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 |
|---|---|---|---|---|
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,815.72 | $11,466.00 | $1,111.61 – $4,524.00 | 3 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,057.49 – $6,200.00 | 4 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,163.35 | $17,055.60 | $23.28 – $23.28 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $33.10 – $65.92 | 2 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $141.44 – $141.44 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $69.75 – $139.26 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $96.03 – $191.71 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $57.87 – $115.50 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $59.07 – $117.94 | 2 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $44.25 – $88.33 | 2 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $141.44 – $141.44 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $773.00 – $4,524.00 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $773.00 – $4,524.00 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $39.42 – $78.70 | 2 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $61.76 – $123.26 | 2 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $101.24 – $202.09 | 2 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $52.59 – $104.99 | 2 |
| Screening Mammogram CPT 77067 | $200.00 | $802.00 | $309.71 – $433.69 | 2 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $141.44 – $141.44 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $42.16 – $84.19 | 2 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $33.10 – $65.92 | 2 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $9.82 – $9.82 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $64,280.97 | $153,049.92 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $85.68 | $204.00 | $206.20 – $206.20 | 1 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $120.96 | $288.00 | $995.13 – $1,814.67 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,581.34 | $8,527.00 | $2,444.00 – $2,444.00 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $19.68 – $19.68 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $163.38 | $389.00 | $5.91 – $11.77 | 2 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $7,785.33 – $10,512.09 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,766.20 – $3,174.17 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $114.00 – $114.00 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.05 – $1.05 | 1 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $30.72 – $30.72 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $78.40 – $78.40 | 1 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $46.68 – $46.68 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $34.41 – $34.41 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $14.21 – $28.34 | 2 |
| Semen analysis presence/motility CPT 89321 | $328.02 | $781.00 | $26.31 – $52.54 | 2 |
| Semen analysis w/count CPT 89310 | not published | not published | $18.82 – $37.54 | 2 |
| Sensorimotor examination CPT 92060 | not published | not published | $187.58 – $187.58 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $114.00 – $114.00 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,811.03 – $15,638.81 | 6 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $419.33 – $837.12 | 2 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,150.00 – $12,741.55 | 6 |
| Serial casting application 97139app CPT 97139 | not published | not published | $51.63 – $51.63 | 1 |
| Serial tonometry CPT 92100 | $127.26 | $303.00 | $117.99 – $117.99 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $4.98 – $4.98 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $95.33 – $190.31 | 2 |
| Set radiation therapy field CPT 77280 | $4,081.56 | $9,718.00 | $957.85 – $957.85 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $1,604.85 – $1,604.85 | 1 |
| Set radiation therapy field CPT 77290 | $5,856.90 | $13,945.00 | $1,709.39 – $1,709.39 | 1 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $923.80 – $923.80 | 1 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $106.86 – $106.86 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Sex chromatin identification CPT 88130 | not published | not published | $39.28 – $78.39 | 2 |
| Sex chromatin identification CPT 88140 | not published | not published | $17.44 – $34.84 | 2 |
| Sex transformation f to m CPT 55980 | not published | not published | $4,031.54 – $6,429.49 | 2 |
| Sex transformation m to f CPT 55970 | not published | not published | $2,178.67 – $9,098.38 | 2 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $422.05 – $3,311.55 | 2 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $976.42 – $2,444.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $94.50 – $184.50 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $80.16 – $188.06 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $94.50 – $236.77 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $94.50 – $262.14 | 2 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $254.52 | $606.00 | $116.22 – $372.17 | 2 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $94.50 – $372.17 | 2 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $254.52 | $606.00 | $94.50 – $188.06 | 2 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $94.50 – $680.56 | 2 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $525.42 | $1,251.00 | $87.34 – $372.17 | 2 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $94.50 – $372.17 | 2 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $94.50 – $372.17 | 2 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $12,405.39 | $29,536.65 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $6,384.50 | $15,201.20 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $53.45 – $106.73 | 2 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,300.00 – $5,830.77 | 4 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $5,128.10 – $12,741.55 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $2,300.00 – $12,741.55 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Shoe post-op mens m HCPCS L3260 | $232.98 | $554.71 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,000.00 – $5,830.77 | 6 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,525.66 – $6,725.00 | 3 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,641.92 – $6,725.00 | 3 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Shorten radius & ulna CPT 25392 | not published | not published | $2,300.00 – $12,741.55 | 6 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,750.00 – $12,741.55 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,883.76 | $11,628.00 | $931.71 – $1,666.92 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | $4,307.10 | $10,255.00 | $1,473.55 – $1,661.20 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $3,936.24 | $9,372.00 | $568.62 – $988.29 | 2 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $2,152.83 – $5,260.00 | 3 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,554.82 – $5,260.00 | 3 |
| Shoulder X-ray CPT 73030 | $612.36 | $1,458.00 | $247.94 – $347.97 | 2 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,529.89 – $2,930.82 | 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.