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 |
|---|---|---|---|---|
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $15,696.00 | 5 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $15,466.46 | 5 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $3.37 – $105.26 | 3 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $11.24 | $26.76 | $0.04 – $1.00 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $56.70 | $135.00 | $0.32 – $2.57 | 5 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $43.33 – $43.33 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $226.61 – $226.61 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $124.66 – $625.66 | 5 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,446.10 – $10,128.00 | 4 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,673.07 – $4,554.00 | 4 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,791.29 – $4,554.00 | 4 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,248.68 – $11,110.64 | 4 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,418.05 – $11,950.85 | 4 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,418.05 – $11,950.85 | 4 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,875.00 – $4,635.21 | 4 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $952.18 – $4,631.64 | 4 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $288.88 – $4,554.00 | 4 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,335.45 – $16,010.38 | 9 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,646.75 – $13,451.79 | 4 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $338.11 – $2,150.00 | 6 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $2,802.42 – $16,636.00 | 7 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,722.08 – $6,273.88 | 5 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $902.74 – $7,690.19 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,335.45 – $16,010.38 | 9 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,335.45 – $18,565.45 | 9 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,702.73 – $3,467.69 | 5 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $2,451.19 – $16,636.00 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $2,451.19 – $16,636.00 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,615.32 – $16,636.00 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $670.61 – $7,690.19 | 5 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,004.62 – $4,905.87 | 4 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,004.62 – $4,907.91 | 4 |
| Ophthalmic biometry CPT 92136 | not published | not published | $133.65 – $371.79 | 4 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $522.12 – $2,688.00 | 2 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $1,342.66 – $1,894.27 | 3 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $37.52 – $114.00 | 4 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $133.65 – $475.37 | 5 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $105.02 – $488.67 | 5 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $105.02 – $488.67 | 5 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $5.76 – $5.76 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,500.69 – $5,129.00 | 4 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $10,128.00 – $10,128.00 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $7,215.00 – $7,215.00 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $10,128.00 – $10,128.00 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $7,215.00 – $7,215.00 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $7,215.00 – $7,215.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $646.24 – $4,554.00 | 4 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $2,875.00 – $46,459.55 | 5 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,000.00 – $29,497.51 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,000.00 – $29,497.51 | 9 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,300.00 – $9,466.31 | 7 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $2,875.00 – $45,997.12 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,272.00 – $16,010.38 | 8 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,435.35 – $6,273.88 | 5 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,501.99 – $16,010.38 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $2,300.00 – $7,421.31 | 7 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,406.55 – $6,273.88 | 5 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $4,039.00 – $7,421.31 | 5 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,492.97 – $6,273.88 | 5 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $4,272.00 – $16,010.38 | 7 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $4,211.08 – $16,010.38 | 7 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $4,121.80 – $16,636.00 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $4,476.06 – $7,421.31 | 6 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $3,948.06 – $16,010.38 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $7,737.24 | $18,422.00 | $3,100.18 – $14,074.93 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $4,476.06 – $18,565.45 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $4,476.06 – $18,565.45 | 7 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $353.43 – $1,199.60 | 4 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $920.78 – $1,910.11 | 4 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $59.26 – $187.58 | 4 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $59.26 – $187.58 | 4 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $56.41 – $223.14 | 4 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $14.73 – $20.11 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | $9,316.86 | $22,183.00 | $2,300.00 – $10,027.66 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,272.00 – $16,010.38 | 8 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,151.96 – $6,273.88 | 5 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $793.12 – $6,273.88 | 5 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,525.52 – $6,273.88 | 5 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,562.17 – $6,273.88 | 5 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,750.00 – $16,010.38 | 9 |
| Optx lunate dislocation CPT 25695 | $9,316.86 | $22,183.00 | $2,150.00 – $9,152.38 | 9 |
| Optx medial ankle fx CPT 27766 | $9,316.86 | $22,183.00 | $2,300.00 – $10,027.66 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,750.00 – $16,010.38 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | $7,737.24 | $18,422.00 | $2,600.00 – $14,074.93 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $835.68 – $16,010.38 | 7 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $979.68 – $6,273.88 | 5 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,750.00 – $18,208.09 | 9 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,340.00 – $16,636.00 | 6 |
| Optx prox humrl fx w/int fix CPT 23615 | $18,906.72 | $45,016.00 | $2,600.00 – $18,208.09 | 9 |
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.