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 |
|---|---|---|---|---|
| Intro cath dialysis circuit CPT 36901 | $6,967.38 | $16,589.00 | $443.23 – $1,668.30 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | $11,252.64 | $26,792.00 | $5,129.00 – $7,579.48 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $5,129.00 – $15,159.97 | 5 |
| Intro catheter aorta CPT 36200 | $3,625.86 | $8,633.00 | $2,688.00 – $2,875.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $3,032.40 | $7,220.00 | $1,553.00 – $2,688.00 | 2 |
| Intro long gi tube CPT 44500 | $1,162.98 | $2,769.00 | $145.26 – $2,681.00 | 6 |
| Intro long gi tube w/mult fluo CPT 74340 | $1,695.12 | $4,036.00 | $113.21 – $120.99 | 2 |
| Intro windpipe wire/tube CPT 31730 | $2,316.30 | $5,515.00 | $463.68 – $4,121.53 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,449.86 | $5,833.00 | $1,553.00 – $2,688.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $645.12 | $1,536.00 | $1,553.00 – $2,688.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,338.96 | $3,188.00 | $155.66 – $2,681.00 | 6 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $210.15 – $210.15 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $59.26 – $166.82 | 5 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $6,736.75 – $9,542.45 | 3 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $396.32 – $418.12 | 3 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $1,124.95 – $1,308.75 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $37.49 – $55.46 | 5 |
| Ionm in operatng room 15 min CPT 95940 | $575.40 | $1,370.00 | $114.30 – $152.29 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | $341.88 | $814.00 | $631.67 – $1,608.68 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $41.10 | $97.86 | $1.05 – $1.56 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $92.99 | $221.40 | $0.46 – $1.39 | 5 |
| Io radiation tx management CPT 77469 | not published | not published | $1,271.45 – $1,461.37 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $1,025.63 – $7,805.79 | 4 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $946.52 – $7,805.79 | 4 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $1.20 – $1.72 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $68,111.44 | $162,170.10 | $187.17 – $641.95 | 6 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $399.41 – $514.94 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $580.04 – $743.80 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $698.03 – $899.14 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $259.30 – $337.34 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.27 – $0.27 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $4.62 | $11.00 | $1.22 – $2.22 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $60.90 | $145.00 | $4.89 – $23.06 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $66.37 – $228.39 | 6 |
| Iron CPT 83540 | $252.00 | $600.00 | $6.47 – $28.21 | 5 |
| Iron binding capacity CPT 83550 | $237.72 | $566.00 | $8.74 – $38.11 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $75.16 | $178.95 | $18.10 – $63.09 | 6 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $30.00 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $129.08 | $307.33 | $0.78 – $1.52 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $34.06 – $145.75 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $114.66 | $273.00 | $59.26 – $187.58 | 4 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $425.21 – $2,681.00 | 6 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.76 – $15.71 | 2 |
| Irrigation tray HCPCS A4320 | not published | not published | $6.07 – $25.26 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $28.75 – $84.17 | 5 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $83.58 – $322.93 | 6 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,688.91 – $6,330.82 | 9 |
| Ivc venogram s&i CPT 75825 | $7,103.46 | $16,913.00 | $667.44 – $12,082.78 | 5 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $309.19 – $359.70 | 2 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $244.02 | $581.00 | $72.33 – $108.13 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $304.50 | $725.00 | $72.50 – $92.55 | 2 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $321.30 | $765.00 | $47.04 – $74.95 | 4 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $433.02 | $1,031.00 | $213.67 – $248.25 | 4 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $211.11 – $1,605.05 | 4 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $158.10 – $556.29 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $176.20 – $529.52 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,726.20 | $4,110.00 | $176.20 – $498.37 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $485.35 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $807.47 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,300.00 – $5,769.00 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,482.88 – $6,330.82 | 9 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $73.64 | 5 |
| J-tube placement CPT 44015 | not published | not published | $177.98 – $4,554.00 | 4 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,341.77 – $1,415.57 | 3 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,176.93 – $1,241.66 | 3 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,970.44 – $2,078.81 | 3 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,307.92 – $1,379.86 | 3 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,376.03 – $1,451.71 | 3 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,107.32 | $5,017.43 | $1,480.79 – $1,562.23 | 3 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,045.73 – $1,103.25 | 3 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,594.53 – $2,737.23 | 3 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,913.97 – $2,019.24 | 3 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $214.05 – $225.82 | 3 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,165.54 – $1,229.64 | 3 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $5,062.71 – $5,341.16 | 3 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,138.18 – $1,200.78 | 3 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,642.94 – $1,733.30 | 3 |
| Keratomileusis CPT 65760 | not published | not published | $1,815.37 – $7,215.00 | 4 |
| Keratophakia CPT 65765 | not published | not published | $1,985.60 – $7,215.00 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $3,300.00 – $18,565.45 | 8 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $125.01 – $131.89 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $7.99 – $7.99 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $67.45 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $8.17 – $35.62 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $56.70 | $135.00 | $0.34 – $1.21 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $658.72 – $6,474.38 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,000.00 – $6,474.38 | 9 |
| Kidney endoscopy CPT 50570 | not published | not published | $658.72 – $4,618.37 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $3,736.53 – $6,474.38 | 5 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $658.72 – $12,343.93 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $658.72 – $4,121.53 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,000.00 – $12,343.93 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,000.00 – $6,474.38 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,472.35 – $9,985.08 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,472.35 – $6,474.38 | 7 |
| Kidney function study CPT 78725 | $1,666.14 | $3,967.00 | $307.66 – $423.68 | 4 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $728.49 – $791.78 | 2 |
| Kidney imaging morphology CPT 78700 | not published | not published | $401.59 – $675.67 | 4 |
| Kidney imag w/bld flow multi CPT 78709 | $907.30 | $2,160.23 | $545.44 – $1,360.76 | 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.