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 |
|---|---|---|---|---|
| Device sut capio slim opn HCPCS C2631 | $1,825.12 | $4,345.53 | $4,539.63 – $4,539.63 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $10,602.90 | $25,245.00 | $587.76 – $587.76 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $154.85 – $316.64 | 2 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,761.20 – $8,103.38 | 4 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $37.86 – $267.82 | 4 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $90.30 | $215.00 | $202.76 – $202.76 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $69.66 – $225.81 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $92.55 – $586.13 | 6 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.45 – $10.30 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $13.62 | $32.44 | $0.04 – $1.34 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $56.70 | $135.00 | $0.07 – $0.86 | 5 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $203.79 – $828.83 | 6 |
| Dexamethasone panel CPT 80420 | not published | not published | $118.60 – $705.80 | 5 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.21 – $2.74 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,805.25 | $4,298.21 | $49.74 – $824.78 | 6 |
| Dextran 40 infusion HCPCS J7100 | $75.41 | $179.54 | $98.18 – $178.03 | 4 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $63.86 – $63.86 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $4.68 – $12.76 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $49.79 | $118.54 | $3.16 – $7.31 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $47.27 | $112.54 | $18.51 – $22.61 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $48.42 | $115.29 | $7.08 – $32.98 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $63.23 | $150.54 | $10.64 – $65.96 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $22.23 – $96.92 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $315.84 | $752.00 | $9.71 – $42.34 | 5 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $37.64 – $93.23 | 4 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $254.81 – $1,062.37 | 2 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $40.86 – $173.04 | 2 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $40.86 – $173.04 | 2 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $40.86 – $173.04 | 2 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.99 – $52.86 | 4 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $84.95 – $354.18 | 2 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $40.86 – $173.04 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,086.50 – $4,574.00 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,880.00 – $7,395.58 | 7 |
| Diagnostic anoscopy CPT 46601 | $190.68 | $454.00 | $158.10 – $2,681.00 | 6 |
| 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 |
| Dialysis repeated eval CPT 90947 | not published | not published | $590.01 – $590.01 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $1,669.11 – $1,669.11 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $361.79 – $361.79 | 1 |
| 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 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,027.57 – $6,330.82 | 5 |
| 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 |
| Dipyridamole injection HCPCS J1245 | $135.21 | $321.94 | $4.40 – $14.14 | 5 |
| Direct advanced life support CPT 99288 | not published | not published | $40.22 – $534.59 | 2 |
| 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 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,399.68 – $13,542.04 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,888.45 – $9,764.55 | 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.