50 | $52,375.00 | $4,833.48 – $17,919.92 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $7,334.00 – $33,952.14 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $7,334.00 – $21,105.06 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $7,334.00 – $33,952.14 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $7,334.00 – $21,105.06 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $5,848.50 | $13,925.00 | $4,833.48 – $10,295.80 | 3 |
| Percut ablate liver rf CPT 47382 | $9,366.42 | $22,301.00 | $4,833.48 – $10,295.80 | 3 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $450.22 – $827.51 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $144.20 – $380.67 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $127.68 | $304.00 | $504.34 – $504.34 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,031.87 – $5,493.95 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,056.74 | $4,897.00 | $3,474.31 – $4,524.00 | 2 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $127.68 | $304.00 | $1,082.63 – $1,948.25 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,600.00 – $15,638.81 | 6 |
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.