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 |
|---|---|---|---|---|
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $992.91 – $6,976.00 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $190.68 | $454.00 | $133.65 – $166.82 | 5 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $77.28 | $184.00 | $341.20 – $410.10 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $77.28 | $184.00 | $266.77 – $410.10 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $293.58 | $699.00 | $72.09 – $1,000.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $247.38 | $589.00 | $86.25 – $211.54 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $421.26 | $1,003.00 | $104.89 – $524.81 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | $316.26 | $753.00 | $85.33 – $410.10 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $87.42 – $347.97 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Dialysis one evaluation CPT 90945 | $842.10 | $2,005.00 | $404.53 – $442.22 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.27 – $24.59 | 4 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $37.80 | $90.00 | $0.26 – $0.48 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $96.23 | $229.13 | $20.79 – $26.98 | 5 |
| Dicyclomine injection HCPCS J0500 | $616.46 | $1,467.76 | $40.86 – $225.75 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.67 – $1.06 | 2 |
| Diffusing capacity CPT 94729 | $522.48 | $1,244.00 | $159.76 – $243.12 | 2 |
| Digital analysis of eeg CPT 95957 | $699.30 | $1,665.00 | $573.90 – $859.81 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $56.70 | $135.00 | $14.00 – $50.78 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $30,072.99 | $71,602.36 | $5,166.99 – $17,390.03 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $627.06 | $1,493.00 | $13.28 – $57.90 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $963.49 | $2,294.03 | $160.89 – $844.63 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $4,066.86 | $9,683.00 | $1,553.00 – $2,688.00 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $894.72 – $4,121.53 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,022.30 | $4,815.00 | $539.92 – $4,574.00 | 5 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,898.40 | $4,520.00 | $270.40 – $4,574.00 | 5 |
| Dilate ic vasospasm init CPT 61640 | $3,037.44 | $7,232.00 | $767.33 – $5,769.00 | 5 |
| Dilate tear duct opening CPT 68801 | not published | not published | $121.02 – $556.29 | 5 |
| Dilate urethra stricture CPT 53600 | $302.82 | $721.00 | $43.77 – $2,681.00 | 7 |
| Dilate urethra stricture CPT 53601 | not published | not published | $51.91 – $2,681.00 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $391.61 – $6,330.82 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $69.09 – $2,681.00 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | $204.96 | $488.00 | $51.91 – $1,000.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $966.38 – $4,121.53 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $36.47 – $4,121.53 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $94.82 – $571.58 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $49.78 – $1,000.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $236.96 – $4,121.53 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $819.30 – $6,330.82 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $66.07 – $2,681.00 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $881.16 | $2,098.00 | $64.36 – $1,000.00 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $669.20 | $1,593.34 | $391.66 – $391.66 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,553.00 – $16,636.00 | 5 |
| Dilat xst trc new access rcs CPT 50437 | $676.62 | $1,611.00 | $2,875.00 – $4,618.37 | 4 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.13 – $0.13 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $160.22 – $245.49 | 4 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $27.09 – $43.64 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $4,412.05 | $10,504.87 | $490.00 – $2,691.51 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.10 | $5.00 | $0.07 – $4.83 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $56.70 | $135.00 | $2.58 – $3.27 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $64.71 – $217.12 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.52 – $114.00 | 4 |
| Disability dlco CPT 94727 | $498.96 | $1,188.00 | $190.31 – $471.77 | 4 |
| Disaccharidases CPT 82657 | $265.02 | $631.00 | $22.17 – $96.66 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,072.68 – $10,027.66 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,888.45 – $9,764.55 | 4 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $239.01 – $4,554.00 | 4 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $532.04 – $7,496.37 | 5 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $130.45 – $1,886.35 | 4 |
| Dissolve clot heart vessel CPT 92975 | $3,240.30 | $7,715.00 | $488.78 – $4,554.00 | 4 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $3,865.05 – $7,032.17 | 5 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,272.00 – $7,421.31 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $401.93 – $4,554.00 | 4 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $22.67 – $22.67 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $372.96 – $4,554.00 | 4 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $169.34 – $1,216.44 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $597.32 | 5 |
| Dna antibody native/double stranded CPT 86225 | $575.40 | $1,370.00 | $13.74 – $59.91 | 5 |
| Dna gardnerella CPT 87510 | $138.60 | $330.00 | $20.05 – $87.42 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $99.19 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $117.20 | 5 |
| Dna trichomonas CPT 87660 | $138.60 | $330.00 | $20.05 – $87.42 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $180.86 | $430.62 | $10.66 – $37.43 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,058.20 | $4,900.48 | $1.33 – $21.99 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $4.15 – $171.77 | 5 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $13.68 – $36.25 | 4 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $357.21 – $546.33 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $129.87 | $309.22 | $0.94 – $3.32 | 5 |
| Doppler echo complete CPT 93320 | $575.40 | $1,370.00 | $121.67 – $247.47 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $541.80 | $1,290.00 | $1,166.61 – $2,688.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,734.18 | $4,129.00 | $216.91 – $389.51 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,433.04 | $3,412.00 | $133.65 – $371.79 | 5 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.47 – $3.59 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | $571.64 | $1,361.05 | $154.72 – $197.90 | 5 |
| Dornhoffer fixed part w/window HCPCS L8614 | $26,981.22 | $64,241.00 | $42,898.70 – $42,898.70 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.08 – $895.62 | 5 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $306.71 | $730.27 | $9.53 – $19.25 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $1,457.12 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $171.75 | $408.94 | $0.41 – $0.41 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $762.17 | 5 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $395.64 | $942.00 | $106.50 – $750.48 | 5 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $914.34 | $2,177.00 | $106.50 – $750.48 | 5 |
| Drainage external ear complex 69005 CPT 69005 | $2,112.60 | $5,030.00 | $156.60 – $1,750.38 | 5 |
| Drainage external ear simple 69000 CPT 69000 | $364.56 | $868.00 | $106.50 – $750.48 | 5 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,638.88 | $8,664.00 | $1,000.00 – $4,121.53 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,962.94 – $6,330.82 | 9 |
| Drainage mouth roof lesion CPT 42000 | $420.42 | $1,001.00 | $237.93 – $6,330.82 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $2,173.08 | $5,174.00 | $1,039.16 – $6,330.82 | 9 |
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.