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 |
|---|---|---|---|---|
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $2,581.90 – $16,636.00 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $3,340.00 – $18,208.09 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,846.32 – $9,325.60 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $56.70 | $135.00 | $1.66 – $6.61 | 4 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,970.63 – $5,769.00 | 7 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,970.63 – $5,769.00 | 7 |
| Suction socket HCPCS L6686 | not published | not published | $793.42 – $837.06 | 3 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $622.71 – $656.96 | 3 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $50.27 | 5 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $50.27 | 5 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $112.36 | $267.53 | $0.18 – $0.18 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $18.35 – $18.35 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $56.70 | $135.00 | $90.47 – $620.50 | 4 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.34 – $8.42 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $47.04 – $129.96 | 4 |
| Supply of digital device HCPCS G0552 | not published | not published | $133.74 – $141.10 | 3 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $26.97 – $126.12 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $73.38 | $174.72 | $73.08 – $77.10 | 3 |
| Supprelin la implant HCPCS J9226 | not published | not published | $41,173.43 – $159,896.74 | 6 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $266.66 – $362.43 | 2 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $231.03 – $315.19 | 2 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $621.75 – $4,574.00 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $989.57 – $10,128.00 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $990.44 – $10,128.00 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,150.00 – $6,330.82 | 9 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,431.92 – $6,575.19 | 4 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $3,122.57 – $9,152.38 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $908.76 – $9,152.38 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $3,122.57 – $9,152.38 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $830.95 – $9,152.38 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,553.00 – $6,474.38 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,735.41 – $7,659.55 | 4 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,340.78 – $6,206.91 | 4 |
| Surgical opening of stomach CPT 43510 | not published | not published | $894.72 – $1,202.46 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $974.96 – $4,554.00 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,558.65 – $6,330.82 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $162.12 | $386.00 | $22.22 – $100.24 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $364.98 | $869.00 | $34.06 – $100.24 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $504.42 | $1,201.00 | $47.64 – $215.69 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $825.30 | $1,965.00 | $47.64 – $215.69 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $974.82 | $2,321.00 | $220.81 – $1,235.67 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,829.94 | $4,357.00 | $251.33 – $2,738.95 | 5 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,676.52 – $7,733.06 | 4 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,899.62 – $8,737.84 | 4 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,327.03 – $6,148.41 | 4 |
| Surgical trays HCPCS A4550 | not published | not published | $98.61 – $98.61 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $8.23 – $131.89 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $225.96 | $538.00 | $4.75 – $20.71 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $10.50 | $25.00 | $4.75 – $20.71 | 5 |
| Susceptibility mic per plate CPT 87186 | $413.70 | $985.00 | $8.65 – $37.71 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $28.95 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,269.43 – $5,912.04 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $1,804.02 – $10,027.66 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $980.55 – $4,928.07 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $536.06 – $10,128.00 | 4 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $134.68 – $142.09 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,317.57 – $6,084.60 | 4 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,709.18 – $7,855.32 | 4 |
| Svc venogram s&i CPT 75827 | $4,891.74 | $11,647.00 | $675.54 – $3,924.83 | 5 |
| Sweat collection by iontophoresis CPT 89230 | $1,168.44 | $2,782.00 | $4.86 – $215.69 | 5 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $3,262.87 – $3,442.33 | 3 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,001.69 – $4,221.78 | 3 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $311.94 – $329.10 | 3 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $372.40 – $392.88 | 3 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $271.83 – $286.78 | 3 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $633.26 – $668.09 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,660.89 – $6,330.82 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,660.89 – $2,630.61 | 5 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $683.93 – $4,554.00 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,652.15 – $4,574.00 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,384.20 – $4,785.27 | 4 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $19.65 – $43.09 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.52 – $114.00 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $51.56 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $375.48 | $894.00 | $4.40 – $19.18 | 5 |
| System cardiomems hosp electronics HCPCS C2624 | $42,700.77 | $101,668.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $26,599.86 | $63,333.00 | $5,987.97 – $5,987.97 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,795.20 | $18,560.00 | $1,340.56 – $1,340.56 | 1 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $3.67 – $3.67 | 1 |
| System sealant biosentry tract HCPCS C2613 | $1,197.76 | $2,851.80 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $10.92 | $26.00 | $16.94 – $73.86 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $109.62 | $261.00 | $14.18 – $61.82 | 5 |
| T4 (thyroxine) free CPT 84439 | $156.24 | $372.00 | $9.02 – $39.33 | 5 |
| T4 (thyroxine) total CPT 84436 | $167.16 | $398.00 | $6.87 – $29.95 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.76 – $2.09 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $4.86 – $6.57 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.99 | $23.79 | $0.54 – $15.79 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,870.91 | $4,454.55 | $259.96 – $917.81 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $294.84 | $702.00 | $13.73 – $59.86 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.17 – $61.31 | 6 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,717.67 – $13,067.91 | 4 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,506.18 – $12,047.10 | 4 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,534.23 – $5,129.00 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $257.41 | 6 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $5,330.76 | $12,692.29 | $74.88 – $253.39 | 4 |
| Talymed HCPCS Q4127 | not published | not published | $125.01 – $239.70 | 4 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $2.06 – $8.31 | 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.