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 |
|---|---|---|---|---|
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $82.45 | 5 |
| Folic acid CPT 82746 | $205.38 | $489.00 | $14.70 – $64.09 | 5 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $56.70 | $135.00 | $0.20 – $0.20 | 1 |
| Follow-up angiography CPT 75898 | $3,514.98 | $8,369.00 | $302.55 – $7,987.49 | 5 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $133.74 – $395.32 | 4 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,103.15 – $6,330.82 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,959.39 | $14,189.03 | $6.54 – $45.12 | 5 |
| Fondaparinux sodium HCPCS J1652 | $237.47 | $565.41 | $2.52 – $21.50 | 5 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $248.46 – $262.13 | 3 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $94.30 – $99.49 | 3 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $58.14 – $61.34 | 3 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $95.45 – $100.70 | 3 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $278.64 – $293.97 | 3 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $199.51 – $210.48 | 3 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $163.39 – $172.38 | 3 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $215.28 – $227.12 | 3 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $151.31 – $159.63 | 3 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $215.28 – $227.12 | 3 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $245.12 – $258.60 | 3 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $62.84 – $66.30 | 3 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $408.31 – $430.77 | 3 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $324.52 – $342.37 | 3 |
| Foot X-ray CPT 73630 | $580.44 | $1,382.00 | $87.42 – $347.97 | 5 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,247.88 – $1,316.51 | 3 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $853.15 – $900.07 | 3 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $4,713.66 | $11,223.00 | $2,300.00 – $5,769.00 | 7 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $745.04 – $6,123.36 | 4 |
| Forensic cytopathology CPT 88125 | not published | not published | $25.67 – $215.69 | 5 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $258.72 | $616.00 | $250.99 – $4,121.53 | 9 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $12.98 – $12.98 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $6.88 – $74.01 | 5 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $537.99 | $1,280.92 | $0.40 – $9.28 | 5 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $54.54 – $337.68 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $296.60 | $706.18 | $1.33 – $14.27 | 5 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $124.26 | 5 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $87.42 – $347.97 | 5 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $195.72 | 5 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,541.04 – $18,565.45 | 9 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $834.62 – $880.52 | 3 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $706.16 – $745.00 | 3 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $873.35 – $921.38 | 3 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $947.61 – $999.73 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,843.19 – $10,027.66 | 6 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,360.13 – $5,129.00 | 4 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,710.37 – $17,253.04 | 4 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,875.01 – $10,027.66 | 6 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,015.26 – $7,037.95 | 4 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,994.62 – $9,720.53 | 4 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,849.64 – $10,027.66 | 6 |
| Frenectomy 41115 CPT 41115 | not published | not published | $219.26 – $4,121.53 | 8 |
| Frenotomy 40806 CPT 40806 | not published | not published | $118.85 – $4,121.53 | 7 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,155.03 – $4,574.00 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $18.23 | $43.40 | $73.77 – $77.83 | 3 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $21.84 | $52.00 | $24.13 – $90.71 | 3 |
| Fresh frozen plasma thawing ea un CPT 86927 | $123.90 | $295.00 | $40.95 – $180.56 | 5 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $53.25 – $56.18 | 3 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $34.06 – $204.74 | 5 |
| Frozen blood prep CPT 86930 | not published | not published | $171.15 – $1,235.67 | 5 |
| Frozen blood thaw CPT 86931 | not published | not published | $171.15 – $1,235.67 | 5 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $52.71 | 5 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $55.96 – $349.41 | 4 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $16.76 – $73.07 | 5 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $58.14 – $61.34 | 3 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,177.87 – $6,330.82 | 5 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $806.54 – $6,330.82 | 5 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $388.12 – $409.47 | 3 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $2,958.37 | 4 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $138.28 | 4 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $153.50 – $305.33 | 4 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $110.47 | 4 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $108.02 | 4 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $416.66 – $439.58 | 3 |
| Full field erg w/i&r CPT 92273 | not published | not published | $216.91 – $334.28 | 4 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $121.13 – $1,016.05 | 5 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $67.55 – $71.27 | 3 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,501.10 | $5,955.00 | $1,688.91 – $6,330.82 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,688.91 – $6,330.82 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $742.78 – $6,330.82 | 5 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,501.10 | $5,955.00 | $1,688.91 – $10,027.66 | 9 |
| Functional brain mapping CPT 96020 | not published | not published | $573.90 – $826.32 | 2 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $133.65 – $371.79 | 4 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,070.70 – $2,184.59 | 3 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $96.26 | $229.19 | $0.07 – $0.07 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $2.17 – $25.58 | 4 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $4,042.98 – $18,668.08 | 4 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,716.49 – $7,898.06 | 4 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,846.32 – $8,132.82 | 4 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,739.28 – $7,999.03 | 4 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,633.95 – $7,506.94 | 4 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,837.71 – $8,446.94 | 4 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1,385.71 – $10,027.66 | 5 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,900.06 – $8,733.12 | 3 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,788.07 – $17,435.89 | 4 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,076.30 – $9,546.41 | 4 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,632.24 – $7,508.60 | 4 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,360.56 – $6,258.23 | 4 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,685.54 – $7,749.09 | 4 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $2,600.00 – $18,208.09 | 9 |
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.