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 |
|---|---|---|---|---|
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $350.46 – $1,664.87 | 4 |
| Mr elastography CPT 76391 | not published | not published | $239.69 – $568.62 | 4 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $3,340.00 – $11,809.11 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $176.20 – $879.94 | 4 |
| MRI brain without dye CPT 70557 | not published | not published | $548.90 – $2,168.40 | 4 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $176.20 – $879.94 | 4 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $239.69 – $568.62 | 4 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $718.43 – $718.43 | 1 |
| MRI breast without cont bi CPT 77047 | $3,817.80 | $9,090.00 | $239.69 – $568.62 | 4 |
| MRI breast w IV cont bi CPT 77049 | $3,284.82 | $7,821.00 | $714.92 – $714.92 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,738.38 | $4,139.00 | $239.69 – $1,016.05 | 5 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,899.26 | $6,903.00 | $350.46 – $1,664.87 | 5 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,645.58 | $6,299.00 | $787.49 – $2,968.38 | 5 |
| MRI chest without contrast CPT 71550 | $3,281.46 | $7,813.00 | $239.69 – $568.62 | 5 |
| MRI chest without & w/contrast CPT 71552 | $5,994.24 | $14,272.00 | $350.46 – $931.71 | 5 |
| MRI chest w IV cont CPT 71551 | not published | not published | $683.27 – $1,661.20 | 5 |
| MRI compatible system HCPCS L0859 | $3,139.50 | $7,475.00 | $1,866.53 – $1,969.19 | 3 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $189.81 – $347.33 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $239.69 – $561.91 | 5 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,369.95 – $1,784.98 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $867.84 – $966.35 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $4,307.10 | $10,255.00 | $350.46 – $931.71 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,908.94 | $9,307.00 | $239.69 – $568.62 | 5 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,883.76 | $11,628.00 | $350.46 – $931.71 | 5 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,653.12 | $3,936.00 | $239.69 – $568.62 | 5 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,122.70 | $7,435.00 | $350.46 – $931.71 | 5 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,846.74 | $4,397.00 | $350.46 – $931.71 | 5 |
| MRI tmj CPT 70336 | not published | not published | $239.69 – $568.62 | 5 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,470.46 | $8,263.00 | $239.69 – $568.62 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,883.76 | $11,628.00 | $350.46 – $931.71 | 5 |
| MRI upper extremity w/dye CPT 73219 | $2,594.76 | $6,178.00 | $350.46 – $931.71 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $176.20 – $794.48 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $350.46 – $1,664.87 | 4 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $350.46 – $1,664.87 | 4 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $87.42 – $92.23 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $59.26 – $62.52 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $29.06 – $30.65 | 3 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $239.69 – $252.87 | 3 |
| Mr spectroscopy CPT 76390 | $2,454.48 | $5,844.00 | $87.42 – $908.36 | 4 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $183.05 – $929.99 | 5 |
| Msh2 gene full seq CPT 81295 | not published | not published | $183.05 – $1,664.21 | 5 |
| Msh2 gene known variants CPT 81296 | not published | not published | $156.30 – $1,472.50 | 5 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $195.08 – $1,037.68 | 5 |
| Msh6 gene full seq CPT 81298 | not published | not published | $347.29 – $2,798.47 | 5 |
| Msh6 gene known variants CPT 81299 | not published | not published | $194.56 – $1,342.88 | 5 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,608.92 – $14,074.93 | 7 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $284.88 | 5 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $117.20 | 5 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $186.78 | 5 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $25.55 | 5 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $124.26 | 5 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $65.40 | 5 |
| Mult fam adapt bhv tx gdn CPT 97157 | $17.22 | $41.00 | $37.64 – $93.16 | 4 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,294.90 – $4,531.12 | 3 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $818.99 – $864.03 | 3 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $51.70 – $215.62 | 2 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $34.65 – $144.46 | 2 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $669.92 – $706.77 | 3 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $745.01 – $785.99 | 3 |
| Multi family grp psychotherapy CPT 90849 | $94.08 | $224.00 | $160.06 – $188.11 | 3 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $129.26 – $199.08 | 4 |
| Multiple sleep latency test CPT 95805 | $4,220.58 | $10,049.00 | $862.65 – $1,252.29 | 4 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,904.35 – $4,119.09 | 3 |
| Mumps antibody igg CPT 86735 | not published | not published | $13.05 – $56.90 | 5 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,688.91 – $10,027.66 | 9 |
| Muscle-skin graft leg CPT 15738 | $4,713.66 | $11,223.00 | $2,300.00 – $10,027.66 | 9 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Muscle test cran nerv unilat CPT 95867 | $994.56 | $2,368.00 | $152.54 – $228.84 | 4 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $129.26 – $471.77 | 4 |
| Muscle test larynx CPT 95865 | not published | not published | $133.65 – $371.79 | 4 |
| Muscle test one fiber CPT 95872 | not published | not published | $132.43 – $228.84 | 4 |
| Muscle transfers CPT 23397 | not published | not published | $3,300.00 – $18,565.45 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,750.00 – $16,010.38 | 9 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,252.37 – $16,636.00 | 6 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $210.33 | 5 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $87.42 | 5 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $186.78 | 5 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $75.76 | $180.37 | $0.55 – $8.26 | 5 |
| Mycophenolic acid HCPCS J7518 | $32.37 | $77.06 | $1.29 – $18.23 | 5 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $13.24 – $57.73 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $764.74 | 5 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $787.49 – $2,968.38 | 5 |
| Myelography l-s spine CPT 72265 | $4,967.34 | $11,827.00 | $579.71 – $2,968.38 | 5 |
| Myelography neck spine CPT 72240 | not published | not published | $594.94 – $2,968.38 | 5 |
| Myelography thoracic spine CPT 72255 | not published | not published | $566.63 – $2,968.38 | 5 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $12,178.74 | $28,997.00 | $737.14 – $6,976.00 | 6 |
| Myelography via inj w/s&i cervical CPT 62302 | $12,178.74 | $28,997.00 | $737.14 – $6,976.00 | 6 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $12,178.74 | $28,997.00 | $737.14 – $6,976.00 | 6 |
| Myelography via inj w/s&i thoracic CPT 62303 | $12,178.74 | $28,997.00 | $737.14 – $6,976.00 | 6 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $67.20 | $160.00 | $11.53 – $50.27 | 5 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $3,281.67 – $16,172.87 | 4 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $118.64 – $5,997.66 | 5 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $372.39 – $1,515.47 | 4 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $438.40 – $1,608.39 | 4 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $479.25 – $2,334.53 | 4 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $149.02 – $5,997.66 | 5 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $411.67 – $2,334.53 | 4 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $353.55 – $1,515.47 | 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.