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 |
|---|---|---|---|---|
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.76 – $2.76 | 1 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $4.72 – $4.72 | 1 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $7.36 – $7.36 | 1 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $5.83 – $5.83 | 1 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.78 – $2.78 | 1 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $4.80 – $4.80 | 1 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $4.86 – $4.86 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $299.21 – $597.32 | 2 |
| Pq biliary strict dil s&i CPT 74363 | $2,656.08 | $6,324.00 | $191.71 – $191.71 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $476.70 | $1,135.00 | $298.53 – $298.53 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $16,836.12 | $40,086.00 | $6,725.00 – $12,741.55 | 3 |
| Pq thr inj ext pse CPT 36002 | $884.10 | $2,105.00 | $223.77 – $2,444.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $7,274.40 | $17,320.00 | $2,444.00 – $2,444.00 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,313.40 | $10,270.00 | $3,070.73 – $6,355.00 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,313.40 | $10,270.00 | $3,070.73 – $6,355.00 | 3 |
| Pralatrexate injection HCPCS J9307 | $18,437.27 | $43,898.27 | $1,073.79 – $1,360.89 | 4 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $324.26 – $395.35 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,265.08 | $7,774.00 | $1,449.53 – $7,034.24 | 6 |
| Pr application of long arm splint CPT 29105 | $392.70 | $935.00 | $64.14 – $106.07 | 2 |
| Pr application splint static short arm CPT 29125 | $543.90 | $1,295.00 | $155.48 – $232.23 | 2 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $20.58 | $49.00 | $114.00 – $114.00 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | $525.42 | $1,251.00 | $188.06 – $2,444.00 | 2 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | not published | not published | $43.00 – $43.00 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $127.68 | $304.00 | $621.02 – $621.02 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $127.68 | $304.00 | $545.02 – $545.02 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $330.12 | $786.00 | $83.58 – $2,444.00 | 2 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $253.16 – $253.16 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $371.14 – $371.14 | 1 |
| Prealbumin CPT 84134 | $180.18 | $429.00 | $31.85 – $63.61 | 2 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $29.50 – $29.50 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $92.17 – $92.17 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $6.74 | $16.05 | $0.71 – $1.60 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | $313.68 | $746.86 | $0.01 – $0.04 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,194.50 | $5,225.00 | $1,256.62 – $7,034.24 | 6 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $32.87 – $65.62 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $860.58 | $2,049.00 | $333.97 – $399.11 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $512.82 | $1,221.00 | $320.55 – $333.97 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $353.92 – $353.92 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $439.65 – $782.99 | 2 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $774.88 – $1,380.96 | 2 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $471.77 – $471.77 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $2,095.00 – $4,579.48 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $124.05 – $2,444.00 | 3 |
| Prepare donor heart CPT 33944 | not published | not published | $2,229.52 – $4,048.49 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $3,220.42 – $5,847.83 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,362.48 – $2,474.08 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $2,848.83 – $5,173.07 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,601.11 – $4,723.25 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $108.06 – $215.69 | 2 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $99.34 – $2,444.00 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,184.28 – $3,914.92 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,734.07 – $3,148.82 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $472.20 – $857.45 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $337.76 – $613.33 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,724.97 – $4,948.16 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $470.08 – $852.83 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,663.25 – $4,836.08 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $405.40 – $723.88 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $2,848.83 – $5,173.07 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $2,229.52 – $4,048.49 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $290.42 – $527.37 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,857.93 – $3,373.75 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $4,343.34 – $4,343.34 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $232.92 – $422.98 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $224.48 – $402.23 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $265.91 – $482.85 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $841.68 | $2,004.00 | $507.58 – $4,524.00 | 4 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,501.10 | $5,955.00 | $507.58 – $4,524.00 | 4 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,250.34 | $2,977.00 | $1,000.00 – $2,444.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $130.20 | $310.00 | $471.77 – $471.77 | 1 |
| Pressure treatment esophagus CPT 43460 | $120.96 | $288.00 | $269.71 – $477.46 | 2 |
| Pressure velocity wire add ves CPT 93572 | $471.66 | $1,123.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $79.26 – $625.66 | 2 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $79.26 – $145.75 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $92.20 – $625.66 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $94.50 | $225.00 | $66.30 – $145.75 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $52.59 – $1,235.67 | 2 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $94.08 | $224.00 | not published | 0 |
| Preventive counseling group CPT 99411 | not published | not published | $27.04 – $27.04 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $44.23 – $44.23 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $86.03 – $86.03 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $174.52 – $174.52 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $260.52 – $260.52 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $345.33 – $345.33 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $395.32 – $395.32 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,112.60 | $5,030.00 | $97.89 – $4,524.00 | 4 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,112.60 | $5,030.00 | $1,000.00 – $4,579.48 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $911.40 | $2,170.00 | $152.74 – $2,444.00 | 4 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,661.37 – $3,027.54 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $123.61 – $123.61 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $58.38 | $139.00 | $123.61 – $123.61 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | $75.60 | $180.00 | $123.61 – $123.61 | 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.