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 |
|---|---|---|---|---|
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.59 – $1.27 | 3 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $105.02 – $488.67 | 5 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $248.34 – $395.73 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $134.89 | $321.16 | $4.91 – $17.70 | 5 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $653.22 – $689.15 | 3 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.66 – $7.05 | 5 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $1.38 – $5.68 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $125.01 – $237.01 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.13 – $273.96 | 5 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $2.84 – $5.74 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $17.74 – $14,492.64 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $8,667.70 | $20,637.37 | $28.46 – $369.58 | 6 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $323.17 – $1,366.75 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $921.58 | $2,194.23 | $38.61 – $162.77 | 6 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,497.46 – $17,224.08 | 4 |
| Mlh1 gene CPT 81288 | not published | not published | $17.74 – $838.52 | 5 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $882.46 | 5 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,944.74 | 5 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $312.58 – $1,443.16 | 5 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | $47.04 | $112.00 | $17.10 – $78.67 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | $47.04 | $112.00 | $5.00 – $22.13 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,600.00 – $18,208.09 | 9 |
| Mnl appl strs jt radiography CPT 77071 | $284.76 | $678.00 | $87.42 – $347.97 | 5 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Mnpj elbow under anes CPT 24300 | $2,021.04 | $4,812.00 | $1,380.82 – $6,976.00 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | $2,011.38 | $4,789.00 | $315.36 – $1,644.38 | 5 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $22.03 – $100.77 | 4 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $804.84 – $849.11 | 3 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $151.32 – $4,554.00 | 4 |
| Modification of contact lens CPT 92325 | not published | not published | $133.65 – $371.79 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,702.73 – $8,356.26 | 4 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $726.91 – $4,554.00 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $14.46 – $52.54 | 4 |
| Molded inner boot HCPCS L2280 | not published | not published | $520.33 – $548.95 | 3 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,480.09 – $3,671.49 | 3 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,069.47 – $5,348.29 | 3 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,872.71 – $1,975.71 | 3 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,333.68 – $5,627.03 | 3 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.50 – $86.81 | 4 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $49.65 | 6 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $362.18 – $382.10 | 3 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $435.18 – $459.11 | 3 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $23,210.23 – $24,486.79 | 3 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,256.80 | $22,040.00 | $16,622.98 – $16,622.98 | 1 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $3,474.53 | 6 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $133.74 – $141.10 | 3 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $278.87 | 5 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $655.44 | 5 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $1,198.26 | 5 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $1,313.89 | 5 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $1,233.36 | 5 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $3,689.74 | 5 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $8,720.00 | 5 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $146.64 | $349.14 | $0.26 – $17.75 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $57.96 | $138.00 | $28.23 – $31.04 | 3 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $12.79 – $27.35 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $17.43 – $51.21 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $124.66 – $625.66 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $159.64 – $1,235.67 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $413.70 | $985.00 | $164.47 – $625.66 | 5 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.54 – $2,284.61 | 5 |
| Motion analysis video/3d CPT 96000 | not published | not published | $334.28 – $395.48 | 4 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $448.55 – $910.10 | 4 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $302.86 – $473.44 | 4 |
| Mouth piece HCPCS A4617 | not published | not published | $4.14 – $17.27 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,150.00 – $6,330.82 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $61.58 – $208.97 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $124.66 – $716.23 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $90.01 – $345.70 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $122.16 – $625.66 | 5 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $655.44 | 5 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $87.42 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $68.74 – $1,319.42 | 5 |
| Mpsv4 vaccine subq CPT 90733 | $844.81 | $2,011.45 | $319.77 – $684.44 | 4 |
| MRA abdomen post contrast CPT 74185 | $4,745.16 | $11,298.00 | $501.52 – $1,863.22 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,484.32 | $8,296.00 | $492.93 – $1,837.00 | 3 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $239.69 – $1,016.05 | 4 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,393.14 | $3,317.00 | $500.37 – $1,863.49 | 3 |
| MRA pelvis CPT 72198 | $2,822.40 | $6,720.00 | $499.79 – $1,858.56 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $239.69 – $1,016.05 | 4 |
| MRA spinal canal CPT 72159 | not published | not published | $779.99 – $1,913.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,863.56 | $6,818.00 | $509.54 – $1,885.96 | 3 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $350.46 – $1,664.87 | 4 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $350.46 – $1,664.87 | 4 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $239.69 – $1,016.05 | 4 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $239.69 – $1,016.05 | 4 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $239.69 – $1,016.05 | 4 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $239.69 – $1,016.05 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $350.46 – $1,664.87 | 4 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $350.46 – $1,664.87 | 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.