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 |
|---|---|---|---|---|
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,392.49 – $2,540.86 | 2 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,227.63 – $6,355.00 | 3 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $1,000.00 – $6,341.63 | 6 |
| Revision of infusion pump CPT 36261 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Revision of iris CPT 66761 | not published | not published | $216.87 – $2,444.00 | 3 |
| Revision of iris CPT 66762 | not published | not published | $286.86 – $2,444.00 | 4 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $763.11 – $2,874.09 | 4 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $1,000.00 – $5,579.09 | 4 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,403.07 – $2,576.17 | 2 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,695.60 – $3,098.94 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $6,725.00 – $25,348.51 | 5 |
| Revision of knee joint CPT 27441 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Revision of knee joint CPT 27442 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Revision of knee joint CPT 27443 | not published | not published | $2,750.00 – $25,348.51 | 6 |
| Revision of knee joint CPT 27446 | not published | not published | $6,725.00 – $25,348.51 | 3 |
| Revision of knee joint CPT 27445 | not published | not published | $1,528.61 – $27,267.16 | 3 |
| Revision of larynx CPT 31400 | not published | not published | $2,150.00 – $10,331.63 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Revision of lung CPT 32940 | not published | not published | $1,524.82 – $2,718.95 | 2 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,771.69 – $3,247.08 | 2 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,061.70 – $3,684.64 | 2 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,959.91 – $12,741.55 | 6 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,959.91 – $11,141.85 | 6 |
| Revision of neck muscle CPT 21725 | not published | not published | $191.13 – $11,141.85 | 6 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $670.04 – $6,725.00 | 3 |
| Revision of nose CPT 30120 | not published | not published | $1,000.00 – $5,579.09 | 6 |
| Revision of nose CPT 30430 | not published | not published | $2,296.68 – $11,141.85 | 6 |
| Revision of nose CPT 30435 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Revision of nose CPT 30450 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revision of nose CPT 30460 | not published | not published | $3,300.00 – $10,331.63 | 4 |
| Revision of nose CPT 30462 | not published | not published | $4,401.74 – $10,331.63 | 4 |
| Revision of pelvis CPT 27158 | not published | not published | $1,715.47 – $6,725.00 | 3 |
| Revision of penis CPT 54300 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Revision of penis CPT 54304 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Revision of penis CPT 54420 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revision of penis CPT 54430 | $2,357.46 | $5,613.00 | $775.72 – $1,422.41 | 2 |
| Revision of penis CPT 54435 | $4,643.94 | $11,057.00 | $2,600.00 – $15,638.81 | 6 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $3,300.00 – $10,331.63 | 4 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,878.84 – $5,262.12 | 2 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,898.94 – $3,416.73 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,675.93 – $4,858.34 | 2 |
| Revision of radius CPT 25350 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Revision of radius CPT 25355 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Revision of scrotum CPT 55175 | not published | not published | $1,000.00 – $6,429.49 | 6 |
| Revision of scrotum CPT 55180 | not published | not published | $2,138.51 – $9,013.35 | 6 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,300.00 – $11,734.19 | 6 |
| Revision of testis CPT 54660 | not published | not published | $2,138.51 – $9,013.35 | 6 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revision of toe CPT 28312 | not published | not published | $2,057.49 – $11,141.85 | 6 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $3,014.13 – $5,364.98 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $3,006.52 – $5,332.75 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revision of upper arm CPT 24940 | not published | not published | $941.02 – $6,355.00 | 3 |
| Revision of ureter CPT 50700 | not published | not published | $1,123.21 – $2,054.96 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $1,000.00 – $6,429.49 | 6 |
| Revision of urethra CPT 53460 | not published | not published | $1,000.00 – $6,429.49 | 6 |
| Revision of urethra CPT 57220 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,482.12 – $8,068.00 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Revision tips CPT 37183 | $1,190.28 | $2,834.00 | $5,356.65 – $15,160.00 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $3,970.14 – $25,348.51 | 3 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,147.51 – $38,145.34 | 3 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $771.02 – $771.02 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $2,335.67 – $3,815.25 | 2 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $3,800.87 – $9,789.88 | 3 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $3,800.87 – $9,789.88 | 3 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,355.50 – $4,291.84 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $2,300.00 – $9,013.35 | 4 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,444.00 – $4,043.08 | 2 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,000.00 – $6,706.31 | 6 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,185.13 – $3,967.89 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,000.00 – $6,706.31 | 4 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,000.00 – $6,706.31 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,364.37 – $7,334.00 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,143.70 – $7,334.00 | 3 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $5,260.00 – $44,395.25 | 2 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $4,137.33 – $7,334.00 | 2 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $4,524.00 – $24,459.60 | 2 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $13,441.21 | $32,002.88 | $37.16 – $38.15 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $3,662.22 – $6,355.00 | 2 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $13.40 – $26.77 | 2 |
| Rheumatoid factor quantitative CPT 86431 | $55.02 | $131.00 | $12.40 – $24.72 | 2 |
| Rh ig IV CPT 90386 | not published | not published | $36.35 – $2,435.84 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $108.27 – $228.53 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,296.68 – $15,638.81 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $17.38 – $38.81 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $90.44 – $115.59 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $4,541.09 | $10,812.12 | $107.70 – $137.03 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $645.12 | $1,536.00 | $282.44 – $308.41 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $411.40 – $439.20 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $6,308.04 – $8,068.00 | 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.