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 |
|---|---|---|---|---|
| Splint finger frog med HCPCS L3927 | not published | not published | $39.34 – $41.50 | 3 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.52 – $9.97 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.03 | $252.46 | $97.81 – $103.19 | 3 |
| 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 – $6,330.82 | 9 |
| Split blood or products CPT 86985 | $246.12 | $586.00 | $52.75 – $625.66 | 5 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $92.77 – $97.87 | 3 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,126.82 – $10,027.66 | 5 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $36.86 – $50.30 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $96.70 – $350.06 | 4 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $824.65 – $870.01 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $37.49 – $625.66 | 5 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $8,363.54 | 5 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,763.78 – $13,293.00 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,291.78 – $13,293.00 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $390.76 – $4,554.00 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $283.72 – $4,554.00 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $3,311.55 | 5 |
| Srs linear based CPT 77372 | not published | not published | $4,272.09 – $7,805.79 | 4 |
| Srs multisource CPT 77371 | $50,984.64 | $121,392.00 | $4,272.09 – $7,805.79 | 4 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,418.16 – $13,293.00 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $324.12 – $4,554.00 | 4 |
| Staggered spondaic word test CPT 92572 | not published | not published | $129.26 – $471.77 | 4 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,208.38 – $5,478.29 | 3 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $351.80 – $371.15 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $109.38 – $308.47 | 4 |
| Stance phase only HCPCS L5858 | not published | not published | $23,006.91 – $24,272.29 | 3 |
| Standard control cable extra HCPCS L6655 | not published | not published | $113.34 – $119.57 | 3 |
| Staph a dna amp probe CPT 87640 | $61.32 | $146.00 | $35.09 – $152.99 | 5 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $207.40 – $218.81 | 3 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $74.96 – $228.43 | 2 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $74.96 – $228.43 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $189.00 | $450.00 | $102.79 – $383.42 | 4 |
| Stem cells total count CPT 86367 | $755.58 | $1,799.00 | $62.10 – $339.12 | 5 |
| Stenger test pure tone CPT 92565 | not published | not published | $59.26 – $114.00 | 4 |
| Stenger test speech CPT 92577 | not published | not published | $85.37 – $1,655.93 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,198.58 | $40,949.00 | $4,039.00 – $24,388.15 | 4 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $57,771.00 | $137,550.00 | $975.93 – $975.93 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $33,488.94 | $79,735.57 | $209.13 – $209.13 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $31,250.64 | $74,406.28 | $965.21 – $965.21 | 1 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $7,023.54 | $16,722.72 | $5,011.24 – $5,011.24 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,198.58 | $40,949.00 | $4,039.00 – $15,189.00 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $14,507.22 | $34,541.00 | $1,553.00 – $13,293.00 | 2 |
| Stent placemt retro carotid CPT 37217 | $10,468.08 | $24,924.00 | $1,416.01 – $4,554.00 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $19,765.20 | $47,060.00 | $4,039.00 – $24,388.15 | 4 |
| 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 | $1,787.42 – $9,075.23 | 4 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,702.34 – $1,958.67 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.15 – $0.64 | 2 |
| Sterile needle HCPCS A4215 | not published | not published | $0.80 – $0.80 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.22 – $2.14 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.45 – $17.48 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $672.33 – $3,467.69 | 5 |
| Sternal pad HCPCS L1050 | not published | not published | $123.34 – $130.12 | 3 |
| St evaluate speech sound production CPT 92522 | $409.50 | $975.00 | $107.62 – $319.52 | 4 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $250.00 | $2,025.00 | $226.92 – $680.84 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $874.44 | $2,082.00 | $91.09 – $313.38 | 4 |
| St evaluation swallow function CPT 92610 | $316.26 | $753.00 | $58.07 – $253.16 | 4 |
| Stimulants synthetic CPT 80371 | not published | not published | $7.85 – $7.85 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,000.00 – $5,769.00 | 9 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $24.95 – $26.32 | 3 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.86 – $3.59 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $124.66 – $625.66 | 5 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $171.15 – $1,235.67 | 5 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $124.66 – $625.66 | 5 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $124.66 – $625.66 | 5 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $607.84 – $2,754.37 | 3 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $198.72 – $209.65 | 3 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $15.61 – $74.21 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.40 – $18.34 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $205.38 | $489.00 | $13.73 – $172.22 | 5 |
| Strapping of chest CPT 29200 | $205.38 | $489.00 | $18.88 – $172.22 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | $81.06 | $193.00 | $51.15 – $62.85 | 5 |
| Strapping of hand or finger CPT 29280 | $105.84 | $252.00 | $51.15 – $62.85 | 5 |
| Strapping of hip CPT 29520 | $163.80 | $390.00 | $62.85 – $141.01 | 5 |
| Strapping of knee CPT 29530 | $163.80 | $390.00 | $62.85 – $166.82 | 5 |
| Strapping of toes 29550 CPT 29550 | $108.78 | $259.00 | $59.26 – $84.17 | 5 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $73.29 | 5 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $87.42 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $182.07 | 5 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $55.50 | 5 |
| Strep b dna amp probe CPT 87653 | $307.86 | $733.00 | $35.09 – $152.99 | 5 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $273.75 – $412.25 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $55.20 | 5 |
| Streptomycin injection HCPCS J3000 | not published | not published | $69.17 – $326.33 | 5 |
| Streptozocin injection HCPCS J9320 | not published | not published | $1,345.32 – $1,842.74 | 4 |
| Stress test pulmonary CPT 94618 | $590.52 | $1,406.00 | $133.65 – $371.79 | 4 |
| Stress tte complete CPT 93351 | not published | not published | $510.00 – $579.09 | 4 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $1,328.97 | 5 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $1,016.19 | 5 |
| St treatment speech individual CPT 92507 | $125.00 | $1,007.00 | $76.40 – $274.06 | 4 |
| St treatment swallow dysfunction/oral CPT 92526 | $386.82 | $921.00 | $84.37 – $299.88 | 4 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $441.91 – $2,681.00 | 6 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $1,381.32 – $1,865.31 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $52.78 – $212.63 | 5 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $73.37 – $783.27 | 5 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $432.59 – $587.97 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $414.14 – $565.93 | 2 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $786.32 – $6,330.82 | 5 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $2,581.90 – $16,636.00 | 6 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $2,581.90 – $16,636.00 | 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.