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 |
|---|---|---|---|---|
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,253.84 – $2,292.92 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,136.75 – $2,071.85 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $97.67 | $232.54 | $28.91 – $56.35 | 4 |
| Pyruvate CPT 84210 | not published | not published | $31.62 – $63.13 | 2 |
| Pyruvate kinase CPT 84220 | not published | not published | $20.64 – $41.16 | 2 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $506.24 – $506.24 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,387.70 | $5,685.00 | $1,198.91 – $1,198.91 | 1 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,666.14 | $3,967.00 | $751.10 – $751.10 | 1 |
| Quest t3 uptake CPT 84479 | $209.16 | $498.00 | $14.15 – $28.21 | 2 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,517.24 – $1,877.09 | 3 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $1,418.73 – $1,822.94 | 3 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $829.85 – $973.98 | 2 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $14,705.15 | $35,012.25 | $932.53 – $1,294.12 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $593.91 – $1,060.77 | 3 |
| Radial keratotomy CPT 65771 | not published | not published | $781.64 – $8,068.00 | 3 |
| Radiation handling CPT 77790 | $345.24 | $822.00 | $60.76 – $60.76 | 1 |
| Radiation physics consult CPT 77336 | $1,842.96 | $4,388.00 | $319.28 – $319.28 | 1 |
| Radiation therapy dose plan CPT 77300 | $996.24 | $2,372.00 | $135.63 – $135.63 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $418.19 – $418.19 | 1 |
| Radiation treatment aid(s) CPT 77332 | $695.52 | $1,656.00 | $114.42 – $114.42 | 1 |
| Radiation treatment aid(s) CPT 77333 | $1,390.62 | $3,311.00 | $279.73 – $279.73 | 1 |
| Radiation treatment aid(s) CPT 77334 | $2,769.06 | $6,593.00 | $271.26 – $271.26 | 1 |
| Radiation treatment delivery CPT 77401 | not published | not published | $98.90 – $98.90 | 1 |
| Radiation treatment delivery CPT 77402 | $1,021.02 | $2,431.00 | $552.37 – $552.37 | 1 |
| Radiation treatment delivery CPT 77412 | $2,064.30 | $4,915.00 | $952.17 – $952.17 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $758.64 – $758.64 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,235.86 – $8,068.00 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,854.56 – $6,725.00 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,389.73 – $6,725.00 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,180.06 – $6,725.00 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $3,070.73 – $12,741.55 | 5 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,465.21 – $6,725.00 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,582.97 – $4,939.24 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Radiesse injection HCPCS Q2026 | not published | not published | $1,135.17 – $1,135.17 | 1 |
| Radiology port images(s) CPT 77417 | $2,573.34 | $6,127.00 | $45.20 – $45.20 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $7,283.64 | $17,342.00 | $6,093.13 – $6,093.13 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $43,854.05 | $104,414.40 | $510.29 – $544.77 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $5,769.12 | $13,736.00 | $1,274.34 – $1,274.34 | 1 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,389.84 | $10,452.00 | $2,341.23 – $2,341.23 | 1 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $2,806.36 – $2,806.36 | 1 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,039.56 | $9,618.00 | $1,308.92 – $1,308.92 | 1 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $729.08 – $729.08 | 1 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $362.97 – $362.97 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $4,440.64 – $12,741.55 | 5 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,582.97 – $11,141.85 | 6 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,582.97 – $11,141.85 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,582.97 – $11,141.85 | 6 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,582.97 – $11,141.85 | 6 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $4,440.64 – $12,741.55 | 5 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,582.97 – $4,939.24 | 3 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $20,383.27 | $48,531.60 | $222.46 – $266.91 | 4 |
| Range of motion measurements CPT 95852 | not published | not published | $20.90 – $20.90 | 1 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $318.89 – $1,494.88 | 4 |
| Rapid desensitization CPT 95180 | not published | not published | $1,239.84 – $1,239.84 | 1 |
| Rapid Strep Test CPT 87880 | $185.22 | $441.00 | $36.09 – $72.07 | 2 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $15,034.90 | $35,797.38 | $1,001.83 – $1,395.63 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $81,937.28 | $195,088.75 | $788.18 – $852.33 | 4 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $972.40 – $1,038.11 | 2 |
| Rbc count only automated CPT 85041 | not published | not published | $6.59 – $13.17 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $741.31 – $826.53 | 2 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $18.78 – $37.50 | 2 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $16.34 – $32.57 | 2 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $71.64 – $475.37 | 2 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $591.12 – $591.12 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $336.74 – $336.74 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $58.99 – $58.99 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $154.85 – $154.85 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $162.21 – $162.21 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $154.85 – $154.85 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,864.28 – $6,725.00 | 3 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,592.45 – $6,725.00 | 3 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,997.02 – $6,355.00 | 3 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,079.87 – $6,355.00 | 3 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,867.01 – $6,355.00 | 3 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,696.22 – $6,355.00 | 3 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,506.41 – $6,355.00 | 3 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,181.94 – $6,355.00 | 3 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,932.54 – $6,355.00 | 3 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,296.68 – $5,579.09 | 3 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Realignment of knee CPT 27457 | not published | not published | $1,171.83 – $6,725.00 | 3 |
| Realignment of knee CPT 27455 | not published | not published | $1,149.85 – $6,725.00 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $1,449.53 – $11,141.85 | 6 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,589.08 – $6,725.00 | 3 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,908.66 – $3,362.23 | 2 |
| Rechanneling of artery CPT 35306 | not published | not published | $560.13 – $986.40 | 2 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,942.91 – $3,461.25 | 2 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,193.16 – $3,594.82 | 2 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,532.01 – $2,733.54 | 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.