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 |
|---|---|---|---|---|
| Uric acid blood CPT 84550 | $186.90 | $445.00 | $4.52 – $19.71 | 5 |
| Uric acid urine CPT 84560 | $124.32 | $296.00 | $5.08 – $22.15 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $20.49 | 5 |
| Urinalysis microscopic only CPT 81015 | $118.86 | $283.00 | $3.05 – $13.30 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $9.46 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $162.96 | $388.00 | $3.17 – $13.82 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $121.80 | $290.00 | $2.25 – $9.81 | 5 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $251.07 – $312.70 | 2 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.24 – $17.75 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.03 – $33.46 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $59.26 – $84.17 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $54.48 – $227.09 | 2 |
| Urine Culture Test CPT 87086 | $382.20 | $910.00 | $8.07 – $35.19 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $89.71 – $166.82 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $8.71 – $36.25 | 2 |
| Urine pregnancy test CPT 81025 | $207.06 | $493.00 | $8.61 – $37.54 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.22 – $130.71 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,508.43 – $7,384.78 | 4 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.60 – $12.87 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $227.70 – $600.30 | 4 |
| Urography, antegrade CPT 74425 | $714.42 | $1,701.00 | $350.46 – $1,664.87 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $176.20 – $498.37 | 5 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $1,608.54 – $2,278.47 | 3 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $32.16 – $45.58 | 3 |
| Use 1st target lesion CPT 76982 | not published | not published | $105.02 – $488.67 | 5 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,245.81 – $2,369.33 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $52.04 | 6 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $585.05 – $1,032.98 | 4 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $2,283.87 – $18,208.09 | 6 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $554.50 – $565.78 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $514.71 – $554.50 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $498.18 – $545.63 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $307.23 – $333.56 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $229.43 – $249.09 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $103.45 – $132.45 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $346.36 – $451.07 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $228.07 – $561.30 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $1,368.91 – $1,368.91 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $420.68 – $513.49 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $109.66 – $145.69 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $106.75 | $254.16 | $47.46 – $167.84 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $251.18 – $409.25 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $375.31 – $593.60 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $142.91 – $184.14 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $111.99 – $197.87 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $219.65 – $379.43 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $212.81 – $337.02 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $428.38 – $621.44 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $85.38 – $136.68 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $762.66 – $1,310.58 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $404.40 – $945.15 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $161.31 – $292.22 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $508.57 | $1,210.89 | $165.23 – $292.22 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $48.42 – $76.50 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $18.48 | $44.00 | $43.92 – $78.23 | 5 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $58.98 – $95.07 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $62.91 – $293.97 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $70.01 – $134.91 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $29.40 | $70.00 | $62.91 – $101.51 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $31.08 – $51.58 | 4 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $85.83 – $145.26 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $171.11 – $278.92 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $203.70 | $485.01 | $98.40 – $128.97 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $34.00 – $69.01 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $747.18 – $946.77 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $610.52 – $867.01 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $318.20 – $760.87 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $318.20 – $725.89 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $685.24 | $1,631.53 | $262.77 – $420.05 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $504.22 – $1,080.82 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $264.60 | $630.00 | $438.40 – $510.03 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $50.40 | $120.00 | $691.15 – $980.36 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $914.01 – $963.53 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,703.58 | $4,056.14 | $927.07 – $1,096.91 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $118.60 – $193.88 | 4 |
| Vaccine rabies im CPT 90675 | $2,251.07 | $5,359.69 | $315.22 – $1,288.43 | 6 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $813.41 – $1,345.20 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $4,514.40 – $4,514.40 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $2,257.20 – $2,257.20 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $813.41 – $1,276.80 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $421.38 – $684.92 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $369.89 – $483.09 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $321.30 | $764.99 | $138.98 – $239.21 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $310.84 | $740.09 | $69.34 – $142.15 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $245.61 – $415.07 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | $1,083.24 | $2,579.14 | $593.91 – $794.35 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $420.86 – $725.51 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 3 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,683.99 | $4,009.50 | $579.49 – $611.36 | 3 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $227.49 – $240.00 | 3 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,827.28 | $35,303.04 | $5,170.85 – $5,455.25 | 3 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,272.00 – $6,535.46 | 5 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,272.00 – $10,256.51 | 5 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,272.00 – $6,535.46 | 5 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,666.20 – $8,405.97 | 3 |
| Vaginal bx CPT 58999 | $4,206.30 | $10,015.00 | $157.18 – $254.06 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $4,096.68 | $9,754.00 | $2,215.45 – $3,822.09 | 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.