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 |
|---|---|---|---|---|
| Prq cardiac angio addl art CPT 92921 | $7,442.82 | $17,721.00 | $2,444.00 – $2,444.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | $19,085.22 | $45,441.00 | $2,444.00 – $2,444.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $40,530.00 | $96,500.00 | $1,488.44 – $11,361.65 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $40,530.00 | $96,500.00 | $2,302.62 – $17,520.00 | 2 |
| Prq card stent/ath/angio CPT 92934 | $19,085.22 | $45,441.00 | $2,444.00 – $2,444.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $18,049.50 | $42,975.00 | $2,444.00 – $2,444.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $39,585.42 | $94,251.00 | $7,334.00 – $21,105.06 | 3 |
| Prq revasc byp graft addl CPT 92938 | $20,420.82 | $48,621.00 | $2,444.00 – $2,444.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $9,316.86 | $22,183.00 | $2,150.00 – $12,741.55 | 6 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $30,793.98 | $73,319.00 | $7,334.00 – $21,105.06 | 3 |
| Prq trlml c athrc st angiop1 CPT 92933 | $39,585.42 | $94,251.00 | $7,334.00 – $33,952.14 | 3 |
| Prq trluml c angiop 1art&/br CPT 92920 | $14,453.88 | $34,414.00 | $5,356.65 – $10,551.83 | 3 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $21,724.92 | $51,726.00 | $8,068.00 – $21,105.06 | 3 |
| Prq trluml revsc ch occ ant CPT 92943 | $39,585.42 | $94,251.00 | $7,334.00 – $21,105.06 | 3 |
| Pr removal drug delivery implant CPT 11982 | $532.14 | $1,267.00 | $155.48 – $2,444.00 | 3 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $360.78 | $859.00 | $155.48 – $232.23 | 2 |
| Pr removal intrauterine device CPT 58301 | $385.14 | $917.00 | $53.16 – $2,444.00 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,097.46 | $2,613.00 | $142.21 – $2,444.00 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $716.52 | $1,706.00 | $116.22 – $372.17 | 2 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $763.98 | $1,819.00 | $116.22 – $372.17 | 2 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $694.68 | $1,654.00 | $116.22 – $2,444.00 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $719.46 | $1,713.00 | $116.22 – $372.17 | 2 |
| Pr robotic surgical system HCPCS S2900 | $0.42 | $1.00 | $2,302.62 – $2,302.62 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $146.25 – $146.25 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $418.21 – $2,444.00 | 3 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,882.04 | $6,862.00 | $577.47 – $4,524.00 | 3 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $60.22 – $60.22 | 1 |
| PSA (Prostate) Test CPT 84153 | $288.12 | $686.00 | $40.15 – $80.18 | 2 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $14.28 | $34.00 | $78.40 – $78.40 | 1 |
| Psychoanalysis CPT 90845 | $94.08 | $224.00 | not published | 0 |
| Psychoeducation 45 min + HCPCS G0177 | $7.98 | $19.00 | not published | 0 |
| Psychophysiological therapy CPT 90875 | $30.24 | $72.00 | not published | 0 |
| Psychophysiological therapy CPT 90876 | $38.22 | $91.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $159.18 | $379.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $180.18 | $429.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $245.28 | $584.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $245.28 | $584.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $158.76 | $378.00 | $471.77 – $471.77 | 1 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $78.96 | $188.00 | $290.02 – $290.02 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $213.36 | $508.00 | $78.40 – $78.40 | 1 |
| Psy evaluation of records CPT 90885 | $7.98 | $19.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $65.94 | $157.00 | $78.40 – $78.40 | 1 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $33.18 | $79.00 | $67.59 – $67.59 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $106.68 | $254.00 | $132.72 – $132.72 | 1 |
| Psytx complex interactive CPT 90785 | $7.98 | $19.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $26.04 | $62.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $21.42 | $51.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $26.04 | $62.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $149.52 | $356.00 | $51.63 – $51.63 | 1 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $65.10 | $155.00 | $22.13 – $22.13 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $110.04 | $262.00 | $72.50 – $72.50 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $94.92 | $226.00 | $47.94 – $47.94 | 1 |
| Pt application of modality traction mechanical CPT 97012 | $70.14 | $167.00 | $51.63 – $51.63 | 1 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $181.89 – $181.89 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $655.20 – $1,308.00 | 2 |
| Pten gene full sequence CPT 81321 | not published | not published | $1,310.40 – $2,616.00 | 2 |
| Pten gene known fam variant CPT 81322 | not published | not published | $101.78 – $203.18 | 2 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,258.47 – $4,785.15 | 2 |
| Pt evaluation high complexity patient/family CPT 97163 | $445.62 | $1,061.00 | $294.93 – $294.93 | 1 |
| Pt evaluation low complexity patient/family CPT 97161 | $175.00 | $592.00 | $294.93 – $294.93 | 1 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $175.00 | $707.00 | $294.93 – $294.93 | 1 |
| Pt-focused hlth risk assmt CPT 96160 | $19.32 | $46.00 | $11.05 – $11.05 | 1 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $88.49 – $88.49 | 1 |
| Pt re-evaluation patient/family CPT 97164 | $170.00 | $405.00 | $200.30 – $200.30 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $84.84 | $202.00 | $131.49 – $131.49 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $49.17 – $49.17 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $125.00 | $385.00 | $105.68 – $105.68 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $111.30 | $265.00 | $99.54 – $99.54 | 1 |
| Pt wheelchair management each 15 minutes CPT 97542 | $192.78 | $459.00 | $115.53 – $115.53 | 1 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $8,068.00 – $21,105.06 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $12,012.00 – $23,980.00 | 2 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $5,193.76 – $9,454.94 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,218.33 – $2,201.57 | 2 |
| Pulmonary vent imaging CPT 78579 | $1,693.86 | $4,033.00 | $735.36 – $735.36 | 1 |
| Pulse ox continuous overnight monitoring CPT 94762 | $1,400.70 | $3,335.00 | $471.77 – $471.77 | 1 |
| Pulse ox multiple CPT 94761 | $252.42 | $601.00 | $14.73 – $14.73 | 1 |
| Pulse ox single CPT 94760 | not published | not published | $8.59 – $8.59 | 1 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,393.72 | $3,318.39 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $1,316.70 | $3,135.00 | $575.95 – $4,579.48 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $610.26 | $1,453.00 | $155.48 – $232.23 | 2 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $601.44 | $1,432.00 | $96.20 – $2,444.00 | 3 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,000.00 – $5,579.09 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,593.06 | $3,793.00 | $439.89 – $4,579.48 | 6 |
| Puraply 1 sq cm HCPCS Q4195 | $10,722.42 | $25,529.58 | $154.56 – $805.11 | 3 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $154.56 – $467.32 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $115.83 – $2,444.00 | 3 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $98.49 – $2,444.00 | 3 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,362.48 – $2,492.50 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,192.54 – $2,182.38 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,151.96 – $2,107.91 | 2 |
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.