Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
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 hypopl a-arch wo byp CPT 33852 | not published | not published | $1,745.30 – $8,616.39 | 4 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $2,300.00 – $6,474.38 | 7 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $2,600.00 – $6,976.00 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,276.33 – $6,976.00 | 7 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,210.53 – $16,636.00 | 7 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $2,168.87 – $6,976.00 | 7 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,210.53 – $4,757.29 | 5 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,788.31 – $2,941.67 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $5,129.00 – $16,636.00 | 5 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $5,129.00 – $16,636.00 | 5 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,219.13 – $13,293.00 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,504.22 – $16,636.00 | 4 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,165.71 – $10,478.86 | 4 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $56.54 – $141.89 | 2 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $50.51 – $187.58 | 4 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,750.00 – $16,010.38 | 9 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,794.62 – $15,232.22 | 4 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,323.90 – $12,028.87 | 4 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,199.24 – $11,936.42 | 4 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,266.74 – $11,091.17 | 4 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,247.82 – $12,228.93 | 4 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,824.71 – $14,614.22 | 4 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,774.41 – $13,578.99 | 4 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,759.38 – $15,102.29 | 4 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,522.94 – $13,647.68 | 4 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,599.88 – $14,214.63 | 4 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $2,745.63 – $6,200.00 | 4 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $9,316.86 | $22,183.00 | $2,150.00 – $9,152.38 | 9 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $234.40 – $1,035.06 | 4 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $2,300.00 – $10,032.63 | 7 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,581.40 – $7,690.19 | 5 |
| Rsv assay w/optic CPT 87807 | $472.08 | $1,124.00 | $13.10 – $57.12 | 5 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $162.12 | $386.00 | $133.74 – $413.80 | 4 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $37.49 – $119.35 | 4 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $37.49 – $129.68 | 4 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $37.49 – $129.68 | 4 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.42 – $111.85 | 4 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.90 – $111.85 | 4 |
| Rubella antibody igg CPT 86762 | $330.54 | $787.00 | $14.39 – $62.74 | 5 |
| Rubeola ag if CPT 87283 | not published | not published | $19.73 – $265.09 | 5 |
| Rubeola antibody igg CPT 86765 | not published | not published | $12.88 – $56.16 | 5 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,436.66 | 5 |
| Russell viper venom diluted CPT 85613 | not published | not published | $9.58 – $41.77 | 5 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $3,236.30 | 4 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $278.64 – $293.97 | 3 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $36.80 – $142.93 | 6 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.68 – $41.86 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $370.82 – $423.68 | 4 |
| Salivary gland imaging CPT 78230 | not published | not published | $401.59 – $688.23 | 4 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $370.82 – $423.68 | 4 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $57.51 | 5 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,215.45 – $3,822.09 | 5 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $133.74 – $395.32 | 4 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $6.43 – $6.43 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $61.89 – $219.86 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $43.82 – $54.00 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $563.16 – $565.38 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $47.04 | 4 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $320.42 | 4 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $2,520.15 – $16,636.00 | 7 |
| Sbrt management CPT 77435 | not published | not published | $2,566.93 – $2,957.33 | 2 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $475.59 – $648.24 | 2 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $630.49 – $630.49 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $321.25 – $321.25 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $423.35 – $423.35 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $208.27 – $208.27 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,508.24 | $5,972.00 | $239.69 – $766.84 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,674.12 | $3,986.00 | $105.02 – $383.42 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,034.48 | $4,844.00 | $239.69 – $642.34 | 5 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,268.82 | $3,021.00 | $105.02 – $382.19 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $220.08 | $524.00 | $105.02 – $360.06 | 5 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $574.98 | $1,369.00 | $105.02 – $341.65 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,147.88 | $5,114.00 | $239.69 – $753.34 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,575.00 | $3,750.00 | $105.02 – $383.42 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,516.62 | $3,611.00 | $105.02 – $360.06 | 5 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,253.91 – $2,688.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,522.66 – $2,688.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $1,527.06 – $2,688.00 | 2 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.37 – $5,653.08 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,815.72 | $11,466.00 | $933.32 – $8,852.00 | 6 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,092.23 – $16,636.00 | 7 |
| 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 | $18.54 – $65.92 | 5 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $39.62 – $141.44 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $25.01 – $139.26 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $35.17 – $191.71 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $115.50 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $117.94 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $88.33 | 5 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $39.62 – $141.44 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $786.05 – $4,574.00 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $786.05 – $4,574.00 | 7 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $78.70 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $123.26 | 5 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $23.48 – $202.09 | 5 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $104.99 | 5 |
| Screening Mammogram CPT 77067 | $336.84 | $802.00 | $82.98 – $433.69 | 5 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $39.62 – $141.44 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $84.19 | 5 |
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.