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 |
|---|---|---|---|---|
| Induction of vomiting CPT 99175 | $811.86 | $1,933.00 | $74.27 – $89.72 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $74.06 | 3 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $130.35 – $568.33 | 5 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $65.40 | 5 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $61.61 | 5 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $1,122.48 | 5 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $1,122.48 | 5 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $128.73 – $561.26 | 5 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $257.45 – $1,122.48 | 5 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $381.78 | $909.00 | $32.77 – $142.88 | 5 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $19.73 – $153.86 | 5 |
| Infect ag ia optc obs influenza CPT 87804 | $115.50 | $275.00 | $16.55 – $72.16 | 5 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $52.23 | 5 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $80.05 | 5 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $70.07 | 5 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $53.41 | 5 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $15.60 – $68.02 | 5 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $70.20 | 5 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $52.23 | 5 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $58.51 | 5 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $233.13 | 5 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $152.99 | 5 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $186.78 | 5 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $35.09 – $152.99 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $254.10 | $605.00 | $95.80 – $417.69 | 5 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $223.71 | 5 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $54.13 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,414.98 | $3,369.00 | $416.78 – $1,817.16 | 5 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $2,130.56 | 5 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $113.67 | 5 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $43.66 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $577.08 | $1,374.00 | $11.98 – $52.23 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $58.51 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $357.84 | $852.00 | $13.82 – $60.26 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $357.84 | $852.00 | $11.98 – $52.23 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $14.38 – $62.70 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $484.68 | $1,154.00 | $10.33 – $45.04 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.33 – $45.04 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $430.08 | $1,024.00 | $24.08 – $104.99 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $11.98 – $52.23 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $412.44 | $982.00 | $11.98 – $52.23 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $139.44 | $332.00 | $11.98 – $52.23 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $243.60 | $580.00 | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $141.12 | $336.00 | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $257.46 | $613.00 | $37.27 – $162.50 | 5 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $866.04 | $2,062.00 | $416.78 – $1,817.16 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $60.48 | $144.00 | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $41.68 – $181.72 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $141.12 | $336.00 | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $231.84 | $552.00 | $51.31 – $54.13 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $179.76 | $428.00 | $142.63 – $150.47 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $179.76 | $428.00 | $142.63 – $150.47 | 4 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $50.82 | $121.00 | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $241.92 | $576.00 | $35.09 – $152.99 | 5 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $74.04 | 3 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $80.99 | 3 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $717.16 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $416.78 – $1,817.16 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $559.34 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $944.16 | $2,248.00 | $262.99 – $1,146.64 | 5 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $42.84 – $186.78 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $42.84 – $186.78 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $42.84 – $186.78 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $85.10 – $371.04 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $179.76 | $428.00 | $142.63 – $621.87 | 5 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $472.57 | 6 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $216.68 | 6 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $26.04 – $389.98 | 6 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $127.40 | 5 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $133.71 – $292.22 | 4 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $63.46 – $156.36 | 3 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,893.38 – $20,313.97 | 4 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,791.07 – $20,035.03 | 4 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $387.45 – $471.85 | 4 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $242.11 – $391.34 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $264.21 – $395.48 | 4 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $762.72 | $1,816.00 | $201.03 – $627.30 | 4 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,839.14 – $2,995.29 | 3 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,756.84 – $1,853.47 | 3 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.92 – $42.12 | 3 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,628.34 – $1,717.90 | 3 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $133.74 – $395.32 | 4 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $1,210.52 – $1,636.29 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $619.93 – $619.93 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $786.53 – $786.53 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $434.88 – $434.88 | 1 |
| Initial observation care CPT 99218 | not published | not published | $345.33 – $466.19 | 2 |
| Initial observation care CPT 99219 | not published | not published | $470.68 – $636.77 | 2 |
| Initial observation care CPT 99220 | not published | not published | $642.72 – $871.20 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,092.42 | $2,601.00 | $219.97 – $627.30 | 4 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $218.75 – $452.41 | 2 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $443.64 – $674.41 | 2 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $102.05 – $137.63 | 4 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $24.50 | 5 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.27 – $25.33 | 6 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.76 | 4 |
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.