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 |
|---|---|---|---|---|
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,355.00 – $7,544.31 | 2 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,355.00 – $11,101.88 | 2 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,355.00 – $7,544.31 | 2 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $6,355.00 – $7,544.31 | 2 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,355.00 – $11,101.88 | 2 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $2,837.18 – $6,725.00 | 2 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $2,025.01 – $6,355.00 | 2 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,965.90 – $6,725.00 | 2 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,355.00 – $7,544.31 | 2 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,725.00 – $11,101.88 | 2 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $6,355.00 – $7,544.31 | 2 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,893.01 – $3,317.71 | 2 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $2,951.58 – $9,789.88 | 3 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $2,638.99 – $9,789.88 | 3 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,709.55 – $3,072.06 | 2 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,813.97 – $3,247.85 | 2 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,023.65 – $3,594.82 | 2 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,125.95 – $3,868.87 | 2 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,780.99 – $3,200.26 | 2 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,024.08 – $3,984.78 | 2 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $2,750.00 – $10,331.63 | 4 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,359.95 – $2,460.26 | 2 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,159.57 – $2,091.81 | 2 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,039.93 – $1,892.21 | 2 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,157.22 – $6,622.89 | 4 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $3,157.22 – $10,295.80 | 3 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,250.66 – $3,980.95 | 2 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,716.32 – $2,961.53 | 2 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $2,300.00 – $9,013.35 | 4 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $2,300.00 – $6,429.49 | 4 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $2,600.00 – $6,622.89 | 4 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,600.00 – $6,622.89 | 4 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,157.22 – $6,622.89 | 4 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $2,600.00 – $6,622.89 | 4 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,157.22 – $6,725.00 | 3 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $4,524.00 – $4,524.00 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $8,068.00 – $10,833.29 | 2 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $8,068.00 – $11,373.50 | 2 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,697.23 – $6,355.00 | 2 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $2,094.11 – $6,725.00 | 2 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,129.75 – $3,831.25 | 2 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $56.54 – $56.54 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $187.58 – $187.58 | 1 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,750.00 – $17,789.31 | 6 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,748.22 – $5,242.93 | 2 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,285.32 – $4,218.91 | 2 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,162.72 – $4,132.95 | 2 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,229.10 – $4,009.34 | 2 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,210.49 – $4,218.91 | 2 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,777.81 – $5,101.69 | 2 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,728.35 – $5,195.35 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,713.56 – $5,166.17 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,481.05 – $4,726.32 | 2 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,556.71 – $4,865.26 | 2 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $3,157.22 – $6,622.89 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $9,316.86 | $22,183.00 | $2,150.00 – $12,741.55 | 6 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $1,035.06 – $1,035.06 | 1 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $2,300.00 – $9,013.35 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,538.54 – $6,725.00 | 3 |
| Rsv assay w/optic CPT 87807 | $472.08 | $1,124.00 | $28.63 – $57.12 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $162.12 | $386.00 | $413.80 – $413.80 | 1 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $119.35 – $119.35 | 1 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $129.68 – $129.68 | 1 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $129.68 – $129.68 | 1 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $111.85 – $111.85 | 1 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $111.85 – $111.85 | 1 |
| Rubella antibody igg CPT 86762 | $330.54 | $787.00 | $31.41 – $62.74 | 2 |
| Rubeola ag if CPT 87283 | not published | not published | $132.79 – $265.09 | 2 |
| Rubeola antibody igg CPT 86765 | not published | not published | $28.13 – $56.16 | 2 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $719.65 – $1,436.66 | 2 |
| Russell viper venom diluted CPT 85613 | not published | not published | $20.93 – $41.77 | 2 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $3,236.30 – $3,236.30 | 1 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $11,027.95 | $26,257.03 | $122.86 – $131.16 | 4 |
| Salivary gland function exam CPT 78232 | not published | not published | $370.82 – $370.82 | 1 |
| Salivary gland imaging CPT 78230 | not published | not published | $688.23 – $688.23 | 1 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $370.82 – $370.82 | 1 |
| Salmonella antibody CPT 86768 | not published | not published | $28.80 – $57.51 | 2 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,178.67 – $6,725.00 | 3 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $395.32 – $395.32 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $188.98 – $225.42 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $43.82 – $43.82 | 1 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $124.49 | $296.40 | $563.16 – $565.38 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $47.04 – $47.04 | 1 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $320.42 – $320.42 | 1 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $3,746.84 – $10,183.17 | 4 |
| Sbrt management CPT 77435 | not published | not published | $2,566.93 – $2,566.93 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $475.59 – $475.59 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,508.24 | $5,972.00 | $705.32 – $766.84 | 2 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,674.12 | $3,986.00 | $333.97 – $383.42 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,034.48 | $4,844.00 | $518.63 – $705.32 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,268.82 | $3,021.00 | $333.97 – $382.19 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $220.08 | $524.00 | $333.97 – $360.06 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $574.98 | $1,369.00 | $333.97 – $341.65 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,147.88 | $5,114.00 | $705.32 – $753.34 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,575.00 | $3,750.00 | $333.97 – $383.42 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,516.62 | $3,611.00 | $333.97 – $360.06 | 2 |
| Scan proc cranial extra CPT 61782 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $2,444.00 – $2,444.00 | 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.