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 |
|---|---|---|---|---|
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,479.68 | $5,904.00 | $855.91 – $4,121.53 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $291.90 | $695.00 | $111.18 – $261.42 | 5 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $291.90 | $695.00 | $140.61 – $261.42 | 5 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,021.04 | $4,812.00 | $256.60 – $4,121.53 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $291.90 | $695.00 | $202.91 – $4,121.53 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $916.02 | $2,181.00 | $855.91 – $6,330.82 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,021.04 | $4,812.00 | $256.60 – $6,330.82 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,994.20 | $9,510.00 | $1,000.00 – $4,121.53 | 9 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,192.86 | $9,983.00 | $1,000.00 – $4,188.30 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $614.04 | $1,462.00 | $155.66 – $4,121.53 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $291.90 | $695.00 | $81.52 – $261.42 | 5 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $445.20 | $1,060.00 | $247.79 – $4,121.53 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,100.42 | $5,001.00 | $855.91 – $4,121.53 | 9 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $291.90 | $695.00 | $111.18 – $261.42 | 5 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $299.88 | $714.00 | $247.79 – $4,121.53 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $291.90 | $695.00 | $140.61 – $261.42 | 5 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $291.90 | $695.00 | $140.61 – $261.42 | 5 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $291.90 | $695.00 | $202.91 – $6,330.82 | 9 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $291.90 | $695.00 | $140.61 – $261.42 | 5 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $291.90 | $695.00 | $202.91 – $4,121.53 | 9 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $291.90 | $695.00 | $247.79 – $6,330.82 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,021.04 | $4,812.00 | $855.91 – $6,330.82 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,021.04 | $4,812.00 | $1,574.62 – $6,330.82 | 9 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $291.90 | $695.00 | $202.91 – $4,121.53 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,021.04 | $4,812.00 | $256.60 – $4,121.53 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $291.90 | $695.00 | $247.79 – $4,121.53 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,021.04 | $4,812.00 | $1,000.00 – $4,121.53 | 9 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $7,520.94 | $17,907.00 | $2,300.00 – $10,027.66 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,955.10 | $4,655.00 | $1,520.24 – $14,074.93 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,122.30 | $9,815.00 | $543.19 – $10,027.66 | 8 |
| Cltx palatal/max fx wire fix CPT 21421 | $4,122.30 | $9,815.00 | $2,600.00 – $14,074.93 | 9 |
| Cltx post ankle fx CPT 27767 | $291.90 | $695.00 | $111.18 – $2,681.00 | 6 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,949.66 | $7,023.00 | $202.91 – $2,681.00 | 6 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,021.04 | $4,812.00 | $256.60 – $4,121.53 | 9 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $291.90 | $695.00 | $247.79 – $4,121.53 | 9 |
| Cltx thigh fx CPT 27267 | $4,313.40 | $10,270.00 | $1,553.00 – $4,188.30 | 6 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,558.65 – $6,330.82 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,750.00 – $16,010.38 | 9 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $374.86 – $500.18 | 4 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $482.96 – $910.10 | 4 |
| C motor evoked upr&lwr limbs CPT 95939 | $793.80 | $1,890.00 | $862.65 – $1,367.82 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $59.26 – $187.58 | 4 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $59.26 – $187.58 | 4 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $9.86 – $61.35 | 5 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $38.37 | 5 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $19.56 – $85.28 | 5 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $35.09 – $152.99 | 5 |
| Co2 monitor per day CPT 94681 | not published | not published | $229.02 – $863.07 | 4 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $15,888.77 | $37,830.40 | $2.64 – $9.26 | 6 |
| Coagulation time activated teg CPT 85347 | $105.84 | $252.00 | $4.28 – $18.66 | 5 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $19.58 | 5 |
| Cocaine 4 % nasal solution HCPCS C9046 | $884.18 | $2,105.19 | $4.53 – $5.26 | 2 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $129.26 – $438.73 | 4 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $129.26 – $426.45 | 4 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $3.72 – $6.70 | 4 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | not published | $875.39 – $875.39 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $35.19 | 5 |
| Cold agglutinin titer CPT 86157 | not published | not published | $8.06 – $35.14 | 5 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,071.57 – $9,574.78 | 4 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,328.63 – $10,770.88 | 4 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,589.15 – $12,039.22 | 4 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,669.21 – $7,712.36 | 4 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,420.63 – $11,226.35 | 4 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,063.40 – $9,580.79 | 4 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,642.45 – $12,222.71 | 4 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,544.54 – $7,146.16 | 4 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,271.03 – $10,495.80 | 4 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,203.11 – $10,195.78 | 4 |
| Colistimethate sodium inj HCPCS J0770 | $88.52 | $210.75 | $39.86 – $70.18 | 5 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $72.90 – $256.07 | 6 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $154.14 | $366.99 | $30.50 – $32.18 | 3 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $49.90 | $118.82 | $75.05 – $79.18 | 3 |
| Collar cerv ascend 172 reg HCPCS L0172 | $543.09 | $1,293.08 | $161.96 – $170.87 | 3 |
| Collar cerv patriot adlt HCPCS L0150 | $268.74 | $639.86 | $124.18 – $131.01 | 3 |
| Collar extrication adult univ HCPCS L0200 | $279.95 | $666.54 | $684.43 – $722.07 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $198.24 | $472.00 | $131.32 – $475.37 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $153.30 | $365.00 | $94.58 – $166.82 | 5 |
| Collection of venous blood by venipuncture CPT 36415 | $108.36 | $258.00 | $3.60 – $9.81 | 4 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $216.91 – $486.64 | 4 |
| Colonoscopy (diagnostic) CPT 45378 | $1,047.06 | $2,493.00 | $934.20 – $6,330.82 | 9 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $947.84 – $6,976.00 | 6 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $947.84 – $6,330.82 | 9 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $947.84 – $4,121.53 | 9 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $934.20 – $4,121.53 | 9 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $947.84 – $4,121.53 | 9 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $947.84 – $6,976.00 | 6 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $947.84 – $4,121.53 | 9 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $947.84 – $4,574.00 | 7 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $934.20 – $4,121.53 | 9 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $947.84 – $6,976.00 | 6 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $947.84 – $4,574.00 | 7 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $947.84 – $6,976.00 | 6 |
| Colonoscopy w/control bleed CPT 45382 | $1,364.58 | $3,249.00 | $947.84 – $6,330.82 | 9 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $934.20 – $6,976.00 | 6 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $947.84 – $6,976.00 | 6 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $947.84 – $4,574.00 | 7 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $947.84 – $4,574.00 | 7 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $947.84 – $7,314.67 | 6 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $947.84 – $6,330.82 | 9 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $947.84 – $6,976.00 | 6 |
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.