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 |
|---|---|---|---|---|
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,000.00 – $3,547.90 | 7 |
| Drainage of eye CPT 65800 | $2,879.10 | $6,855.00 | $377.30 – $4,121.53 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $2,103.15 – $10,027.66 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $2,103.15 – $6,330.82 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,615.32 – $6,330.82 | 9 |
| Drainage of kidney lesion CPT 50390 | $388.92 | $926.00 | $599.18 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41005 | $292.74 | $697.00 | $237.93 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41007 | $1,955.10 | $4,655.00 | $1,000.00 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41008 | $5,699.40 | $13,570.00 | $1,000.00 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $435.95 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41015 | $643.44 | $1,532.00 | $435.95 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,000.00 – $7,421.31 | 9 |
| Drainage of mouth lesion CPT 41017 | $4,007.22 | $9,541.00 | $1,000.00 – $4,121.53 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $775.99 – $4,121.53 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $292.74 | $697.00 | $85.30 – $251.02 | 5 |
| Drainage of nose lesion sept 30020 CPT 30020 | $643.44 | $1,532.00 | $211.96 – $571.58 | 5 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | $4,192.86 | $9,983.00 | $1,000.00 – $4,188.30 | 9 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,150.00 – $6,330.82 | 9 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,150.00 – $4,618.37 | 7 |
| Drainage of rectal abscess CPT 45005 | $1,160.88 | $2,764.00 | $1,202.09 – $6,330.82 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,746.20 – $6,330.82 | 9 |
| Drainage of salivary gland CPT 42305 | $4,007.22 | $9,541.00 | $2,150.00 – $6,330.82 | 9 |
| Drainage of salivary gland CPT 42320 | $643.44 | $1,532.00 | $435.95 – $4,121.53 | 9 |
| Drainage of throat abscess CPT 42725 | not published | not published | $2,150.00 – $7,421.31 | 9 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,954.52 – $6,330.82 | 9 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,612.82 | $6,221.00 | $96.54 – $2,215.40 | 5 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $700.47 – $5,769.00 | 7 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,954.52 – $2,710.47 | 5 |
| Drain bladder by trocar/cath CPT 51101 | $1,316.28 | $3,134.00 | $74.46 – $910.10 | 5 |
| Drain blood from under nail 11740 CPT 11740 | $294.84 | $702.00 | $62.85 – $166.82 | 5 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $5,225.22 | $12,441.00 | $1,263.16 – $5,769.00 | 6 |
| Drain cath image guided visceral pq CPT 49405 | $5,120.64 | $12,192.00 | $1,263.16 – $16,636.00 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $907.62 | $2,161.00 | $447.31 – $4,121.53 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $1,993.01 – $6,330.82 | 9 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $425.76 – $425.76 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $408.24 | $972.00 | $106.50 – $212.63 | 5 |
| Drain lower leg bursa CPT 27604 | $4,313.40 | $10,270.00 | $2,150.00 – $6,330.82 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | $3,638.88 | $8,664.00 | $1,962.94 – $6,330.82 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,638.88 | $8,664.00 | $1,962.94 – $6,330.82 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,429.77 – $6,887.01 | 4 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,215.45 – $3,822.09 | 5 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,895.82 – $10,027.66 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,365.29 – $6,234.63 | 4 |
| Drain penis lesion CPT 54015 | $2,112.60 | $5,030.00 | $1,659.12 – $14,074.93 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,615.32 – $10,027.66 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $1,962.94 – $5,769.00 | 7 |
| Drain shoulder lesion CPT 23030 | $3,638.88 | $8,664.00 | $1,000.00 – $4,121.53 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,638.88 | $8,664.00 | $1,962.94 – $10,027.66 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $775.99 – $4,121.53 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $920.37 – $4,554.00 | 4 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $615.30 | $1,465.00 | $175.37 – $4,574.00 | 7 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $495.60 | $1,180.00 | $65.22 – $2,681.00 | 6 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $719.88 | $1,714.00 | $339.77 – $4,574.00 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $818.58 | $1,949.00 | $158.10 – $783.27 | 5 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $15,247.86 | $36,304.42 | $125.01 – $171.91 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $120.96 | $288.00 | $1,157.23 – $5,840.62 | 4 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $6,170.22 | $14,691.00 | $401.93 – $4,554.00 | 4 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $963.79 – $4,554.00 | 4 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,192.86 | $9,983.00 | $1,474.01 – $6,330.82 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | $656.88 | $1,564.00 | $196.19 – $2,681.00 | 6 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,112.60 | $5,030.00 | $1,000.00 – $4,121.53 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $74.66 – $750.48 | 5 |
| Drng of mouth lesion 40801 CPT 40801 | $643.44 | $1,532.00 | $541.79 – $6,330.82 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,921.08 – $10,027.66 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,474.01 – $6,330.82 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,000.00 – $4,188.30 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,525.44 | $3,632.00 | $1,000.00 – $4,121.53 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $1,915.88 – $10,027.66 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,176.02 | $5,181.00 | $1,000.00 – $4,121.53 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,366.58 – $6,331.80 | 4 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,244.06 – $5,739.00 | 4 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $853.73 – $10,128.00 | 4 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,981.30 – $9,133.68 | 4 |
| Drng salivary gland simple 42300 CPT 42300 | $1,955.10 | $4,655.00 | $775.99 – $4,121.53 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $643.44 | $1,532.00 | $435.95 – $4,121.53 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $3.08 – $36.84 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $63.89 | $152.13 | $6.25 – $39.25 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,372.29 | $5,648.30 | $1,206.51 – $1,206.51 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $3,964.00 | $9,438.10 | $5.76 – $131.26 | 6 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $886.80 | $2,111.42 | $40.96 – $131.26 | 6 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $35.10 | $83.57 | $8.68 – $131.26 | 4 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $81.88 – $81.88 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $14.61 – $60.97 | 2 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $15.31 – $131.89 | 4 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $7,156.03 | $17,038.16 | $64.26 – $131.26 | 5 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $28,551.05 | $67,978.69 | $125.01 – $188.16 | 6 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.64 – $131.89 | 4 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $10.89 – $131.89 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | $355.32 | $846.00 | $346.56 – $2,688.00 | 3 |
| Drug assay caffeine CPT 80155 | not published | not published | $23.28 – $168.17 | 5 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $118.20 | 5 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $118.20 | 5 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $168.17 | 5 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $118.20 | 5 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $81.27 | 4 |
| Drug of abuse screen urine CPT 80305 | $345.66 | $823.00 | $12.60 – $54.94 | 5 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $118.20 | 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.