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 |
|---|---|---|---|---|
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,178.67 – $17,789.31 | 6 |
| Peripheral vascular rehab CPT 93668 | $133.98 | $319.00 | $61.45 – $61.45 | 1 |
| Peri-proc device eval icd CPT 93287 | $107.10 | $255.00 | $68.81 – $68.81 | 1 |
| Peri-proc device eval pm CPT 93286 | $107.10 | $255.00 | $68.81 – $68.81 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,000.00 – $9,789.88 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $1,479.99 – $2,099.69 | 2 |
| Perit-vens shunt pat tst CPT 78291 | $1,666.14 | $3,967.00 | $971.06 – $971.06 | 1 |
| Permanent tear duct plug HCPCS A4263 | $511.01 | $1,216.70 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.05 – $2.47 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $18,290.16 | $43,548.00 | $953.15 – $7,334.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $12,791.10 | $30,455.00 | $979.73 – $1,766.32 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | $6,100.08 | $14,524.00 | $155.48 – $5,260.00 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $155.48 – $4,524.00 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,674.49 – $17,184.69 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,674.49 – $17,184.69 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $7,334.00 – $22,610.61 | 2 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $7,334.00 – $36,588.29 | 2 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,068.00 – $22,610.61 | 2 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,068.00 – $22,610.61 | 2 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | $12,760.02 | $30,381.00 | $4,859.84 – $10,295.80 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,859.84 – $10,295.80 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,859.84 – $10,295.80 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $928.20 | $2,210.00 | $500.34 – $2,444.00 | 2 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,000.00 – $5,830.77 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,410.49 – $5,830.77 | 3 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,000.00 – $4,579.48 | 5 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $7,334.00 – $33,952.14 | 3 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $7,334.00 – $33,952.14 | 3 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $7,334.00 – $33,952.14 | 3 |
| Perq transcath septal reduxn CPT 93583 | $15,748.32 | $37,496.00 | $919.46 – $7,334.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $1,295.00 – $1,295.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $4,192.86 | $9,983.00 | $2,150.00 – $7,034.24 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,495.00 – $10,331.63 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $26.17 – $52.23 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $18,526.84 | $44,111.52 | $45.93 – $59.12 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $25,200.44 | $60,001.04 | $221.85 – $290.31 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $263.12 | $626.47 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,122.80 | $19,340.00 | $432.64 – $3,356.49 | 2 |
| Pet CT whole body initial CPT 78816 | $8,962.80 | $21,340.00 | $435.12 – $3,356.49 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,121.94 | $16,957.00 | $258.35 – $3,356.49 | 2 |
| Pet image full body CPT 78813 | not published | not published | $354.76 – $3,356.49 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $276.88 – $2,999.47 | 2 |
| Pet image skull-thigh CPT 78812 | $1,520.82 | $3,621.00 | $339.92 – $3,356.49 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $394.30 – $3,356.49 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $186.42 – $268.25 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $47,767.34 | $113,731.75 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $88.49 – $88.49 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $132.72 – $132.72 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $44.23 – $44.23 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Pharmacologic management w/psytx CPT 90863 | $7.98 | $19.00 | not published | 0 |
| Ph body fluid CPT 83986 | $109.20 | $260.00 | $7.83 – $15.61 | 2 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $90.68 – $111.57 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $118.07 | $281.12 | $95.77 – $119.43 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $543.48 | $1,294.00 | $33.43 – $66.71 | 2 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $1,118.86 – $1,697.84 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $56.70 | $135.00 | $0.01 – $0.04 | 3 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $434.78 – $538.08 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $1.23 – $2.39 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $633.36 | $1,508.00 | $28.93 – $57.77 | 2 |
| Phlebotomy therapeutic CPT 99195 | $702.24 | $1,672.00 | $93.02 – $232.23 | 2 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $403.79 – $5,260.00 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $454.43 – $5,260.00 | 3 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $88.49 – $88.49 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $132.72 – $132.72 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $44.23 – $44.23 | 1 |
| Phosphorus CPT 84100 | $130.20 | $310.00 | $10.35 – $20.67 | 2 |
| Phosphorus 24 hour urine CPT 84105 | $157.50 | $375.00 | $12.63 – $25.20 | 2 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $187.58 – $187.58 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $187.58 – $187.58 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $480.50 – $480.50 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $101.99 – $101.99 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $181.89 – $181.89 | 1 |
| Photo patch test CPT 95052 | not published | not published | $114.00 – $114.00 | 1 |
| Photopheresis CPT 36522 | not published | not published | $2,150.00 – $8,133.11 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $371.79 – $371.79 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $109.74 – $215.69 | 2 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $110.51 – $625.66 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $100.24 – $110.51 | 2 |
| Physician standby services CPT 99360 | not published | not published | $212.61 – $212.61 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $401.87 – $401.87 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $175.11 | $416.92 | $9.95 – $12.58 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $47.35 – $85.97 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $1,903.88 – $1,903.88 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $600.23 – $1,198.26 | 2 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $4,853.87 – $12,741.55 | 2 |
| Pin caspar distraction 12mm HCPCS C1821 | $9,451.68 | $22,504.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $818.58 | $1,949.00 | $507.58 – $7,034.24 | 6 |
| Pin finger dislocation CPT 26776 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Pin finger fracture each CPT 26756 | $4,192.86 | $9,983.00 | $2,150.00 – $7,034.24 | 6 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,548.47 – $7,034.24 | 6 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $289.61 – $289.61 | 1 |
| Pinworm exam CPT 87172 | $220.08 | $524.00 | $9.35 – $18.62 | 2 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $9.35 – $18.62 | 2 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $912.29 | $2,172.13 | $3.88 – $9.22 | 4 |
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.