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 |
|---|---|---|---|---|
| Fusion of big toe joint CPT 28750 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,092.23 – $14,074.93 | 9 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,425.89 – $7,587.48 | 4 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $626.63 – $6,330.82 | 5 |
| Fusion of finger joint CPT 26860 | $4,192.86 | $9,983.00 | $2,300.00 – $10,027.66 | 9 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,474.01 – $6,330.82 | 9 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,474.01 – $6,330.82 | 9 |
| Fusion of foot bones CPT 28730 | not published | not published | $2,600.00 – $18,208.09 | 9 |
| Fusion of foot bones CPT 28735 | not published | not published | $2,600.00 – $18,208.09 | 9 |
| Fusion of foot bones CPT 28740 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Fusion of knee CPT 27580 | not published | not published | $1,780.11 – $13,542.04 | 5 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,000.00 – $4,188.30 | 9 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Fusion of skull arteries CPT 61711 | not published | not published | $3,302.74 – $16,852.85 | 4 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,099.91 – $14,074.93 | 9 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $2,174.62 – $14,074.93 | 9 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Fusion of thumb CPT 26841 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $2,600.00 – $18,208.09 | 9 |
| Fusion of toes CPT 28280 | not published | not published | $2,092.23 – $6,330.82 | 9 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,737.13 – $7,992.59 | 4 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,521.33 – $7,311.43 | 4 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,423.32 – $6,969.48 | 4 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $1,198.26 | 5 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $597.32 | 5 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $1,198.26 | 5 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $807.47 | 5 |
| G0180 home health certification HCPCS G0180 | not published | not published | $184.34 – $255.89 | 2 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $255.02 | 5 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $2,616.00 | 5 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $762.17 | 5 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,636.09 | 5 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $296.43 – $520.78 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $280.90 | 5 |
| Gabapentin non-blood CPT 80355 | not published | not published | $7.85 – $7.85 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.92 – $2.25 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $37.80 | $90.00 | $5.16 – $11.21 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.40 – $1.39 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $165.78 | $394.71 | $51.46 – $74.96 | 5 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $91.87 | 5 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $93.65 | 5 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $51.19 | 5 |
| Galectin-3 CPT 82777 | not published | not published | $36.20 – $192.93 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $3,758.72 – $16,636.00 | 6 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $37.59 | 5 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $241.45 – $383.49 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $241.45 – $580.39 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $2,501.09 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $2,980.03 | 4 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $4.98 – $10.56 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $513.60 – $1,769.27 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $1,293.70 | 6 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.95 – $169.48 | 6 |
| Gammaglobulin iga CPT 82784 | $218.82 | $521.00 | $9.30 – $40.55 | 5 |
| Gammaglobulin ige CPT 82785 | $173.46 | $413.00 | $16.46 – $71.77 | 5 |
| Gamma glutamyltransferase CPT 82977 | $242.76 | $578.00 | $7.20 – $31.39 | 5 |
| Gammagraft HCPCS Q4111 | not published | not published | $24.91 – $131.26 | 6 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.65 – $277.42 | 6 |
| Gamunex-c/gammaked HCPCS J1561 | $4,292.03 | $10,219.13 | $49.73 – $197.32 | 6 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $353.99 | $842.84 | $138.67 – $404.69 | 5 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $15,789.91 – $90,943.76 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $152.99 | 5 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $182.07 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $29.26 | 5 |
| Gastric emptying imag study CPT 78265 | not published | not published | $401.59 – $1,541.43 | 4 |
| Gastric emptying imag study CPT 78266 | not published | not published | $545.44 – $1,896.56 | 4 |
| Gastric motility studies CPT 91020 | not published | not published | $374.86 – $599.72 | 4 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $401.59 – $787.24 | 4 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $77.13 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,268.13 – $5,826.57 | 4 |
| Gastroesophageal reflux study CPT 78262 | $1,666.02 | $3,966.71 | $401.59 – $944.33 | 4 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $374.86 – $484.19 | 4 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,970.44 – $13,803.40 | 4 |
| Gastrointestinal repair CPT 43361 | not published | not published | $3,204.72 – $14,739.38 | 4 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,667.91 – $7,697.40 | 4 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,630.09 – $7,498.30 | 4 |
| Gastro/jejuno tube, std HCPCS B4087 | $1,235.37 | $2,941.35 | $193.20 – $193.20 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,443.85 – $11,248.55 | 4 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $894.72 – $1,202.46 | 5 |
| Gated heart multiple CPT 78473 | not published | not published | $364.53 – $989.94 | 5 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $3.24 – $13.51 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.46 – $14.42 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.85 – $11.85 | 2 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.28 – $5.31 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.82 – $20.11 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $206.01 | 5 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $78.02 | 3 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $92.49 | 3 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $108.30 | 3 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $57.88 | 3 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $66.10 | 3 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $76.10 | 3 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $103.24 | 3 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $123.10 | 3 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $145.81 | 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.