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 |
|---|---|---|---|---|
| Injection for arthrography wrist (both sides) CPT 25246 | $205.80 | $490.00 | $948.74 – $2,688.00 | 2 |
| Injection for bladder x-ray CPT 51600 | $373.80 | $890.00 | $1,048.59 – $4,121.53 | 4 |
| Injection for hip x-ray CPT 27095 | $205.80 | $490.00 | $1,383.84 – $2,688.00 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $254.10 | $605.00 | $756.94 – $2,688.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $806.70 – $2,688.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $341.74 – $2,688.00 | 2 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $613.55 – $4,121.53 | 4 |
| Injection for ureter x-ray CPT 50690 | $186.06 | $443.00 | $581.86 – $4,121.53 | 4 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $80.76 – $214.29 | 3 |
| Injection, fulvestrant HCPCS J9395 | $370.35 | $881.79 | $24.42 – $489.57 | 5 |
| Injection glatiramer acetate HCPCS J1595 | $351.28 | $836.37 | $349.65 – $977.91 | 4 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $449.10 – $473.80 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.61 – $43.23 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $700.69 – $4,121.53 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $308.35 – $4,121.53 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | $1,170.54 | $2,787.00 | $209.81 – $985.58 | 5 |
| Injection into spinal artery CPT 62294 | not published | not published | $806.48 – $10,027.66 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $392.90 – $6,330.82 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $134.13 – $4,554.00 | 4 |
| Injection, isavuconazonium HCPCS J1833 | $2,851.64 | $6,789.62 | $1.01 – $3.70 | 5 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $833.45 – $2,688.00 | 2 |
| Injection jugular CPT 36299 | not published | not published | $2,688.00 – $2,688.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $3.93 – $9.88 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $24.24 | 6 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $72.33 – $169.27 | 4 |
| Injection of sinus tract CPT 20500 | not published | not published | $66.94 – $1,644.38 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4,259.72 | $10,142.20 | $6.51 – $25.41 | 6 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $388.85 – $521.05 | 3 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $6.87 | 5 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $6.47 – $9.17 | 3 |
| Injection px peyronie ds CPT 54200 | not published | not published | $77.66 – $2,681.00 | 6 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $384.72 | $916.00 | $242.59 – $2,681.00 | 6 |
| Injection, renflexis HCPCS Q5104 | $3,476.45 | $8,277.26 | $26.80 – $310.49 | 6 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.67 – $128.58 | 6 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $681.49 – $2,681.00 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $385.14 | $917.00 | $73.99 – $2,681.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $907.62 | $2,161.00 | $62.64 – $2,681.00 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $806.48 – $2,681.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $422.94 | $1,007.00 | $612.42 – $2,688.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,190.28 | $2,834.00 | $806.48 – $2,681.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $561.53 – $2,688.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $806.48 – $2,681.00 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $907.62 | $2,161.00 | $608.38 – $2,681.00 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $907.62 | $2,161.00 | $608.38 – $2,681.00 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.08 – $566.84 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $717.78 | $1,709.00 | $36.04 – $2,681.00 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $419.58 | $999.00 | $36.04 – $2,681.00 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $532.98 | $1,269.00 | $42.48 – $2,681.00 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $280.56 | $668.00 | $47.04 – $57.77 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $280.56 | $668.00 | $61.77 – $81.12 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $250.32 | $596.00 | $135.17 – $225.42 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $236.04 | $562.00 | $72.33 – $206.20 | 4 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $49.67 – $70.35 | 3 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $7.70 – $15.71 | 3 |
| Injection treatment of eye CPT 66020 | not published | not published | $902.62 – $4,121.53 | 9 |
| Injection treatment of eye CPT 66030 | $2,879.10 | $6,855.00 | $902.62 – $4,121.53 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $806.48 – $4,574.00 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $100.82 – $2,681.00 | 6 |
| Inject sacroiliac joint CPT 27096 | $254.52 | $606.00 | $104.03 – $2,688.00 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $318.85 – $413.85 | 5 |
| Inject/treat eye socket CPT 67505 | not published | not published | $49.78 – $2,681.00 | 6 |
| Inject/treat eye socket CPT 67515 | not published | not published | $53.21 – $2,681.00 | 6 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.33 – $118.08 | 5 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $38.96 – $127.01 | 5 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.14 – $2,099.08 | 6 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $55.64 – $201.02 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $907.62 | $2,161.00 | $608.38 – $2,681.00 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,200.78 | $2,859.00 | $608.38 – $2,681.00 | 6 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.79 – $6.80 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $534.02 | $1,271.47 | $1.29 – $4.52 | 6 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.36 – $14.23 | 5 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.51 – $696.17 | 5 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $664.13 | 5 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.43 – $173.35 | 6 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $38.94 | 6 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $158.46 | 5 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $77.06 – $77.06 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $5.20 – $66.33 | 6 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.71 – $531.87 | 5 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.11 – $0.15 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.24 – $4.79 | 6 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $25.99 – $31.42 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.55 – $10.04 | 4 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $684.05 – $795.81 | 3 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $703.42 – $822.35 | 3 |
| Inj for ext venography CPT 36005 | $808.92 | $1,926.00 | $1,553.00 – $2,688.00 | 2 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $889.81 – $2,688.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $7.48 | 5 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $524.18 – $2,436.59 | 6 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $6.99 – $11.18 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $11.63 – $32.65 | 5 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $64.29 | 4 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $11.92 – $11.92 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $186.25 – $228.00 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $495.55 – $783.05 | 3 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $16.01 – $33.36 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $120.98 – $519.12 | 6 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,840.68 – $11,274.19 | 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.