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 |
|---|---|---|---|---|
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $6,308.04 – $8,068.00 | 2 |
| Rhythm ecg with report CPT 93040 | not published | not published | $44.23 – $44.23 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $3,300.00 – $20,628.27 | 6 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $5,329.50 – $9,462.00 | 3 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,121.98 | $2,671.38 | $0.55 – $0.55 | 1 |
| Right heart cath congenital CPT 93530 | not published | not published | $3,040.29 – $6,070.39 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $1,030.52 – $2,103.50 | 2 |
| Rilonacept injection HCPCS J2793 | not published | not published | $84.15 – $102.60 | 3 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $6.81 – $6.81 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,443.35 | $5,817.50 | not published | 0 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $6.81 – $6.81 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $47,142.25 | $112,243.46 | $51.94 – $65.79 | 3 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $3,822.14 | $9,100.34 | $35.04 – $46.17 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $20,612.78 | $49,078.05 | $265.76 – $372.48 | 4 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $129.37 – $188.94 | 4 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $11,108.13 | $26,447.92 | $109.13 – $347.73 | 4 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $104.71 – $307.39 | 3 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $13,502.06 | $32,147.77 | $77.71 – $328.16 | 4 |
| R & l heart cath congenital CPT 93531 | not published | not published | $3,040.29 – $6,070.39 | 2 |
| R & l heart cath congenital CPT 93532 | not published | not published | $3,040.29 – $6,070.39 | 2 |
| R & l heart cath congenital CPT 93533 | not published | not published | $3,040.29 – $6,070.39 | 2 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $6,308.04 – $8,068.00 | 2 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $6,308.04 – $8,068.00 | 2 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,367.98 – $7,334.00 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $914.34 | $2,177.00 | $86.50 – $2,444.00 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $4,953.22 – $10,295.80 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | $2,021.04 | $4,812.00 | $1,000.00 – $4,579.48 | 6 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,638.88 | $8,664.00 | $1,582.97 – $7,034.24 | 6 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,552.34 | $6,077.00 | $1,000.00 – $4,579.48 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,112.60 | $5,030.00 | $159.92 – $313.64 | 2 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,444.00 – $12,405.01 | 2 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | $6,431.04 | $15,312.00 | $2,769.93 – $6,355.94 | 3 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $48,106.38 | $114,539.00 | $5,260.00 – $48,378.46 | 3 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $48,106.38 | $114,539.00 | $5,260.00 – $68,762.02 | 3 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $42,952.14 | $102,267.00 | $5,260.00 – $48,378.46 | 3 |
| Rmvl icd pulse gen only CPT 33241 | $4,039.56 | $9,618.00 | $2,769.93 – $6,355.94 | 3 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $609.58 – $1,083.13 | 2 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,893.21 – $5,229.87 | 2 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $746.76 | $1,778.00 | $577.47 – $2,444.00 | 3 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $11,282.46 | $26,863.00 | $2,150.00 – $16,277.14 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $365.40 – $365.40 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $4,524.00 – $6,905.25 | 2 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $4,524.00 – $6,905.25 | 2 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $4,524.00 – $6,905.25 | 2 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $14,553.84 | $34,652.00 | $5,260.00 – $39,007.16 | 3 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $13,269.90 | $31,595.00 | $5,260.00 – $16,277.14 | 3 |
| Rmvl pq iabp CPT 33968 | $202.02 | $481.00 | $41.01 – $2,444.00 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $263.37 – $445.23 | 2 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $3,669.79 – $6,678.40 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $2,302.62 – $3,669.79 | 2 |
| Rmvl sq defib electrode CPT 33272 | $3,900.12 | $9,286.00 | $2,769.93 – $6,355.94 | 3 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,495.20 | $3,560.00 | $1,299.32 – $2,444.00 | 2 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $3,743.04 | $8,912.00 | $1,000.00 – $4,939.24 | 6 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $532.14 | $1,267.00 | $155.48 – $4,579.48 | 5 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,604.06 – $7,334.00 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,514.87 – $7,334.00 | 3 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,463.10 – $2,677.50 | 2 |
| Rmvl tv pm lead dual CPT 33235 | $6,026.16 | $14,348.00 | $2,769.93 – $6,355.94 | 3 |
| Rmvl tv pm lead sgl CPT 33234 | $4,225.20 | $10,060.00 | $2,769.93 – $6,355.94 | 3 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $4,524.00 – $6,160.56 | 2 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $4,524.00 – $6,340.29 | 2 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $4,524.00 – $6,160.56 | 2 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $336.50 – $611.03 | 2 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $4,524.00 – $27,645.16 | 2 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $5,260.00 – $63,018.80 | 2 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $4,524.00 – $6,568.98 | 2 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $1,058.65 – $1,519.61 | 2 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,955.35 – $5,378.80 | 2 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $3,463.92 – $6,372.13 | 2 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,445.54 – $4,440.75 | 2 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $14,001.38 – $14,001.38 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $9,753.27 – $9,753.27 | 1 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $5.46 – $13.97 | 4 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $14,035.53 | $33,417.93 | $108.76 – $140.21 | 3 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $30,714.81 | $73,130.49 | $38.49 – $38.49 | 1 |
| Romiplostim injection HCPCS J2796 | not published | not published | $266.92 – $364.91 | 3 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $17,246.74 | $41,063.67 | $32.39 – $42.01 | 4 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $285.63 | $680.08 | $0.11 – $0.30 | 4 |
| Rotavirus antibody CPT 86759 | not published | not published | $39.82 – $79.48 | 2 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $116.22 – $372.17 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $80.48 – $84.59 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $15,160.00 – $26,823.71 | 2 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $7,530.49 – $7,530.49 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $3,970.14 – $15,160.00 | 4 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $15,160.00 – $27,792.41 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,095.80 | $4,990.00 | $995.40 – $3,474.31 | 4 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,666.14 | $3,967.00 | $989.94 – $989.94 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,890.28 – $1,890.28 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $3,705.13 – $3,705.13 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,897.98 | $4,519.00 | $995.40 – $3,474.31 | 4 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $2,300.00 – $5,902.83 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $2,300.00 – $9,789.88 | 4 |
| Rpl tun cvc wo subq port CPT 36581 | $2,059.68 | $4,904.00 | $2,150.00 – $5,902.83 | 4 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $110.62 – $110.62 | 1 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $111.85 – $111.85 | 1 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $2,341.27 – $6,355.00 | 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.