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 |
|---|---|---|---|---|
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.71 – $27.94 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $45,243.16 | $107,721.81 | $95.09 – $329.53 | 6 |
| Alt/sgpt CPT 84460 | $216.72 | $516.00 | $5.30 – $23.11 | 5 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.49 – $16.35 | 4 |
| Aluminum - quest CPT 82108 | not published | not published | $25.48 – $111.09 | 5 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $314.50 – $3,513.75 | 5 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $95.50 – $146.25 | 4 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $6.13 – $6.13 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $23.59 – $371.79 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $56.70 | $135.00 | $2.16 – $6.60 | 5 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $60.47 | 5 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $61.82 | 5 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $85.50 | 5 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $64.58 | $153.77 | $5.23 – $5.23 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $6.34 | 6 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $16.45 – $71.72 | 5 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $390.02 – $1,677.37 | 6 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $143.93 | $342.70 | $2.54 – $29.05 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $9.14 – $24.59 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $69.30 | $165.00 | $0.75 – $3.12 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $2.55 – $2.55 | 1 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $11.58 – $11.58 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.63 – $77.72 | 5 |
| Ammonia CPT 82140 | $388.08 | $924.00 | $14.57 – $63.53 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $827.40 | $1,970.00 | $84.53 – $1,000.00 | 6 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $148.72 – $322.95 | 5 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $40.77 | 5 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,192.86 | $9,983.00 | $1,474.01 – $14,074.93 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $5.16 – $5.16 | 1 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $15.42 – $15.42 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $276.83 | $659.13 | $36.25 – $165.34 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $36.05 – $60.81 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $780.81 | $1,859.08 | $22.81 – $215.07 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $240.03 | $571.50 | $1.71 – $10.44 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $129.42 | $308.14 | $5.23 – $13.66 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $250.32 | $596.00 | $262.99 – $277.45 | 3 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $4,313.40 | $10,270.00 | $2,092.23 – $6,330.82 | 9 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $899.30 – $3,467.69 | 5 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,615.32 – $10,027.66 | 9 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,006.77 – $3,467.69 | 5 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,993.01 – $10,027.66 | 9 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,993.01 – $10,027.66 | 9 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $1,993.01 – $9,152.38 | 5 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,688.91 – $10,027.66 | 9 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,993.01 – $4,188.30 | 5 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,993.01 – $5,769.00 | 7 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,993.01 – $10,027.66 | 9 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,152.93 – $7,690.19 | 5 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $825.36 – $3,467.69 | 5 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,300.00 – $9,152.38 | 7 |
| Amputation of lower leg CPT 27882 | not published | not published | $752.71 – $3,467.69 | 5 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $676.19 – $3,467.69 | 5 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,092.23 – $4,188.30 | 5 |
| Amputation toe interphalangeal joint CPT 28825 | $4,192.86 | $9,983.00 | $2,092.23 – $6,330.82 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $2,092.23 – $6,330.82 | 9 |
| Amylase CPT 82150 | $179.76 | $428.00 | $6.48 – $28.25 | 5 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $261.17 – $261.17 | 1 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $52.80 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $2.23 – $2.23 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $524.76 – $2,688.00 | 3 |
| Anal/urinary muscle study CPT 51784 | $163.80 | $390.00 | $44.72 – $136.37 | 5 |
| Anal/urinary muscle study CPT 51785 | $740.04 | $1,762.00 | $250.99 – $4,121.53 | 9 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $95.50 – $186.80 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $65.69 – $286.41 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $73.37 – $319.89 | 5 |
| Analysis nerve CPT 88356 | not published | not published | $52.35 – $226.26 | 5 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $37.49 – $140.08 | 4 |
| Analysis tumor CPT 88358 | not published | not published | $165.96 – $625.66 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $95.50 – $143.80 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $152.99 | 4 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,808.80 – $12,942.11 | 4 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $3,074.89 – $14,201.44 | 4 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,258.68 – $6,700.94 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $15.05 – $65.62 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | $1,481.76 | $3,528.00 | $422.06 – $4,757.29 | 6 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $125.70 | 5 |
| An fluoro guide for cvp CPT 77001 | $630.84 | $1,502.00 | $317.41 – $341.04 | 2 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $11,252.64 | $26,792.00 | $1,553.00 – $2,688.00 | 2 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $13,526.94 | $32,207.00 | $4,039.00 – $13,293.00 | 4 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $13,526.94 | $32,207.00 | $4,039.00 – $13,293.00 | 4 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $12,778.50 | $30,425.00 | $1,553.00 – $13,293.00 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $89.47 | 5 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $12,272.88 | $29,221.15 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $14,672.70 | $34,935.00 | $4,039.00 – $15,159.97 | 4 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $9,445.80 | $22,490.00 | $1,553.00 – $2,688.00 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $11,252.64 | $26,792.00 | $5,129.00 – $7,579.48 | 5 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $10,578.54 | $25,187.00 | $1,553.00 – $2,688.00 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $10,789.80 | $25,690.00 | $5,129.00 – $7,579.48 | 5 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $1.69 – $7.83 | 5 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $2,300.00 – $9,152.38 | 7 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $2,300.00 – $9,152.38 | 7 |
| Ankle X-ray CPT 73610 | $611.94 | $1,457.00 | $87.42 – $347.97 | 5 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $420.00 | $1,000.00 | $101.59 – $325.51 | 5 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $37.64 – $39.71 | 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.