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 |
|---|---|---|---|---|
| X-ray exam of salivary gland CPT 70380 | not published | not published | $87.42 – $347.97 | 5 |
| X-ray exam of sinuses CPT 70210 | $728.28 | $1,734.00 | $87.42 – $347.97 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $239.69 – $1,016.05 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $69.23 – $347.97 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $121.13 – $1,016.05 | 5 |
| X-ray exam si joints CPT 72200 | $715.68 | $1,704.00 | $105.02 – $488.67 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,170.54 | $2,787.00 | $105.02 – $488.67 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $240.24 | $572.00 | $87.42 – $347.97 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $888.72 | $2,116.00 | $105.02 – $488.67 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $126.24 – $138.26 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $556.08 | $1,324.00 | $81.51 – $347.97 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $451.92 | $1,076.00 | $87.42 – $347.97 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $369.60 | $880.00 | $87.42 – $347.97 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $284.34 | $677.00 | $87.42 – $347.97 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $284.34 | $677.00 | $105.02 – $488.67 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $87.42 – $347.97 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $504.84 | $1,202.00 | $87.42 – $347.97 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $1,207.50 | $2,875.00 | $105.02 – $488.67 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $808.92 | $1,926.00 | $105.02 – $488.67 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,213.38 | $2,889.00 | $105.02 – $488.67 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,618.26 | $3,853.00 | $54.16 – $304.15 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $603.54 | $1,437.00 | $81.51 – $347.97 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $284.34 | $677.00 | $87.42 – $347.97 | 5 |
| X-ray joint survey 1 view CPT 77077 | $141.12 | $336.00 | $105.02 – $488.67 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $511.56 | $1,218.00 | $87.42 – $347.97 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $598.08 | $1,424.00 | $87.42 – $347.97 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $284.76 | $678.00 | $87.42 – $347.97 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $595.56 | $1,418.00 | $87.42 – $347.97 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $965.58 | $2,299.00 | $105.02 – $488.67 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $967.26 | $2,303.00 | $105.02 – $488.67 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,618.68 | $3,854.00 | $105.02 – $488.67 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $239.69 – $1,016.05 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $804.72 | $1,916.00 | $105.02 – $488.67 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $674.94 | $1,607.00 | $87.42 – $347.97 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $172.45 – $347.97 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $591.36 | $1,408.00 | $87.42 – $347.97 | 5 |
| X-ray neck soft tissue CPT 70360 | $298.62 | $711.00 | $87.42 – $347.97 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $399.00 | $950.00 | $87.42 – $347.97 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $239.69 – $1,016.05 | 5 |
| X-ray optic foramina CPT 70190 | $284.76 | $678.00 | $87.42 – $347.97 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $534.66 | $1,273.00 | $105.02 – $488.67 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $668.22 | $1,591.00 | $105.02 – $488.67 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $751.73 – $766.79 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $844.59 – $879.94 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,060.08 | $2,524.00 | $202.70 – $1,027.50 | 5 |
| X-ray ribs 2 views left CPT 71100 | $400.26 | $953.00 | $87.42 – $347.97 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,202.88 | $2,864.00 | $105.02 – $488.67 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $976.08 | $2,324.00 | $105.02 – $488.67 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,288.56 | $3,068.00 | $105.02 – $488.67 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $858.90 | $2,045.00 | $105.02 – $488.67 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $740.46 | $1,763.00 | $87.42 – $347.97 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $512.82 | $1,221.00 | $105.02 – $488.67 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $87.42 – $347.97 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $462.00 | $1,100.00 | $87.42 – $347.97 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,073.52 | $2,556.00 | $87.42 – $347.97 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,300.32 | $3,096.00 | $279.53 – $2,099.69 | 5 |
| X-ray skull < 4 views CPT 70250 | $596.82 | $1,421.00 | $105.02 – $488.67 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $1,020.18 | $2,429.00 | $105.02 – $488.67 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $105.02 – $488.67 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $840.84 | $2,002.00 | $176.20 – $794.48 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $471.24 | $1,122.00 | $208.97 – $208.97 | 1 |
| X-ray spine single view CPT 72020 | $634.62 | $1,511.00 | $87.42 – $347.97 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $534.66 | $1,273.00 | $87.42 – $347.97 | 5 |
| X-ray sternum > 2 views CPT 71120 | $696.78 | $1,659.00 | $87.42 – $347.97 | 5 |
| X-ray surgical specimen CPT 76098 | $1,559.04 | $3,712.00 | $87.51 – $2,099.69 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $840.84 | $2,002.00 | $176.20 – $794.48 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $719.04 | $1,712.00 | $87.42 – $347.97 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $829.92 | $1,976.00 | $105.02 – $488.67 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $1,064.28 | $2,534.00 | $105.02 – $488.67 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $918.54 | $2,187.00 | $87.42 – $347.97 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $323.40 | $770.00 | $81.51 – $347.97 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $571.62 | $1,361.00 | $105.02 – $488.67 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $393.54 | $937.00 | $87.42 – $347.97 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $456.54 | $1,087.00 | $87.42 – $347.97 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,064.70 | $2,535.00 | $176.20 – $794.48 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $942.48 | $2,244.00 | $176.20 – $794.48 | 5 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $309.11 – $1,101.95 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $483.25 – $516.35 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | $284.34 | $677.00 | $87.42 – $347.97 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $176.20 – $794.48 | 5 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $471.14 – $471.14 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $308.47 – $412.41 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $8.23 – $13,211.71 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $56.29 | 5 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $5.39 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $57.51 | 5 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $237,285.73 | 5 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $125.01 – $291.12 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.46 – $35.45 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $6.18 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.08 – $8.90 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $223.71 | 5 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $73.47 | 5 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $25.17 | $59.93 | $1.69 – $7.08 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $112.93 | $268.89 | $10.98 – $108.08 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $69.14 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.65 – $117.45 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $256.67 | $611.12 | $18.21 – $671.73 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $511.40 – $1,119.48 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $3,311.55 | 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.