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 |
|---|---|---|---|---|
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,702.36 – $3,065.92 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,607.67 – $2,841.78 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,821.16 – $3,250.93 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,228.90 – $6,725.00 | 3 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,553.99 – $2,759.65 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,156.61 – $2,108.68 | 2 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $158.70 – $158.70 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,803.40 – $6,355.00 | 3 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,827.92 – $6,355.00 | 3 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,723.51 – $2,946.17 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,261.87 – $6,355.00 | 3 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $2,296.68 – $10,331.63 | 3 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,182.82 – $20,918.41 | 3 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,504.95 – $3,107.37 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $6,159.02 – $12,741.55 | 2 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $4,401.74 – $17,789.31 | 5 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,333.09 – $6,355.00 | 3 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,711.03 – $6,355.00 | 3 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,932.11 – $6,355.00 | 3 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $2,750.00 – $33,965.15 | 6 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $4,440.64 – $12,741.55 | 3 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,440.64 – $25,348.51 | 3 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,449.53 – $17,789.31 | 6 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Reconstruct finger joint CPT 26548 | $4,313.40 | $10,270.00 | $2,600.00 – $15,638.81 | 6 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,356.15 – $24,141.86 | 3 |
| Reconstruction knee CPT 27427 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $2,600.00 – $25,348.51 | 6 |
| Reconstruction knee CPT 27429 | not published | not published | $2,600.00 – $25,348.51 | 6 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,291.04 – $11,141.85 | 6 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,934.02 – $3,496.57 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,589.50 – $28,180.60 | 3 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,338.82 – $23,975.78 | 3 |
| Reconstruction of jaw CPT 21245 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Reconstruction of jaw CPT 21246 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Reconstruction of jaw CPT 21248 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Reconstruction of jaw CPT 21249 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $2,750.00 – $33,965.15 | 6 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,906.13 – $6,355.00 | 3 |
| Reconstruction of mouth CPT 40840 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Reconstruction of mouth CPT 40842 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Reconstruction of mouth CPT 40843 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruction of nail bed CPT 11762 | $2,431.38 | $5,789.00 | $201.26 – $4,524.00 | 3 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruction of nose CPT 30420 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruction of orbit CPT 21256 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Reconstruction of throat CPT 42950 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Reconstruction of urethra CPT 53410 | not published | not published | $2,150.00 – $9,013.35 | 6 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,371.36 – $2,510.16 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $2,150.00 – $9,013.35 | 6 |
| Reconstruction of urethra CPT 54308 | not published | not published | $2,300.00 – $9,013.35 | 4 |
| Reconstruction of urethra CPT 54312 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Reconstruction of urethra CPT 54316 | not published | not published | $2,300.00 – $9,013.35 | 4 |
| Reconstruction of urethra CPT 54318 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Reconstruction of urethra CPT 54322 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Reconstruction of urethra CPT 54324 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Reconstruction of urethra CPT 54326 | not published | not published | $2,300.00 – $5,260.00 | 4 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $3,638.51 – $6,633.89 | 2 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,604.71 – $6,355.00 | 3 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,858.78 – $6,355.00 | 3 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $4,401.74 – $10,331.63 | 3 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $6,725.00 – $25,348.51 | 3 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,777.61 – $31,653.16 | 3 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $2,750.00 – $12,741.55 | 4 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $2,150.00 – $9,013.35 | 4 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $2,150.00 – $9,013.35 | 6 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,901.90 – $3,429.79 | 2 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,446.61 – $2,632.98 | 2 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,708.71 – $3,062.09 | 2 |
| Rectal sensation test CPT 91120 | not published | not published | $1,414.50 – $1,414.50 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $91.98 | $219.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $92.40 | $220.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $92.40 | $220.00 | not published | 0 |
| Red cell mass multiple CPT 78121 | not published | not published | $289.11 – $289.11 | 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.