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 |
|---|---|---|---|---|
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $866.51 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $498.91 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $1,076.57 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $682.73 | 5 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $74.73 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $345.66 | $823.00 | $62.14 – $270.93 | 5 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.98 – $78.39 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $251.79 – $4,166.53 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $487.57 – $2,681.00 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $185.35 – $2,681.00 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $164.76 – $430.83 | 5 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $182.35 – $2,681.00 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $186.18 – $783.27 | 5 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $291.71 – $2,681.00 | 6 |
| Ductogram sgl duct CPT 77053 | not published | not published | $239.69 – $1,016.05 | 5 |
| Duodenal motility study CPT 91022 | not published | not published | $326.88 – $395.48 | 4 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $239.69 – $1,010.34 | 5 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $105.02 – $575.08 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,064.28 | $2,534.00 | $105.02 – $382.19 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $2,076.90 | $4,945.00 | $216.91 – $738.14 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,279.76 | $5,428.00 | $239.69 – $642.34 | 5 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $14,438.37 | $34,377.08 | $100.27 – $100.27 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $18,844.77 | $44,868.49 | $86.15 – $323.63 | 6 |
| Dxa bone density axl vrt fx CPT 77085 | $870.66 | $2,073.00 | $105.02 – $488.67 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $129.26 – $507.51 | 4 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,266.15 – $4,574.00 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,599.84 | $10,952.00 | $1,266.15 – $4,574.00 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,976.56 | $9,468.00 | $1,000.00 – $4,121.53 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $204.47 – $1,239.84 | 4 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $191.44 – $2,681.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $191.44 – $2,681.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | $676.62 | $1,611.00 | $158.10 – $2,681.00 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | $204.96 | $488.00 | $129.26 – $2,681.00 | 6 |
| Dx laryngoscopy newborn CPT 31520 | $619.08 | $1,474.00 | $392.90 – $578.17 | 5 |
| Dx laryngoscopy w/oper scope CPT 31526 | $2,624.16 | $6,248.00 | $963.33 – $6,330.82 | 9 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $74.23 – $264.79 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $77.41 – $228.84 | 4 |
| Ear and throat examination CPT 92502 | not published | not published | $435.95 – $675.83 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $130.43 – $1,644.38 | 5 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,520.24 – $18,565.45 | 9 |
| Ear irrigation 69209 CPT 69209 | $158.76 | $378.00 | $59.26 – $84.17 | 5 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.52 – $145.75 | 4 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $2,133.28 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $375.90 | $895.00 | $36.25 – $187.58 | 4 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $24.59 – $33.67 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $315.42 | $751.00 | $25.15 – $187.58 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | $165.48 | $394.00 | $95.50 – $580.04 | 4 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $118.61 – $371.79 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $59.26 – $371.79 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $37.52 – $147.54 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $37.52 – $242.68 | 4 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,850.54 | $6,787.00 | $462.09 – $579.09 | 4 |
| Echocardiography doppler color flow mapping CPT 93325 | $951.30 | $2,265.00 | $76.18 – $116.25 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,850.54 | $6,787.00 | $616.66 – $2,321.60 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $654.36 | $1,558.00 | $239.69 – $252.87 | 4 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $537.18 | $1,279.00 | $350.46 – $1,302.11 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $326.76 | $778.00 | $67.59 – $139.58 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $105.02 – $488.67 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $105.02 – $488.67 | 5 |
| Echo exam of eye CPT 76529 | not published | not published | $87.42 – $347.97 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $29.06 – $100.24 | 5 |
| Echo exam of fetal heart CPT 76825 | $1,036.14 | $2,467.00 | $494.87 – $1,347.85 | 5 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $239.69 – $642.34 | 5 |
| Echo exam of fetal heart CPT 76827 | $1,036.14 | $2,467.00 | $105.02 – $488.67 | 5 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $87.07 – $488.67 | 5 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $239.69 – $1,016.05 | 5 |
| Echograp trans r pros study CPT 76873 | $512.82 | $1,221.00 | $105.02 – $422.70 | 5 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $110.00 – $233.66 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $58.12 – $82.73 | 2 |
| Echo guide for artery repair CPT 76936 | $756.84 | $1,802.00 | $216.91 – $758.95 | 5 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $146.59 – $147.72 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $275.73 – $309.56 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $134.97 – $155.56 | 2 |
| Echo stress CPT 93350 | $1,609.44 | $3,832.00 | $404.32 – $579.09 | 4 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $97.08 – $579.09 | 4 |
| Echo tee guidance CPT 93355 | not published | not published | $807.42 – $807.42 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,018.08 | $2,424.00 | $474.37 – $579.09 | 4 |
| Echo transesophageal CPT 93313 | not published | not published | $40.54 – $579.09 | 4 |
| Echo transesophageal CPT 93314 | not published | not published | $506.32 – $1,383.57 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $548.90 – $1,695.93 | 4 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $548.90 – $1,695.93 | 4 |
| Echo transthoracic CPT 93303 | $1,261.68 | $3,004.00 | $548.90 – $594.81 | 4 |
| Echo transthoracic CPT 93304 | $331.38 | $789.00 | $428.91 – $579.09 | 4 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $239.69 – $330.60 | 4 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $5,924.52 | $14,106.00 | $297.05 – $4,554.00 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $5,924.52 | $14,106.00 | $305.21 – $4,554.00 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $11,230.80 | $26,740.00 | $426.87 – $4,554.00 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $11,230.80 | $26,740.00 | $386.47 – $4,554.00 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,116.82 – $4,554.00 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,056.63 – $4,554.00 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $618.59 – $4,554.00 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $28,129.92 | $66,976.00 | $554.54 – $4,554.00 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $602.26 – $4,554.00 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $28,129.92 | $66,976.00 | $539.07 – $4,554.00 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $688.23 – $4,554.00 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $653.83 – $4,554.00 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $365.39 – $4,554.00 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $248.04 – $4,554.00 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $358.51 – $4,554.00 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $5,924.52 | $14,106.00 | $297.91 – $4,554.00 | 3 |
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.