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 |
|---|---|---|---|---|
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.86 – $0.86 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $313.42 – $625.66 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $618.99 – $1,235.67 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $313.42 – $625.66 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $313.42 – $625.66 | 2 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $597.75 – $1,071.62 | 2 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $15.61 – $15.61 | 1 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.40 – $4.40 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $205.38 | $489.00 | $13.50 – $29.97 | 2 |
| Strapping of chest CPT 29200 | $205.38 | $489.00 | $18.56 – $39.98 | 2 |
| Strapping of elbow or wrist 29260 CPT 29260 | $81.06 | $193.00 | $61.80 – $71.21 | 2 |
| Strapping of hand or finger CPT 29280 | $105.84 | $252.00 | $61.80 – $71.21 | 2 |
| Strapping of hip CPT 29520 | $163.80 | $390.00 | $61.80 – $117.17 | 2 |
| Strapping of knee CPT 29530 | $163.80 | $390.00 | $61.80 – $232.23 | 2 |
| Strapping of toes 29550 CPT 29550 | $108.78 | $259.00 | $61.80 – $117.17 | 2 |
| Strep a ag ia CPT 87430 | not published | not published | $36.73 – $73.29 | 2 |
| Strep a dna dir probe CPT 87650 | not published | not published | $43.78 – $87.42 | 2 |
| Strep a dna quant CPT 87652 | not published | not published | $91.20 – $182.07 | 2 |
| Strep b assay w/optic CPT 87802 | not published | not published | $27.78 – $55.50 | 2 |
| Strep b dna amp probe CPT 87653 | $307.86 | $733.00 | $76.64 – $152.99 | 2 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $273.75 – $273.75 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $27.65 – $55.20 | 2 |
| Streptomycin injection HCPCS J3000 | not published | not published | $109.74 – $299.45 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $1,345.32 – $1,436.22 | 3 |
| Stress test pulmonary CPT 94618 | $590.52 | $1,406.00 | $371.79 – $371.79 | 1 |
| Stress tte complete CPT 93351 | not published | not published | $510.00 – $510.00 | 1 |
| Str markers spec anal addl CPT 81266 | not published | not published | $665.72 – $1,328.97 | 2 |
| Str markers specimen anal CPT 81265 | not published | not published | $509.05 – $1,016.19 | 2 |
| St treatment speech individual CPT 92507 | $125.00 | $1,007.00 | $274.06 – $274.06 | 1 |
| St treatment swallow dysfunction/oral CPT 92526 | $386.82 | $921.00 | $299.88 – $299.88 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $872.76 | $2,078.00 | $434.58 – $2,444.00 | 3 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $1,381.32 – $1,381.32 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $51.90 – $99.17 | 2 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $72.15 – $164.50 | 2 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $432.59 – $432.59 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $414.14 – $414.14 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $2,150.00 – $7,034.24 | 4 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $2,539.02 – $5,830.77 | 3 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $2,539.02 – $12,741.55 | 3 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $2,539.02 – $5,830.77 | 3 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $5,128.10 – $25,348.51 | 3 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,815.66 – $3,179.54 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $141.22 | $336.23 | $4.97 – $6.61 | 3 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,300.00 – $6,341.63 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,300.00 – $6,341.63 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,300.00 – $6,341.63 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,300.00 – $5,260.00 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $25.17 – $50.27 | 2 |
| Sugars single quant CPT 84378 | not published | not published | $25.17 – $50.27 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $112.36 | $267.53 | $0.18 – $0.18 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $68.51 | $163.11 | $90.47 – $620.50 | 3 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.34 – $3.34 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $129.96 – $129.96 | 1 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $26.97 – $26.97 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $90.09 | $214.50 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $137,441.33 – $169,388.57 | 4 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $266.66 – $266.66 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $231.03 – $231.03 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,717.20 – $4,993.10 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $973.14 – $5,260.00 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $973.99 – $6,355.00 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,408.14 – $2,565.44 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $3,070.73 – $12,741.55 | 3 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $893.66 – $12,741.55 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $3,070.73 – $12,741.55 | 3 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $817.15 – $12,741.55 | 3 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,623.51 – $9,013.35 | 3 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,706.60 – $2,892.43 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,318.52 – $2,370.46 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $879.87 – $1,674.01 | 2 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $958.77 – $1,745.60 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $2,150.00 – $7,034.24 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $162.12 | $386.00 | $24.40 – $100.24 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $364.98 | $869.00 | $54.87 – $100.24 | 2 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $504.42 | $1,201.00 | $67.07 – $215.69 | 2 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $825.30 | $1,965.00 | $73.92 – $215.69 | 2 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $974.82 | $2,321.00 | $451.93 – $1,235.67 | 2 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,829.94 | $4,357.00 | $643.95 – $2,738.95 | 2 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,648.68 – $2,996.85 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,868.08 – $3,377.58 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,304.99 – $2,385.02 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $8.23 – $611.50 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,000.00 – $4,993.10 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | $225.96 | $538.00 | $10.39 – $20.71 | 2 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $10.50 | $25.00 | $10.39 – $20.71 | 2 |
| Susceptibility mic per plate CPT 87186 | $413.70 | $985.00 | $18.89 – $37.71 | 2 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $14.52 – $28.95 | 2 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,248.35 – $2,238.42 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $2,138.51 – $11,141.85 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $964.27 – $1,749.43 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $527.15 – $6,725.00 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,295.69 – $2,357.40 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,680.80 – $3,051.33 | 2 |
| Svc venogram s&i CPT 75827 | $4,891.74 | $11,647.00 | $2,749.02 – $4,309.62 | 2 |
| Sweat collection by iontophoresis CPT 89230 | $1,168.44 | $2,782.00 | $5.34 – $215.69 | 2 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,633.31 – $7,034.24 | 6 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,633.31 – $3,662.22 | 2 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $672.58 – $1,731.01 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,608.10 – $5,830.77 | 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.