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 |
|---|---|---|---|---|
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,600.00 – $24,397.50 | 9 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,150.00 – $9,152.38 | 9 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,750.00 – $16,010.38 | 9 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,300.00 – $18,208.09 | 9 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,451.19 – $14,074.93 | 9 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx thigh fx CPT 27269 | not published | not published | $1,545.41 – $7,653.74 | 5 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | $9,316.86 | $22,183.00 | $2,300.00 – $10,027.66 | 9 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $3,340.00 – $9,152.38 | 6 |
| Oral aprepitant HCPCS J8501 | $586.64 | $1,396.75 | $9.51 – $42.36 | 5 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $104.99 | 5 |
| Oral everolimus HCPCS J7527 | not published | not published | $6.95 – $38.25 | 5 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $52.23 | 5 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.71 – $64.85 | 4 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.30 – $79.31 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $397.79 – $2,609.89 | 6 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $3,615.25 – $18,409.46 | 4 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $4,094.13 – $20,839.42 | 4 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $4,033.10 – $20,508.73 | 4 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,174.62 – $5,769.00 | 7 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,210.53 – $4,757.29 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | $5,132.40 | $12,220.00 | $2,600.00 – $14,074.93 | 9 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $102.90 | 5 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.72 – $151.62 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.57 – $105.16 | 6 |
| Oropharyngeal biopsy 42800 CPT 42800 | $2,218.86 | $5,283.00 | $126.14 – $1,644.38 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $128.04 | $304.86 | $31.74 – $46.90 | 5 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.95 – $31.60 | 3 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $324.71 – $342.57 | 3 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $562.31 – $593.24 | 3 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,441.77 – $1,521.07 | 3 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $787.21 – $830.51 | 3 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $304.55 – $321.30 | 3 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $361.14 – $381.00 | 3 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.75 – $125.28 | 3 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $304.55 – $321.30 | 3 |
| Orthopantogram CPT 70355 | $852.18 | $2,029.00 | $87.42 – $347.97 | 5 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $38.17 | 3 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $124.02 – $187.58 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $59.26 – $250.61 | 4 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.84 – $66.30 | 3 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.27 – $41.43 | 3 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $38.17 | 3 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.84 – $54.69 | 3 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $160.94 – $169.79 | 3 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,417.75 | $3,375.60 | $511.39 – $539.52 | 3 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $109.09 – $647.48 | 6 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $375.75 – $396.42 | 3 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,115.05 – $1,176.38 | 3 |
| Oscillation chest wall mechanical per session CPT 94669 | $53.34 | $127.00 | $156.58 – $627.30 | 4 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.27 – $41.43 | 3 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $29.81 | 3 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.25 – $111.04 | 3 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $84.55 | 3 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $11.63 | 3 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $69.64 | 3 |
| Osmolality blood CPT 83930 | $147.84 | $352.00 | $6.61 – $28.82 | 5 |
| Osmolality urine CPT 83935 | $54.60 | $130.00 | $6.82 – $29.74 | 5 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,092.23 – $10,027.66 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,553.00 – $2,688.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $3,340.00 – $18,208.09 | 5 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $4,039.00 – $16,636.00 | 6 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $4,039.00 – $16,636.00 | 6 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $29.82 | $71.00 | $21.69 – $83.61 | 4 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $29.82 | $71.00 | $21.69 – $83.61 | 4 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $29.82 | $71.00 | $21.69 – $83.61 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,995.91 – $7,690.19 | 5 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $455.23 – $2,688.00 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,972.70 – $7,690.19 | 5 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,945.62 – $7,690.19 | 5 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,600.00 – $14,074.93 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,373.02 – $13,542.04 | 5 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,300.00 – $10,027.66 | 9 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $3.16 – $13.19 | 2 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $65.30 – $272.24 | 2 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.65 – $15.23 | 2 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $4.78 – $19.95 | 2 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.36 – $26.49 | 2 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.31 – $9.71 | 2 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $12.08 – $50.41 | 2 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $11.37 – $47.40 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $908.04 | $2,162.00 | $100.76 – $317.06 | 4 |
| Ot evaluation low complexity patient/family CPT 97165 | $454.02 | $1,081.00 | $100.27 – $317.06 | 4 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $175.00 | $1,621.00 | $98.02 – $317.06 | 4 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,509.62 – $14,074.93 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $100.85 | 5 |
| Oth resp proc, group HCPCS G0239 | $102.48 | $244.00 | $37.52 – $43.00 | 4 |
| Oth resp proc, indiv HCPCS G0238 | $67.20 | $160.00 | $29.06 – $34.41 | 4 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $134.40 | $320.00 | $52.05 – $175.75 | 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.