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 |
|---|---|---|---|---|
| Cyto/molecular report CPT 88291 | not published | not published | $39.62 – $147.72 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $110.61 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $9.86 – $63.87 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $29.06 – $100.24 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $368.34 | $877.00 | $47.64 – $215.69 | 5 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $116.02 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $88.33 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $293.58 | $699.00 | $34.06 – $145.75 | 5 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $293.58 | $699.00 | $34.06 – $145.75 | 5 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $67.20 | $160.00 | $9.05 – $51.28 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $413.70 | $985.00 | $39.57 – $625.66 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $526.68 | $1,254.00 | $47.64 – $215.69 | 5 |
| Cytopath smear other source CPT 88160 | $231.00 | $550.00 | $15.14 – $100.24 | 5 |
| Cytopath smear other source CPT 88162 | not published | not published | $47.64 – $215.69 | 5 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $29.06 – $100.24 | 5 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $17.39 – $65.92 | 5 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $65.15 – $342.91 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $129.40 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $171.15 – $1,235.67 | 5 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $158.03 | $376.25 | $13.36 – $24.67 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $337.67 – $4,567.77 | 6 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,044.06 | $14,390.62 | $15.00 – $66.79 | 6 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $63.14 – $80.80 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $256.51 | $610.74 | $0.11 – $3.81 | 5 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.18 – $0.18 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $55.03 – $212.42 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.07 – $10.48 | 6 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $10.48 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $261.20 – $892.82 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $1,192.45 | $2,839.17 | $69.17 – $201.71 | 5 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $201.55 – $595.83 | 4 |
| D&c after delivery 59160 CPT 59160 | $4,096.68 | $9,754.00 | $1,130.47 – $5,769.00 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,982.44 | $9,482.00 | $1,551.19 – $6,330.82 | 9 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $21.97 | 5 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $317.06 – $395.48 | 4 |
| Dch validity tests CPT 81002 | $106.26 | $253.00 | $3.48 – $15.17 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,961.62 – $16,636.00 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,330.57 – $4,476.06 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| D&c of cervical stump CPT 57558 | not published | not published | $754.20 – $5,769.00 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $50.27 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $871.36 – $4,554.00 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $818.58 | $1,949.00 | $38.18 – $430.83 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $318.36 | $758.00 | $39.32 – $2,688.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,131.10 | $7,455.00 | $991.90 – $6,330.82 | 9 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $341.46 | $813.00 | $405.87 – $2,688.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,061.34 | $2,527.00 | $692.86 – $2,688.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,640.52 | $3,906.00 | $339.77 – $6,330.82 | 9 |
| Debride nail1-5 11720 CPT 11720 | $149.10 | $355.00 | $59.26 – $84.17 | 5 |
| Debride nail6 or more 11721 CPT 11721 | $149.10 | $355.00 | $59.26 – $84.17 | 5 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $914.34 | $2,177.00 | $454.27 – $4,574.00 | 7 |
| Debride skin bone at fx site CPT 11012 | $3,638.88 | $8,664.00 | $991.90 – $4,574.00 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $719.61 – $4,554.00 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $972.38 – $4,554.00 | 4 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $341.46 | $813.00 | $232.29 – $2,688.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $118.19 – $267.34 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $849.66 | $2,023.00 | $711.36 – $4,574.00 | 7 |
| Debr inf skin add-on 11001 CPT 11001 | $409.08 | $974.00 | $117.54 – $2,688.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,052.54 | $4,887.00 | $339.77 – $6,330.82 | 9 |
| Decalcification CPT 88311 | $175.56 | $418.00 | $11.20 – $48.40 | 4 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,460.21 | $3,476.68 | $5.57 – $150.63 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $872.34 | $2,077.00 | $36.90 – $350.06 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,615.32 – $10,027.66 | 9 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,615.32 – $5,769.00 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | $4,313.40 | $10,270.00 | $1,474.01 – $14,074.93 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,474.01 – $14,074.93 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $2,150.00 – $9,152.38 | 9 |
| Decompression of leg CPT 27892 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $2,300.00 – $9,152.38 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Decompression of lower leg CPT 27600 | $4,192.86 | $9,983.00 | $1,993.01 – $5,769.00 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,993.01 – $5,769.00 | 7 |
| Decompression of thigh/knee CPT 27496 | $4,192.86 | $9,983.00 | $2,750.00 – $7,379.00 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,993.01 – $5,769.00 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,615.32 – $5,769.00 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,300.00 – $9,152.38 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,660.89 – $14,074.93 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Decompressive craniotomy CPT 61322 | not published | not published | $3,024.60 – $15,346.22 | 4 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,841.61 – $6,976.00 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Decompress small bowel CPT 44021 | not published | not published | $1,213.54 – $5,633.58 | 4 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $4,659.00 – $16,636.00 | 6 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $4,935.83 – $16,636.00 | 6 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | $5,045.46 | $12,013.00 | $1,609.70 – $10,027.66 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $26.63 – $49.33 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.46 – $25.80 | 6 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $2,300.00 – $12,447.41 | 9 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,908.00 – $10,027.66 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,688.91 – $10,027.66 | 9 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,688.91 – $14,074.93 | 9 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,721.76 – $10,027.66 | 9 |
| Delivery of placenta 59414 CPT 59414 | $3,982.44 | $9,482.00 | $520.30 – $3,822.09 | 5 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,186.89 – $5,384.18 | 3 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,617.62 – $7,331.27 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $855.74 – $4,554.00 | 4 |
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.