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 |
|---|---|---|---|---|
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $42.03 | 5 |
| I131 max 100uci HCPCS A9531 | not published | not published | $26.17 – $41.73 | 3 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $294.90 – $417.72 | 3 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $4.83 – $474.26 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $58.51 | 5 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $152.99 | 5 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $78.87 | 5 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $47.77 | 4 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $44.81 – $684.17 | 5 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $10,675.72 | 4 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $7.52 – $13.98 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $646.00 | $1,538.09 | $219.22 – $1,869.04 | 5 |
| Icatibant injection HCPCS J1744 | not published | not published | $649.23 – $1,407.91 | 4 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $35,816.55 | $85,277.50 | $5,362.25 – $5,362.25 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,909.00 | $66,450.00 | $12,467.23 – $12,467.23 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $11,566.80 | $27,540.00 | $19,521.11 – $19,521.11 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,356.07 | $15,133.50 | $24,076.66 – $24,076.66 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $216.91 – $550.58 | 4 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $37.52 – $114.00 | 4 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $34.80 – $187.58 | 4 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $20.54 – $78.40 | 4 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,126.28 – $7,690.19 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $4,007.22 | $9,541.00 | $1,000.00 – $4,121.53 | 9 |
| Idarubicin hcl injection HCPCS J9211 | $2,429.31 | $5,784.06 | $129.67 – $233.37 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $215.82 – $1,750.38 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $559,781.08 – $1,894,411.57 | 5 |
| Identify sperm tissue CPT 89264 | not published | not published | $52.35 – $215.69 | 5 |
| Idet 1 or more levels CPT 22527 | not published | not published | $189.14 – $16,636.00 | 5 |
| Idet single level CPT 22526 | not published | not published | $416.55 – $16,636.00 | 5 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $4,192.86 | $9,983.00 | $1,000.00 – $4,188.30 | 9 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $842.57 | 5 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $1,289.64 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $4,837.98 | $11,519.00 | $2,150.00 – $6,330.82 | 9 |
| I&d lacrimal gland CPT 68400 | $1,163.82 | $2,771.00 | $263.87 – $2,681.00 | 6 |
| I&d lacrimal sac CPT 68420 | not published | not published | $278.90 – $7,379.00 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,638.88 | $8,664.00 | $1,000.00 – $4,121.53 | 9 |
| Idursulfase injection HCPCS J1743 | not published | not published | $558.22 – $2,251.28 | 6 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,638.88 | $8,664.00 | $1,000.00 – $3,547.90 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | $3,638.88 | $8,664.00 | $569.42 – $3,078.44 | 5 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $319.89 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $942.12 | $2,243.15 | $82.24 – $170.31 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $903.87 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $298.88 | 5 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $863.24 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $1,284.11 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $753.10 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $351.96 | $838.00 | $74.94 – $281.26 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $808.08 | $1,924.00 | $220.81 – $1,235.67 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $413.70 | $985.00 | $140.88 – $625.66 | 5 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $39.79 – $69.01 | 4 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $171.39 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,298.66 – $6,025.56 | 4 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,298.86 – $14,074.93 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $61.51 – $61.51 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $14,507.22 | $34,541.00 | $1,553.00 – $13,293.00 | 2 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $503.78 – $586.09 | 5 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $49.07 – $409.03 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,113.81 – $4,715.29 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.17 – $199.58 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $59.26 – $114.00 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.52 – $114.00 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $59.26 – $242.68 | 5 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $82.74 – $82.74 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $153.95 – $153.95 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $183.34 – $183.34 | 1 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $120.93 – $127.58 | 3 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $429.25 | $1,022.02 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $265.36 | $631.80 | $132.02 – $139.28 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $209.99 | $499.98 | $63.18 – $66.65 | 3 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $115.57 – $121.93 | 3 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $2,150.00 – $8,662.22 | 9 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $106.25 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $9,449.20 | $22,498.10 | $49.08 – $202.67 | 6 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.40 – $285.96 | 6 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $284.34 | 6 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $213.71 – $366.56 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $653.52 | $1,556.00 | $20.81 – $90.73 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $20.81 – $90.73 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $111.49 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.98 – $52.23 | 5 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $61.26 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $37.34 – $132.77 | 4 |
| Immunofixation electrophoresis serum CPT 86334 | $1,042.44 | $2,482.00 | $22.34 – $97.40 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $52.97 – $212.11 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $165.96 – $1,235.67 | 5 |
| Immunoglobulin assay CPT 86023 | not published | not published | $12.46 – $54.33 | 5 |
| Immunology procedure CPT 86849 | not published | not published | $70.35 – $70.35 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $56.84 – $56.84 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $649.43 – $685.15 | 3 |
| Impedence cardiogram CPT 93701 | not published | not published | $105.90 – $371.79 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $4,039.00 – $18,494.40 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $630.80 – $4,554.00 | 3 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,498.54 | $13,091.76 | $1,420.73 – $1,420.73 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,856.93 | $4,421.25 | $1,057.34 – $1,115.49 | 3 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,272.00 – $17,362.63 | 3 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,004.94 – $9,955.23 | 4 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,558.30 – $7,871.84 | 4 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,941.32 – $9,826.11 | 4 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,020.42 – $10,195.46 | 4 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $6,967.80 | $16,590.00 | not published | 0 |
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.