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 |
|---|---|---|---|---|
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $2,688.00 – $2,875.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $2,688.00 – $2,875.00 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.52 – $1.98 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $3,311.55 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $17.74 – $12,729.46 | 5 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $2,606.89 | 5 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.72 – $5,486.23 | 4 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,519.04 – $4,554.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $144.17 – $783.27 | 5 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,699.73 – $8,275.94 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $3.57 | 6 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $597.32 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $188.57 – $188.57 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $47.13 – $47.13 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $87.42 – $375.53 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $87.42 – $373.96 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $436.00 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $61.98 – $270.23 | 5 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $2,198.52 – $2,198.52 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $4,618.90 – $5,716.16 | 3 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $775.52 – $1,612.50 | 5 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $6,155.86 – $6,155.86 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $260.75 – $303.36 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $6,309.63 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $5,423.52 – $7,682.33 | 3 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1,108.48 – $1,108.48 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $103.01 – $103.01 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $347.93 – $492.84 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $105.26 – $130.01 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $206.07 – $291.87 | 3 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $48.43 – $68.58 | 3 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $2,886.08 – $4,088.07 | 3 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $38.00 – $38.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $163.89 – $190.66 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $116.73 – $165.32 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $18.23 – $18.23 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $14.70 – $37.54 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $92.71 – $216.68 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $509.13 – $592.31 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $659.93 – $2,597.66 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $199.19 – $282.16 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $183.55 – $422.36 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $1,194.66 – $2,035.94 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $96.10 – $783.27 | 5 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $105.02 – $382.19 | 4 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $105.02 – $382.19 | 4 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $450.88 – $794.67 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $443.18 – $2,681.00 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $598.92 | $1,426.00 | $46.98 – $204.83 | 5 |
| T cells absolute cd 4 count CPT 86361 | $559.44 | $1,332.00 | $26.78 – $116.76 | 5 |
| T cells total count CPT 86359 | $535.50 | $1,275.00 | $37.73 – $164.50 | 5 |
| Tcranial magn stim tx deli CPT 90868 | $180.60 | $430.00 | $86.03 – $228.84 | 4 |
| Tcranial magn stim tx plan CPT 90867 | $180.60 | $430.00 | $216.91 – $626.76 | 4 |
| Tcran magn stim redetemine CPT 90869 | $180.60 | $430.00 | $216.91 – $228.84 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $588.93 – $4,554.00 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,318.00 – $6,504.52 | 4 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $130.26 – $174.43 | 2 |
| Team conf without pat by phys CPT 99367 | $38.22 | $91.00 | $197.85 – $266.56 | 2 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $146.25 – $202.64 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $48,244.46 | $114,867.77 | $222.49 – $759.81 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $787.49 – $2,321.60 | 4 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $787.49 – $2,321.60 | 4 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $75.17 – $79.30 | 3 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.03 – $26.13 | 6 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $18.77 – $545.63 | 2 |
| Telethx isodose plan cplx CPT 77307 | $3,929.94 | $9,357.00 | $376.14 – $550.96 | 4 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $305.13 – $396.82 | 4 |
| Temozolomide HCPCS J8700 | $105.77 | $251.83 | $1.06 – $20.16 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $44.95 | 6 |
| Temperature gradient studies CPT 93740 | not published | not published | $41.40 – $471.77 | 4 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $6,200.00 – $24,397.50 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.08 – $191.58 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $1,000.00 – $4,188.30 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,600.00 – $6,976.00 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $1,000.00 – $4,188.30 | 9 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $42,656.71 | $101,563.59 | $197.44 – $601.78 | 6 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $4,215.91 – $11,381.53 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,474.01 – $10,027.66 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,875.00 – $5,769.00 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,474.01 – $10,027.66 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $897.15 – $3,467.69 | 5 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $4,192.86 | $9,983.00 | $2,092.23 – $6,330.82 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $316.22 – $2,150.00 | 6 |
| Tension based scoliosis orth HCPCS L1005 | $3,104.64 | $7,392.00 | $3,954.38 – $4,171.87 | 3 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $25.65 – $160.49 | 2 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $56.70 | $135.00 | $9.60 – $29.60 | 5 |
| Teriparatide injection HCPCS J3110 | not published | not published | $135.88 – $265.92 | 4 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $5,060.90 – $5,339.25 | 3 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,908.27 – $4,123.22 | 3 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,728.38 – $1,823.44 | 3 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,178.02 – $1,242.81 | 3 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,752.80 – $1,849.20 | 3 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $492.59 – $519.68 | 3 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $520.97 – $549.62 | 3 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $404.88 – $427.15 | 3 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $304.48 – $321.23 | 3 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $949.50 – $1,001.72 | 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.