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 |
|---|---|---|---|---|
| Liver imaging CPT 78201 | $2,162.04 | $5,147.71 | $545.44 – $768.36 | 4 |
| Liver imaging (3d) CPT 78205 | not published | not published | $735.77 – $818.37 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $545.44 – $809.22 | 4 |
| Liver/spleen imag static only CPT 78215 | $1,666.02 | $3,966.71 | $401.59 – $773.07 | 4 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $458.22 | $1,091.00 | $397.62 – $455.66 | 4 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $340.88 – $2,960.86 | 5 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,514.41 – $3,707.70 | 3 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $37.80 | $90.00 | $2.51 – $6.30 | 5 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $90.41 – $376.45 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $221.49 – $777.85 | 5 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $180.44 – $190.36 | 3 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $26.81 – $26.81 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $57.96 | $138.00 | $1.38 – $4.60 | 5 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $57.10 – $60.24 | 3 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $555.45 | $1,322.50 | $96.31 – $101.61 | 3 |
| Loudness balance test CPT 92562 | not published | not published | $147.15 – $471.77 | 4 |
| Low back disk surgery CPT 63030 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Low cost skin substitute app HCPCS C5271 | $818.58 | $1,949.00 | $516.15 – $2,875.00 | 5 |
| Low cost skin substitute app HCPCS C5273 | $2,431.38 | $5,789.00 | $1,688.91 – $16,636.00 | 5 |
| Low cost skin substitute app HCPCS C5275 | $818.58 | $1,949.00 | $516.15 – $2,875.00 | 5 |
| Low cost skin substitute app HCPCS C5277 | $818.58 | $1,949.00 | $516.15 – $2,875.00 | 5 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,268.86 | $7,783.00 | $176.20 – $444.62 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,230.62 | $5,311.00 | $350.46 – $931.71 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,226.84 | $5,302.00 | $105.02 – $273.48 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $7,386.54 | $17,587.00 | $350.46 – $931.71 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,543.60 | $15,580.00 | $350.46 – $931.71 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $5,611.20 | $14,530.00 | $239.69 – $568.62 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $804.72 | $1,916.00 | $105.02 – $488.67 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,300.00 – $18,565.45 | 9 |
| Low frequency non-thermal Ultrasound CPT 97610 | $252.00 | $600.00 | $107.25 – $595.83 | 4 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $56.10 – $68.40 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $4,272.00 – $16,636.00 | 6 |
| Lso corset front HCPCS L0972 | not published | not published | $152.77 – $161.17 | 3 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $61.45 – $64.83 | 3 |
| Lso full corset HCPCS L0976 | not published | not published | $216.26 – $228.15 | 3 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $200.06 – $211.06 | 3 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,629.51 – $1,719.13 | 3 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $870.15 – $918.01 | 3 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $118.63 – $125.15 | 3 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,222.44 – $1,289.67 | 3 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,657.19 – $1,748.34 | 3 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $354.31 – $373.80 | 3 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $210.07 – $221.62 | 3 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,658.09 | $6,328.79 | $1,292.78 – $1,363.88 | 3 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,501.02 – $1,583.58 | 3 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $95.88 | 5 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.14 – $8.90 | 2 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $97.47 – $102.83 | 3 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $96.35 – $101.65 | 3 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $457.78 – $7,496.37 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $101.89 – $107.49 | 3 |
| Lumbar sling HCPCS L1090 | not published | not published | $117.80 – $124.28 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $4,659.00 – $21,421.28 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $207.51 – $723.15 | 6 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $59.26 – $187.58 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $352.38 | $839.00 | $162.05 – $471.77 | 4 |
| Lung perfusion imaging CPT 78580 | $1,693.95 | $4,033.21 | $401.59 – $916.08 | 4 |
| Lung transplant double CPT 32853 | not published | not published | $4,554.00 – $28,087.73 | 4 |
| Lung transplant single CPT 32851 | not published | not published | $4,119.50 – $20,119.91 | 4 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,515.42 – $21,959.65 | 4 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,554.00 – $29,896.85 | 4 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,846.75 – $8,956.14 | 4 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $212.10 – $743.16 | 6 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.75 – $149.11 | 6 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $319.94 – $1,063.83 | 5 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $259.60 – $791.57 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,583.97 | $3,771.36 | $632.22 – $666.99 | 3 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.06 – $62.85 | 5 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $349.54 – $368.76 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $87.42 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $873.51 – $8,662.22 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $2,162.04 | $5,147.71 | $545.44 – $1,351.34 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $159.40 | 5 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $213.77 | 5 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $86.08 – $826.26 | 5 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $207.49 | 5 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $630.16 – $2,749.02 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,518.39 – $4,768.92 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | $3,966.06 | $9,443.00 | $1,518.39 – $7,987.49 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | $4,233.60 | $10,080.00 | $1,518.39 – $12,082.78 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $435.95 – $6,330.82 | 9 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $860.91 – $4,121.53 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,517.52 – $4,574.00 | 7 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $53.45 – $65.49 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $9.05 – $36.88 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $18.62 | 5 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $18.79 | 5 |
| Magnesium CPT 83735 | $166.32 | $396.00 | $6.70 – $29.21 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $105.26 | $250.63 | $0.26 – $2.62 | 5 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $239.69 – $562.79 | 5 |
| Makena, 10 mg HCPCS J1726 | $765.69 | $1,823.08 | $45.90 – $72.36 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $57.51 | 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.