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 |
|---|---|---|---|---|
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,399.68 – $2,516.30 | 2 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $3,009.47 – $5,415.65 | 2 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,994.48 – $3,670.82 | 2 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,370.10 – $2,530.89 | 2 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,758.59 – $3,235.58 | 2 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $2,057.49 – $5,830.77 | 4 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Resect prox finger tumor CPT 26260 | not published | not published | $1,449.53 – $11,141.85 | 6 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $3,070.73 – $12,741.55 | 5 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $1,928.54 – $3,553.37 | 2 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Resect tarsal tumor CPT 28171 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $1,582.97 – $6,355.00 | 4 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Resect tibia tumor CPT 27645 | not published | not published | $2,180.06 – $6,725.00 | 3 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $34.86 – $38.65 | 4 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $1,422.61 – $1,422.61 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $31.52 – $62.91 | 2 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $35.88 – $71.63 | 2 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $476.25 – $950.74 | 2 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $3,644.01 – $6,581.68 | 2 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $8.23 – $5,840.60 | 3 |
| Resuscitation cardiopulmonary CPT 92950 | $1,021.44 | $2,432.00 | $280.90 – $539.10 | 2 |
| Resuscitation delivery/birthing room CPT 99465 | $1,614.48 | $3,844.00 | $507.54 – $507.54 | 1 |
| Reteplase injection HCPCS J2993 | not published | not published | $9,295.43 – $10,519.81 | 3 |
| Reticulated platelet assay CPT 85055 | $235.62 | $561.00 | $78.05 – $155.83 | 2 |
| Reticulocyte automated CPT 85045 | not published | not published | $8.70 – $17.40 | 2 |
| Reticulocyte direct measurement automated CPT 85046 | $41.58 | $99.00 | $12.17 – $24.29 | 2 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $104.94 – $113.35 | 2 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $160.22 – $286.34 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $575.00 – $2,444.00 | 4 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $42.78 – $85.41 | 2 |
| Revasc intra lithotrip-ather HCPCS C9766 | $19,142.34 | $45,577.00 | $6,725.00 – $21,105.06 | 2 |
| Revasc intra lithotrip-stent HCPCS C9765 | not published | not published | $6,355.00 – $21,105.06 | 2 |
| Revasc intravasc lithotripsy HCPCS C9764 | $9,570.54 | $22,787.00 | $6,355.00 – $10,551.83 | 2 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $6,355.00 – $34,216.32 | 2 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $30,794.82 | $73,321.00 | $6,725.00 – $33,952.14 | 2 |
| Revasc lithotrip tibi/perone HCPCS C9772 | not published | not published | $6,355.00 – $21,391.46 | 2 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $6,355.00 – $34,216.32 | 2 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $6,355.00 – $34,216.32 | 2 |
| Revascularization penis CPT 37788 | not published | not published | $1,532.84 – $2,808.00 | 2 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.67 – $0.80 | 4 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Revise additional leg tendon CPT 27692 | not published | not published | $2,300.00 – $11,141.85 | 4 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $2,068.23 – $7,034.24 | 6 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,579.35 – $2,882.47 | 2 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Revise circulation to head CPT 61708 | not published | not published | $3,203.93 – $5,771.06 | 2 |
| Revise circulation to head CPT 61705 | not published | not published | $3,276.65 – $5,649.78 | 2 |
| Revise circulation to head CPT 61710 | not published | not published | $2,707.21 – $4,866.03 | 2 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,647.83 – $3,021.41 | 2 |
| Revise eye CPT 65091 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Revise eyelashes CPT 67825 | not published | not published | $89.03 – $171.42 | 2 |
| Revise eyelashes CPT 67835 | not published | not published | $1,811.03 – $7,034.24 | 6 |
| Revise eyelid defect CPT 67909 | not published | not published | $1,811.03 – $15,638.81 | 6 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,068.23 – $15,638.81 | 6 |
| Revise eyelid lining CPT 68360 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,811.03 – $7,034.24 | 6 |
| Revise eye muscle CPT 67311 | not published | not published | $1,811.03 – $11,141.85 | 6 |
| Revise eye muscle CPT 67314 | not published | not published | $1,811.03 – $15,638.81 | 6 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $2,600.00 – $15,638.81 | 4 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $1,811.03 – $15,638.81 | 6 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $2,600.00 – $15,638.81 | 4 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $2,600.00 – $6,355.00 | 2 |
| Revise eye socket implant CPT 67560 | $4,661.16 | $11,098.00 | $1,811.03 – $7,034.24 | 6 |
| Revise eye sockets CPT 21260 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Revise eye sockets CPT 21261 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Revise eye sockets CPT 21263 | not published | not published | $4,401.74 – $10,331.63 | 2 |
| Revise eye sockets CPT 21267 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revise eye sockets CPT 21268 | not published | not published | $2,246.42 – $6,355.00 | 3 |
| Revise eye with implant CPT 65093 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Revise finger joint each CPT 26135 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise finger joint each CPT 26140 | $2,021.04 | $4,812.00 | $1,449.53 – $7,034.24 | 6 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $2,444.00 – $6,341.63 | 3 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $1,811.03 – $15,638.81 | 6 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $1,811.03 – $15,638.81 | 6 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise graft w/vein CPT 35879 | not published | not published | $3,800.87 – $9,789.88 | 2 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $3,800.87 – $9,789.88 | 2 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise head/neck of femur CPT 27179 | not published | not published | $7,461.40 – $12,741.55 | 2 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,341.54 – $41,731.14 | 3 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,869.34 – $33,321.50 | 3 |
| Revise hip joint replacement CPT 27137 | not published | not published | $1,799.60 – $32,068.36 | 3 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Revise kneecap CPT 27437 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Revise knuckle joint CPT 26530 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Revise knuckle with implant CPT 26531 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Revise lower leg tendon CPT 27690 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise lower leg tendon CPT 27691 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revise lower leg tendons CPT 27686 | not published | not published | $2,300.00 – $11,141.85 | 6 |
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.