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 |
|---|---|---|---|---|
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,272.00 – $10,256.51 | 5 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,290.05 – $10,128.00 | 4 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $645.85 – $681.37 | 3 |
| Tx atrial fib pulm vein isol CPT 93656 | $36,070.02 | $85,881.00 | $5,129.00 – $31,265.96 | 5 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $202.91 – $329.93 | 5 |
| Tx closed hip disl traumatic without anes CPT 27250 | $584.22 | $1,391.00 | $247.79 – $4,121.53 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $5,956.44 | $14,182.00 | $1,000.00 – $4,188.30 | 9 |
| Tx closed tib shaft fx without manip CPT 27750 | $635.46 | $1,513.00 | $247.79 – $4,121.53 | 9 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $100.41 – $783.27 | 5 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $69.09 – $783.27 | 5 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,037.28 – $4,713.26 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,095.32 – $4,972.20 | 4 |
| Tx l/r atrial fib addl CPT 93657 | $13,392.96 | $31,888.00 | $1,521.41 – $2,688.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $4,192.86 | $9,983.00 | $2,451.19 – $16,010.38 | 9 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,477.56 | $3,518.00 | $2,451.19 – $14,074.93 | 9 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $4,192.86 | $9,983.00 | $2,150.00 – $6,330.82 | 9 |
| Tx open nsl fx uncomp CPT 21325 | $4,007.22 | $9,541.00 | $2,335.45 – $14,074.93 | 9 |
| Tx open nsl sptl fx CPT 21336 | $4,313.40 | $10,270.00 | $2,451.19 – $6,976.00 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,059.26 | $4,903.00 | $2,451.19 – $14,074.93 | 9 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $542.93 – $4,554.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $291.90 | $695.00 | $111.18 – $261.42 | 5 |
| Tympanic membrane repair CPT 69610 | not published | not published | $252.29 – $1,644.38 | 5 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,000.00 – $4,476.06 | 9 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $98.34 – $471.77 | 4 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $170.76 – $2,681.00 | 6 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,300.00 – $18,565.45 | 9 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,300.00 – $18,565.45 | 9 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $762.17 | 5 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $156.00 – $342.95 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $3,311.55 | 5 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $17.53 | 5 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.75 – $251.66 | 5 |
| Ue triple control harness HCPCS L6677 | not published | not published | $367.25 – $387.45 | 3 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $1,020.24 | 5 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $468.72 | $1,116.00 | $105.02 – $380.24 | 5 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $20.45 – $304.15 | 5 |
| Ultrasound breast complete CPT 76641 | $561.12 | $1,336.00 | $105.02 – $488.67 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $467.46 | $1,113.00 | $87.42 – $347.97 | 5 |
| Ultrasound chest CPT 76604 | $686.70 | $1,635.00 | $105.02 – $488.67 | 5 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $140.28 | $334.00 | $94.31 – $488.67 | 5 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $105.02 – $488.67 | 5 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $149.29 – $149.29 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $105.02 – $488.67 | 5 |
| Ultrasound encephalogram CPT 76506 | $1,373.82 | $3,271.00 | $105.02 – $488.67 | 5 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $251.07 – $488.67 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,044.12 | $2,486.00 | $105.02 – $488.67 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $258.30 | $615.00 | $105.02 – $304.15 | 5 |
| Ultrasound guidance for vascular access CPT 76937 | $388.08 | $924.00 | $72.55 – $86.42 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,057.98 | $2,519.00 | $110.00 – $336.70 | 2 |
| Ultrasound guide intraoperative CPT 76998 | $1,374.66 | $3,273.00 | $258.31 – $284.40 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | $811.44 | $1,932.00 | $419.38 – $460.37 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $1,471.68 | $3,504.00 | $87.42 – $347.97 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | $1,029.42 | $2,451.00 | $87.42 – $347.97 | 5 |
| Ultrasound joint complete left CPT 76881 | $673.68 | $1,604.00 | $105.02 – $304.15 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $673.68 | $1,604.00 | $43.55 – $488.67 | 5 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $459.06 | $1,093.00 | $105.02 – $466.00 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $215.04 | $512.00 | $182.87 – $188.57 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $807.66 | $1,923.00 | $95.83 – $111.76 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $591.36 | $1,408.00 | $239.69 – $642.34 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $512.82 | $1,221.00 | $105.02 – $488.67 | 5 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $512.82 | $1,221.00 | $105.02 – $488.67 | 5 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $512.82 | $1,221.00 | $105.02 – $488.67 | 5 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $105.02 – $419.52 | 5 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,034.46 | $2,463.00 | $105.02 – $488.67 | 5 |
| Ultrasound scrotum and contents CPT 76870 | $811.44 | $1,932.00 | $105.02 – $488.67 | 5 |
| Ultrasound spinal canal and contents CPT 76800 | $1,134.00 | $2,700.00 | $105.02 – $488.67 | 5 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $252.52 – $487.10 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,226.40 | $2,920.00 | $105.02 – $384.99 | 5 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $350.46 – $1,081.06 | 5 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $788.81 – $788.81 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.26 – $28.27 | 4 |
| Umbilical artery cath newborn 36660 CPT 36660 | $544.32 | $1,296.00 | $75.23 – $4,554.00 | 4 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $271.39 – $2,681.00 | 6 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,300.00 – $2,719.73 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,823.51 – $15,638.80 | 3 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $29.06 – $78.40 | 4 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $29.06 – $30.65 | 3 |
| Unlisted chemotherapy px CPT 96549 | $241.08 | $574.00 | $47.04 – $129.96 | 4 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $155.66 – $311.57 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $87.42 – $347.97 | 4 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $401.59 – $1,605.05 | 4 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $47.64 – $215.69 | 5 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $47.64 – $215.69 | 5 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $129.26 – $471.77 | 4 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $401.59 – $1,605.05 | 4 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $157.18 – $254.06 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $87.42 – $347.97 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $401.59 – $1,605.05 | 4 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $401.59 – $1,605.05 | 4 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $70.35 – $70.35 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $157.18 – $254.06 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $3,620.33 – $7,395.58 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,620.33 – $7,395.58 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $3,620.33 – $7,395.58 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $3,340.00 – $7,395.58 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $3,340.00 – $7,395.58 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $3,340.00 – $7,395.58 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $3,340.00 – $7,395.58 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $3,340.00 – $7,395.58 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $3,340.00 – $7,395.58 | 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.