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 |
|---|---|---|---|---|
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $233.27 | $555.40 | $5.98 – $9.01 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $256.85 – $337.94 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $85.68 | $204.00 | $10.52 – $20.97 | 2 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $56.70 | $135.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $347.76 | $827.99 | not published | 0 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $2,606.89 – $2,606.89 | 1 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $2,606.89 – $2,606.89 | 1 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,606.89 – $2,606.89 | 1 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $2,606.89 – $2,606.89 | 1 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.28 – $4.28 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $9.53 – $9.53 | 1 |
| Somatosensory testing CPT 95927 | $577.08 | $1,374.00 | $363.78 – $363.78 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $204.28 – $621.49 | 3 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,606.89 – $2,606.89 | 1 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $2,606.89 – $2,606.89 | 1 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $37.36 – $78.70 | 3 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $207.57 – $2,444.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $229.97 – $2,444.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Special physics consult CPT 77370 | $2,868.60 | $6,830.00 | $497.29 – $497.29 | 1 |
| Special pump services CPT 99190 | not published | not published | $1,226.47 – $1,226.47 | 1 |
| Special pump services CPT 99191 | not published | not published | $911.87 – $911.87 | 1 |
| Special pump services CPT 99192 | not published | not published | $607.08 – $607.08 | 1 |
| Special radiation dosimetry CPT 77331 | $661.50 | $1,575.00 | $76.28 – $76.28 | 1 |
| Special radiation treatment CPT 77470 | $6,389.46 | $15,213.00 | $101.72 – $101.72 | 1 |
| Special supplies phys/qhp CPT 99070 | $42.00 | $100.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $2,459.94 | $5,857.00 | $175.18 – $175.18 | 1 |
| Specific gravity body fluid CPT 84315 | not published | not published | $7.16 – $14.30 | 2 |
| Specimen fat stain CPT 89125 | not published | not published | $12.84 – $25.64 | 2 |
| Speech audiometry complete CPT 92556 | not published | not published | $114.00 – $114.00 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $705.32 – $1,016.05 | 2 |
| Speech recep thresh CPT 92555 | not published | not published | $114.00 – $114.00 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $23.32 – $46.52 | 2 |
| Sperm evaluation test CPT 89329 | not published | not published | $42.78 – $85.41 | 2 |
| Sperm identification CPT 89257 | not published | not published | $108.06 – $215.69 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $108.06 – $215.69 | 2 |
| Sperm isolation simple CPT 89260 | not published | not published | $108.06 – $215.69 | 2 |
| Sperm washing 58323 CPT 58323 | not published | not published | $7.60 – $13.08 | 2 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,600.00 – $15,638.81 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,300.00 – $11,141.85 | 6 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,444.00 – $3,669.79 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,469.62 | $8,261.00 | $1,331.36 – $2,444.00 | 2 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $6,725.00 – $25,348.51 | 2 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $863.07 – $863.07 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $586.32 | $1,396.00 | $160.99 – $160.99 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $471.77 – $471.77 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $689.80 – $689.80 | 1 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,410.68 – $2,567.74 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,840.80 – $5,173.86 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $1,399.68 – $2,560.05 | 2 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.52 – $2.52 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.03 | $252.46 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,713.66 | $11,223.00 | $2,150.00 – $7,034.24 | 6 |
| Split blood or products CPT 86985 | $246.12 | $586.00 | $57.93 – $625.66 | 2 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $2,300.00 – $11,141.85 | 4 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $36.86 – $36.86 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $134.62 – $134.62 | 1 |
| Sputum specimen collection CPT 89220 | not published | not published | $41.16 – $625.66 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $7,188.99 – $7,674.78 | 2 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,734.49 – $3,113.53 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,270.33 – $2,282.93 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $384.27 – $689.33 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $279.01 – $497.42 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $383.08 – $3,311.55 | 2 |
| Srs linear based CPT 77372 | not published | not published | $4,272.09 – $4,272.09 | 1 |
| Srs multisource CPT 77371 | $50,984.64 | $121,392.00 | $4,272.09 – $4,272.09 | 1 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,394.61 – $2,524.75 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $318.74 – $574.18 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $471.77 – $471.77 | 1 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,188.32 – $2,165.49 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $308.47 – $308.47 | 1 |
| Staph a dna amp probe CPT 87640 | $53.34 | $127.00 | $76.64 – $152.99 | 2 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $74.96 – $74.96 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $74.96 – $74.96 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $189.00 | $450.00 | $383.42 – $383.42 | 1 |
| Stem cells total count CPT 86367 | $755.58 | $1,799.00 | $169.88 – $339.12 | 2 |
| Stenger test pure tone CPT 92565 | not published | not published | $114.00 – $114.00 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $1,655.93 – $1,655.93 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,198.58 | $40,949.00 | $6,355.00 – $33,952.14 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $57,771.00 | $137,550.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $33,488.94 | $79,735.57 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $31,250.64 | $74,406.28 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $7,023.54 | $16,722.72 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,198.58 | $40,949.00 | $6,355.00 – $21,105.06 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $14,507.22 | $34,541.00 | $2,444.00 – $2,444.00 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,392.49 – $5,260.00 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $19,765.20 | $47,060.00 | $6,355.00 – $33,952.14 | 3 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $220.38 – $220.38 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,757.74 – $3,179.54 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,702.34 – $1,702.34 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.15 – $0.15 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.22 – $0.24 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.45 – $4.75 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $661.17 – $6,355.00 | 3 |
| St evaluate speech sound production CPT 92522 | $409.50 | $975.00 | $319.52 – $319.52 | 1 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $250.00 | $2,025.00 | $680.84 – $680.84 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $874.44 | $2,082.00 | $313.38 – $313.38 | 1 |
| St evaluation swallow function CPT 92610 | $316.26 | $753.00 | $253.16 – $253.16 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,000.00 – $4,579.48 | 6 |
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.