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 |
|---|---|---|---|---|
| Prgrmg eval implantable dfb CPT 93282 | $70.14 | $167.00 | $123.61 – $123.61 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | $80.64 | $192.00 | $123.61 – $123.61 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | $92.40 | $220.00 | $123.61 – $123.61 | 1 |
| Prgr stim/pace a/iv drug CPT 93623 | $6,397.86 | $15,233.00 | $566.54 – $566.54 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $700.48 – $700.48 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $474.37 – $474.37 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $351.47 – $351.47 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $360.06 – $360.06 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $251.93 – $251.93 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $136.40 – $136.40 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $14,847.42 | $35,351.00 | $3,800.87 – $21,105.06 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,321.82 | $12,671.00 | $4,524.00 – $4,524.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $179.43 – $179.43 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $767.76 | $1,828.00 | $104.74 – $2,444.00 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $619.50 | $1,475.00 | $83.13 – $2,444.00 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $958.44 | $2,282.00 | $59.92 – $7,034.24 | 5 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $807.66 | $1,923.00 | $124.48 – $2,444.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $395.32 – $395.32 | 1 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $395.32 – $395.32 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $383.04 | $912.00 | $43.00 – $43.00 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $10,057.33 | $23,946.03 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $352.07 – $2,444.00 | 4 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,811.03 – $4,524.00 | 4 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,811.03 – $4,524.00 | 4 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,811.03 – $4,524.00 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $362.89 – $680.11 | 4 |
| Procalcitonin CPT 84145 | $158.76 | $378.00 | $59.44 – $118.68 | 2 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $377.22 – $402.71 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $137.20 | $326.66 | $8.83 – $49.67 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.52 – $2.24 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,303.92 – $4,146.75 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,262.07 – $4,093.80 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,000.00 – $4,993.10 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $976.42 – $4,579.48 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $535.04 – $2,444.00 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,047.06 | $2,493.00 | $110.13 – $2,444.00 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $976.42 – $4,993.10 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $976.42 – $4,579.48 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $976.42 – $4,579.48 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,000.00 – $4,993.10 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $976.42 – $4,579.48 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,237.36 | $7,708.00 | $1,000.00 – $4,993.10 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $1,000.00 – $10,183.17 | 4 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $11.76 – $446.42 | 3 |
| Progesterone CPT 84144 | $191.52 | $456.00 | $45.56 – $90.95 | 2 |
| Prolactin CPT 84146 | $271.74 | $647.00 | $42.34 – $84.50 | 2 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $34.41 – $34.41 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $14.73 – $14.73 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $142.57 – $142.57 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $114.30 – $114.30 | 1 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $422.74 – $422.74 | 1 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $319.52 – $319.52 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $336.45 – $659.45 | 2 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $108.13 – $108.13 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $387.10 – $387.10 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $186.80 – $186.80 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | $4.62 | $11.00 | $0.22 – $1.06 | 3 |
| Promethazine hcl injection HCPCS J2550 | $56.70 | $135.00 | $1.12 – $13.64 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $352.07 – $7,034.24 | 6 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $286.86 – $2,444.00 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,300.00 – $25,348.51 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,300.00 – $25,348.51 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $88.87 | $211.59 | $0.32 – $0.68 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $65.06 | $154.90 | $26.03 – $36.78 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $383.31 – $1,235.67 | 2 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $30.72 – $30.72 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Prostate laser enucleation CPT 52649 | not published | not published | $3,674.49 – $9,013.35 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $793.39 – $15,160.00 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $1,765.79 – $4,524.00 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,472.76 | $3,506.58 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $56.70 | $135.00 | $4.49 – $6.31 | 4 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,927.26 | $11,731.56 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $57.25 – $114.32 | 2 |
| Protein c activity CPT 85303 | not published | not published | $30.24 – $60.34 | 2 |
| Protein c concentrate HCPCS J2724 | not published | not published | $5.26 – $59.89 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $427.14 | $1,017.00 | $23.46 – $46.83 | 2 |
| Protein s total CPT 85305 | not published | not published | $25.36 – $50.62 | 2 |
| Protein total 24 hour urine CPT 84156 | $153.30 | $365.00 | $8.03 – $16.00 | 2 |
| Protein total body fluid CPT 84157 | $120.96 | $288.00 | $8.74 – $17.44 | 2 |
| Protein total serum plasma whole blood CPT 84155 | $98.28 | $234.00 | $8.03 – $16.00 | 2 |
| Protein western blot tissue CPT 88371 | not published | not published | $48.56 – $96.92 | 2 |
| Prothrombin complex kcentra HCPCS J7168 | $6,657.24 | $15,850.56 | $8.66 – $9.76 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $8.60 – $17.18 | 2 |
| Proton treatment complex CPT 77525 | not published | not published | $4,887.30 – $4,887.30 | 1 |
| Proton trmt intermediate CPT 77523 | not published | not published | $4,887.30 – $4,887.30 | 1 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $4,887.30 – $4,887.30 | 1 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $2,112.21 – $2,112.21 | 1 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $21.27 – $42.47 | 2 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $395.32 – $395.32 | 1 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $975.67 – $975.67 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,157.22 – $6,622.89 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $267.82 – $267.82 | 1 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $114.30 – $114.30 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $8,068.00 – $36,588.29 | 2 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $8,068.00 – $36,588.29 | 2 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $2,444.00 – $2,444.00 | 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.