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 |
|---|---|---|---|---|
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,529.89 – $2,930.82 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,493.11 – $2,856.35 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,110.14 | $12,167.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $435.54 | $1,037.00 | $333.97 – $488.67 | 2 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,636.84 – $2,811.83 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,727.73 – $2,969.20 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,746.33 – $3,171.10 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $26.68 – $53.28 | 2 |
| Sialography s&i CPT 70390 | $1,152.48 | $2,744.00 | $705.32 – $1,016.05 | 2 |
| Sialolithotomy 42330 CPT 42330 | $4,761.96 | $11,338.00 | $174.26 – $2,444.00 | 3 |
| Sickling rbc CPT 85660 | $168.00 | $400.00 | $12.03 – $24.02 | 2 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $582.59 – $4,579.48 | 6 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $976.42 – $4,579.48 | 6 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,364.58 | $3,249.00 | $976.42 – $4,579.48 | 6 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $582.59 – $2,444.00 | 4 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $976.42 – $2,444.00 | 3 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $976.42 – $4,579.48 | 6 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $976.42 – $10,183.17 | 3 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $976.42 – $4,993.10 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $976.42 – $4,579.48 | 6 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $976.42 – $2,444.00 | 4 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $976.42 – $2,444.00 | 4 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $582.59 – $4,579.48 | 6 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $187.58 – $187.58 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $976.42 – $2,444.00 | 4 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $8.94 – $9.54 | 2 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $130.80 – $4,579.48 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $378.38 – $505.78 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $105.29 – $105.29 | 1 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,283.41 – $15,638.81 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,296.58 | $7,849.00 | $444.62 – $930.67 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $2,899.68 | $6,904.00 | $444.62 – $831.32 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $2,467.08 | $5,874.00 | $273.48 – $414.14 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | $3,514.98 | $8,369.00 | $8,770.58 – $12,082.78 | 2 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $2,150.00 – $10,331.63 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $195,810.90 – $243,109.87 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $3.35 – $36.21 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $252.75 – $415.30 | 3 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.37 – $8.37 | 1 |
| Skin Biopsy CPT 11102 | $254.52 | $606.00 | $161.43 – $2,444.00 | 2 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $2,300.00 – $11,141.85 | 4 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,660.87 – $11,141.85 | 6 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $2,300.00 – $11,141.85 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $12.98 – $100.24 | 2 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $3,152.77 – $5,651.32 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $4,180.03 – $9,299.88 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $2,921.91 – $4,392.27 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $381.79 – $762.17 | 2 |
| Sleep study attended CPT 95807 | not published | not published | $1,276.87 – $1,276.87 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $8,731.38 | $20,789.00 | $1,708.21 – $1,708.21 | 1 |
| Sleep study unattended CPT 95806 | not published | not published | $306.01 – $306.01 | 1 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $6.39 – $6.39 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $3,786.89 – $6,824.26 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $24.57 | $58.50 | $10.28 – $10.28 | 1 |
| Sling pelv split sam med HCPCS L0621 | $163.80 | $390.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $13,632.92 | $32,459.33 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,922.07 – $6,429.49 | 4 |
| Slitting of prepuce CPT 54001 | $2,612.82 | $6,221.00 | $1,922.07 – $7,034.24 | 6 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $115.53 – $115.53 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $310.92 – $310.92 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $40.54 – $40.54 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $371.79 – $371.79 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $248.25 – $248.25 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $56,686.32 – $60,516.83 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $36.79 – $73.42 | 2 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,005.94 – $7,034.24 | 6 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,474.39 – $7,034.24 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,474.39 – $7,034.24 | 6 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,474.39 – $7,034.24 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,005.94 – $4,524.00 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,474.39 – $4,524.00 | 4 |
| Small bowel endoscopy CPT 44382 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,005.94 – $6,388.04 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,005.94 – $7,034.24 | 6 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,474.39 – $7,034.24 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,005.94 – $7,034.24 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,474.39 – $4,524.00 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,000.00 – $4,579.48 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,005.94 – $3,317.26 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $3,746.84 – $10,183.17 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.04 – $0.04 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $417.48 | $994.00 | $11.77 – $23.50 | 2 |
| Smear gram stain CPT 87205 | $207.06 | $493.00 | $9.35 – $18.62 | 2 |
| Smear nasal eosinophil CPT 89190 | $723.66 | $1,723.00 | $12.63 – $25.24 | 2 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $48.72 | $116.00 | $13.07 – $26.12 | 2 |
| Smear wet mount CPT 87210 | $248.22 | $591.00 | $12.71 – $25.38 | 2 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $658.16 – $1,313.89 | 2 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $404.48 – $807.47 | 2 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $102.64 – $204.92 | 2 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $111.55 – $222.67 | 2 |
| Sodium 24 hour urine CPT 84300 | $136.08 | $324.00 | $11.06 – $22.06 | 2 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $56.70 | $135.00 | $7.98 – $59.49 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $56.70 | $135.00 | $4.82 – $29.75 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $56.70 | $135.00 | $2.49 – $14.85 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $48.11 | $114.54 | $0.19 – $0.27 | 3 |
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.