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 |
|---|---|---|---|---|
| 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 ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.61 – $15.07 | 2 |
| 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 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $111,492.17 – $117,624.24 | 3 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $519.01 – $2,688.00 | 3 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $565.72 – $2,688.00 | 3 |
| 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 |
| Drop lock knee HCPCS L2182 | not published | not published | $131.81 – $139.06 | 3 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $36.42 – $38.42 | 3 |
| 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 screening tapentadol CPT 80372 | not published | not published | $9.66 – $9.66 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $118.20 | 5 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $12.26 – $12.26 | 1 |
| 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 def simple all cl HCPCS G0659 | not published | not published | $62.14 – $270.93 | 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 exclusion CPT 48547 | not published | not published | $2,234.50 – $10,277.77 | 4 |
| 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 aly aud oi snd prcsr each CPT 92623 | not published | not published | $60.08 – $60.08 | 1 |
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.