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 |
|---|---|---|---|---|
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $670.32 | $1,596.00 | $58.23 – $2,444.00 | 3 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $350.83 – $2,444.00 | 3 |
| Bld prd mix CPT 86965 | $93.66 | $223.00 | $73.92 – $625.66 | 2 |
| Bld push tfuj 2 yr/< CPT 36440 | $574.56 | $1,368.00 | $192.25 – $2,444.00 | 3 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $545.97 | $1,299.93 | $73.15 – $127.29 | 4 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,660.87 – $5,260.00 | 4 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,660.87 – $5,260.00 | 4 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,660.87 – $6,725.00 | 4 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,660.87 – $5,260.00 | 4 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $15,092.61 | $35,934.79 | $420.71 – $571.22 | 4 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $8,068.00 – $21,850.58 | 2 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $26,626.07 – $26,626.07 | 1 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $20,768.57 – $20,768.57 | 1 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $8,068.00 – $8,068.00 | 1 |
| Blink reflex test CPT 95933 | not published | not published | $187.58 – $187.58 | 1 |
| Blm gene CPT 81209 | not published | not published | $85.84 – $171.39 | 2 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,159.36 | $21,808.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $11,374.02 | $27,081.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,583.42 | $3,770.04 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,332.32 | $12,696.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $14,873.04 | $35,412.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $6,022.11 | $14,338.35 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $16.39 – $16.39 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,200.78 | $2,859.00 | $793.08 – $2,444.00 | 3 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,200.78 | $2,859.00 | $1,729.67 – $1,734.76 | 2 |
| Block paracervical nrv CPT 64435 | not published | not published | $93.67 – $2,444.00 | 3 |
| Block plantar digital nerve CPT 64455 | $383.46 | $913.00 | $23.21 – $2,444.00 | 3 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,483.02 | $3,531.00 | $4,524.00 – $4,524.00 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | $117.60 | $280.00 | $4,524.00 – $4,524.00 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $120.12 | $286.00 | $9.37 – $18.70 | 2 |
| Blood Clotting (PTT) Test CPT 85730 | $87.36 | $208.00 | $13.13 – $26.20 | 2 |
| Blood Count (CBC) Test CPT 85025 | $227.22 | $541.00 | $16.97 – $33.88 | 2 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $218.82 | $521.00 | $14.15 – $28.21 | 2 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $15.28 – $30.52 | 2 |
| Blood Culture Test CPT 87040 | $496.44 | $1,182.00 | $22.54 – $45.00 | 2 |
| Blood draw capillary 36416 CPT 36416 | $29.40 | $70.00 | $6.85 – $6.85 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $482.16 | $1,148.00 | $172.03 – $343.44 | 2 |
| Blood gases ph venous CPT 82800 | not published | not published | $24.02 – $47.96 | 2 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $92.82 | $221.00 | $34.77 – $69.41 | 2 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $164.22 | $391.00 | $9.24 – $18.44 | 2 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $31.92 | $76.00 | $9.58 – $19.10 | 2 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $134.82 | $321.00 | $11.63 – $23.20 | 2 |
| Blood smear interpretation CPT 85060 | not published | not published | $54.10 – $110.00 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $8.30 – $16.57 | 2 |
| Blood split unit HCPCS P9011 | $207.06 | $493.00 | not published | 0 |
| Blood typing abo CPT 86900 | $266.70 | $635.00 | $6.52 – $475.37 | 2 |
| Blood typing ag donor ea ag CPT 86902 | $346.92 | $826.00 | $13.88 – $1,235.67 | 2 |
| Blood typing patient serum CPT 86904 | not published | not published | $35.69 – $145.75 | 2 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $304.50 | $725.00 | $8.37 – $1,235.67 | 2 |
| Blood typing rh (d) CPT 86901 | $241.50 | $575.00 | $6.52 – $145.75 | 2 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $16.93 – $145.75 | 2 |
| Blood volume CPT 78122 | not published | not published | $334.67 – $334.67 | 1 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Bone biopsy open superficial CPT 20240 | $3,638.88 | $8,664.00 | $2,150.00 – $7,034.24 | 6 |
| Bone Density Scan (DEXA) CPT 77080 | $909.72 | $2,166.00 | $133.55 – $333.97 | 2 |
| Bone filler cerament 10cc HCPCS C1602 | $14,338.98 | $34,140.42 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $1,085.77 – $1,085.77 | 1 |
| Bone/joint imaging ltd area CPT 78300 | $458.22 | $1,091.00 | $903.48 – $903.48 | 1 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,952.20 | $9,410.00 | $145.56 – $2,444.00 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,952.20 | $9,410.00 | $138.82 – $2,444.00 | 3 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $2,819.31 – $6,725.00 | 3 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $3,358.27 – $8,133.11 | 3 |
| Bone marrow imaging body CPT 78104 | $1,666.14 | $3,967.00 | $950.65 – $950.65 | 1 |
| Bone marrow imaging ltd CPT 78102 | $485.10 | $1,155.00 | $650.51 – $650.51 | 1 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $828.09 – $828.09 | 1 |
| Bone marrow interpretation CPT 85097 | not published | not published | $107.46 – $2,738.95 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,374.87 – $15,638.81 | 5 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $6,159.02 – $15,638.81 | 5 |
| Bone survey-lead poisoning CPT 77074 | $961.38 | $2,289.00 | $333.97 – $488.67 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $12.50 – $12.50 | 1 |
| Boot j walker l HCPCS L4386 | $116.03 | $276.25 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $263.50 | $627.38 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $961.20 | $2,288.56 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $337.31 | $803.12 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $29.24 – $58.34 | 2 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $37.19 – $74.25 | 2 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $152.99 – $152.99 | 1 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $11,053.28 | $26,317.33 | $5.56 – $179.99 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $7.49 – $14.95 | 2 |
| Bowel imaging CPT 78290 | $1,666.14 | $3,967.00 | $1,348.20 – $1,348.20 | 1 |
| Brace afo lg left 6607 HCPCS L1930 | $795.18 | $1,893.29 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $2,200.80 | $5,240.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $146.22 | $348.14 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $94.89 | $225.94 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,260.43 | $3,001.02 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $3,512.25 | $8,362.49 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $5,021.27 | $11,955.40 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $777.63 | $1,851.50 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,095.89 | $2,609.26 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $497.95 | $1,185.59 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $314.34 | $748.42 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $436.18 | $1,038.53 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $822.07 | $1,957.30 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $2,554.41 | $6,081.92 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $464.93 | $1,106.98 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $59.90 | $142.61 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,582.97 – $5,260.00 | 4 |
| Brach/thor cath 1st CPT 36215 | $3,505.74 | $8,347.00 | $4,524.00 – $4,524.00 | 1 |
| Brach/thor cath 2nd CPT 36216 | $507.36 | $1,208.00 | $4,524.00 – $4,524.00 | 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.