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 |
|---|---|---|---|---|
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $503.16 | $1,198.00 | $17.93 – $78.17 | 5 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $293.15 – $685.15 | 3 |
| Extraction of lens CPT 66930 | not published | not published | $2,103.15 – $16,010.38 | 9 |
| Extraction of lens CPT 66940 | not published | not published | $902.62 – $16,010.38 | 9 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,103.15 – $14,074.93 | 9 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $133.65 – $2,681.00 | 5 |
| Eye allergy tests CPT 95060 | not published | not published | $133.65 – $371.79 | 4 |
| Eye implant band 40 HCPCS C1784 | $133.82 | $318.63 | $1,560.63 – $1,560.63 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $170.31 – $2,688.00 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,848.58 – $14,074.93 | 5 |
| Eye suture during surgery CPT 67335 | not published | not published | $899.20 – $2,688.00 | 3 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $764.74 | 5 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $1,233.36 | 5 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $729.30 – $1,474.62 | 3 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $12,382.95 | 5 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $1,735.63 | 5 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $937.32 – $937.32 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $2,616.00 | 5 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $461.21 – $486.58 | 3 |
| Face bone graft CPT 21210 | not published | not published | $3,300.00 – $18,565.45 | 9 |
| Facial bones <3 CPT 70140 | $836.64 | $1,992.00 | $87.42 – $347.97 | 5 |
| Facial nerve function test CPT 92516 | not published | not published | $79.90 – $228.84 | 4 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,330.57 – $5,873.49 | 4 |
| Factor ix CPT 85250 | not published | not published | $19.04 – $83.01 | 5 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.58 – $12.69 | 6 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.70 – $5.96 | 6 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $18.93 | 6 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $4.67 | 6 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.50 – $17.93 | 6 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.74 – $5.49 | 6 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $6.56 | 6 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.20 – $11.27 | 6 |
| Factor viii CPT 85240 | $253.68 | $604.00 | $17.90 – $78.04 | 5 |
| Factor viii HCPCS J7190 | not published | not published | $1.39 – $3.96 | 6 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.46 – $8.48 | 6 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $5.31 | 6 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $7.54 | 6 |
| Factor viii recombinant nos HCPCS J7192 | $8,344.38 | $19,867.56 | $1.57 – $5.37 | 6 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $5.31 | 6 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.24 – $12.84 | 6 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $40.03 | 6 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.33 – $67.09 | 6 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,213.96 – $3,430.73 | 5 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | $17.22 | $41.00 | $37.64 – $93.16 | 4 |
| Family therapy without pt 50min 90846 CPT 90846 | $94.08 | $224.00 | $178.30 – $188.11 | 3 |
| Family therapy with patient 50 min 90847 CPT 90847 | $94.08 | $224.00 | $178.30 – $188.11 | 3 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $56.70 | $135.00 | $0.03 – $0.03 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $31.26 – $117.17 | 6 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $159.66 | 5 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,126.71 – $3,467.69 | 5 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $22.24 | 5 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $81.84 | 5 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,143.98 | $2,723.76 | $206.61 – $217.97 | 3 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $19.88 | 5 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $64.32 – $224.11 | 5 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $158.10 – $1,202.46 | 5 |
| #fecal-sodium CPT 84302 | not published | not published | $4.86 – $21.19 | 5 |
| Feeding tube reposition CPT 74355 | not published | not published | $158.17 – $169.69 | 2 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $145.03 – $192.76 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $78.77 – $349.01 | 4 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.64 – $81.27 | 5 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $5,101.97 – $5,382.58 | 3 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $301.35 – $4,554.00 | 4 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $76.56 – $80.77 | 3 |
| Fem/popl revasc w/stent CPT 37226 | $17,198.58 | $40,949.00 | $4,039.00 – $15,189.00 | 4 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $11.86 – $49.44 | 2 |
| Feno poc CPT 95012 | not published | not published | $37.52 – $114.00 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $601.65 | $1,432.50 | $1.46 – $3.69 | 5 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $42.47 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,728.35 | $16,019.88 | $1.10 – $6.05 | 6 |
| Ferritin CPT 82728 | $556.08 | $1,324.00 | $13.63 – $59.43 | 5 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.23 – $8.57 | 6 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $8.57 | 6 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $3,466.20 | 4 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $655.62 | $1,561.00 | $105.02 – $304.15 | 5 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $3,309.46 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $3,309.46 | 5 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $250.74 | $597.00 | $134.10 – $214.26 | 4 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $271.39 – $414.20 | 5 |
| Fetal fibronectin CPT 82731 | $532.56 | $1,268.00 | $64.41 – $280.83 | 5 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $271.39 – $2,681.00 | 6 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $278.04 | $662.00 | $7.73 – $33.70 | 5 |
| Fetal hemoglobin rosette CPT 85461 | $243.18 | $579.00 | $9.36 – $40.81 | 5 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $84.24 | 5 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $52.44 – $4,554.00 | 4 |
| Fetal monitor w/report CPT 59050 | not published | not published | $63.62 – $2,688.00 | 4 |
| Fetal non stress test CPT 59025 | $1,087.38 | $2,589.00 | $72.09 – $214.26 | 4 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $271.39 – $414.20 | 5 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $271.39 – $2,681.00 | 6 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $9.75 – $9.75 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $25.84 – $29.96 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $224.28 | $534.00 | $10.18 – $44.38 | 5 |
| Fibrin degradation products CPT 85362 | $206.64 | $492.00 | $6.89 – $30.04 | 5 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $42.38 | 5 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $44.38 | 5 |
| Fibrinogen activity CPT 85384 | $254.52 | $606.00 | $9.72 – $42.38 | 5 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $54.19 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $115.08 | $274.00 | $8.52 – $67.49 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $33.62 | 5 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $33.62 | 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.