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 |
|---|---|---|---|---|
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $152.99 | 5 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $7.53 – $31.37 | 2 |
| Balloon dilate urtrl strix CPT 50706 | $1,742.16 | $4,148.00 | $1,553.00 – $2,688.00 | 2 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.32 – $1.34 | 2 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.24 – $13.51 | 2 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $13.19 – $54.96 | 2 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $8.30 – $34.64 | 2 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $6.58 – $27.40 | 2 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $11.71 – $48.80 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,982.44 | $9,482.00 | $1,111.65 – $6,330.82 | 9 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $152.99 | 5 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $86.03 – $228.84 | 4 |
| Basiliximab HCPCS J0480 | not published | not published | $4,812.31 – $16,353.63 | 6 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,755.37 | $6,560.40 | $1,123.23 – $1,123.23 | 1 |
| B cells total count CPT 86355 | $480.48 | $1,144.00 | $37.73 – $164.50 | 5 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.39 – $13.23 | 6 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $414.16 | 5 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $139.46 – $162.25 | 3 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $102.05 – $107.67 | 3 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $16.45 | 6 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $57.19 – $196.02 | 6 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $9.10 – $37.96 | 2 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $10,163.26 | $24,198.24 | $2.16 – $133.19 | 6 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $78.10 | 6 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $78.10 | 6 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.74 – $138.75 | 5 |
| Benign lesion paring 2-4 CPT 11056 | $284.76 | $678.00 | $48.06 – $267.34 | 5 |
| Benign lesion paring 4+ CPT 11057 | $284.76 | $678.00 | $49.78 – $212.63 | 5 |
| #_benzodiazconfur CPT 80346 | not published | not published | $12.91 – $12.91 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $170.05 | $404.88 | $60.43 – $108.26 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $25.45 – $110.96 | 5 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $16.18 – $70.54 | 5 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $136.01 | 3 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $128.92 – $136.01 | 3 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $61.64 | $146.77 | $20.68 – $32.60 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $13,987.74 | $33,304.15 | $74.36 – $344.34 | 6 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.74 – $303.57 | 6 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $11,995.33 | $28,560.31 | $25.85 – $274.90 | 6 |
| Bevacizumab injection HCPCS C9257 | $60.90 | $145.00 | $1.86 – $1.96 | 3 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $61.32 | $146.00 | $37.32 – $154.85 | 4 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $30.66 | $73.00 | $21.02 – $86.03 | 4 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $73.55 | 5 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $1,553.00 – $16,636.00 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,200.78 | $2,859.00 | $806.48 – $4,121.53 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $322.56 | $768.00 | $50.80 – $2,681.00 | 6 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $634.20 | $1,510.00 | $98.69 – $2,681.00 | 6 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $115.89 | 5 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $206.78 – $2,688.00 | 4 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $1,857.59 – $6,861.00 | 9 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $1,853.41 – $10,027.66 | 9 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $2,200.20 – $11,265.58 | 9 |
| Biliary endoscopy thru skin CPT 47555 | $5,961.90 | $14,195.00 | $2,200.20 – $10,027.66 | 9 |
| Biliary endoscopy thru skin CPT 47556 | $5,961.90 | $14,195.00 | $2,498.75 – $16,636.00 | 7 |
| Bilicheck CPT 88720 | $7.14 | $17.00 | $5.02 – $21.89 | 5 |
| Bilirubin direct CPT 82248 | $137.76 | $328.00 | $5.02 – $21.89 | 5 |
| Bilirubin total CPT 82247 | $130.62 | $311.00 | $5.02 – $21.89 | 5 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,978.71 – $9,653.23 | 4 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $31.07 | $73.97 | $40.36 – $42.58 | 3 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.59 – $70.04 | 4 |
| Biopsy abdominal mass CPT 49180 | $1,489.74 | $3,547.00 | $921.72 – $4,121.53 | 9 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $1,609.70 – $6,330.82 | 9 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,189.18 – $10,027.66 | 9 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,481.36 | $5,908.00 | $980.27 – $4,121.53 | 9 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,139.04 | $2,712.00 | $97.39 – $2,681.00 | 6 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $142.87 – $5,769.00 | 6 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $2,150.00 – $6,330.82 | 9 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $83.23 – $2,681.00 | 6 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $151.03 – $2,681.00 | 6 |
| Biopsy eye muscle CPT 67346 | not published | not published | $1,000.00 – $4,784.40 | 7 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $1,000.00 – $4,188.30 | 9 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $2,107.95 – $6,330.82 | 9 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $1,474.01 – $6,330.82 | 9 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,952.20 | $9,410.00 | $142.56 – $3,547.90 | 6 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $2,474.57 – $14,074.93 | 9 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $198.23 – $4,121.53 | 8 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $2,150.00 – $6,330.82 | 9 |
| Biopsy muscle percutaneous needle CPT 20206 | $677.04 | $1,612.00 | $1,000.00 – $4,121.53 | 9 |
| Biopsy needle liver percutaneous CPT 47000 | $2,014.32 | $4,796.00 | $1,000.00 – $4,121.53 | 9 |
| Biopsy needle lymph node superficial CPT 38505 | $679.56 | $1,618.00 | $745.14 – $4,121.53 | 9 |
| Biopsy of cornea CPT 65410 | not published | not published | $836.51 – $6,330.82 | 9 |
| Biopsy of epididymis CPT 54800 | not published | not published | $584.81 – $4,121.53 | 9 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $2,092.23 – $6,330.82 | 9 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $2,092.23 – $4,574.00 | 7 |
| Biopsy of heart lining CPT 93505 | not published | not published | $1,553.00 – $4,240.06 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,615.32 – $10,027.66 | 9 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $654.52 – $4,121.53 | 9 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $98.69 – $251.02 | 5 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $101.26 – $2,681.00 | 6 |
| Biopsy of nerve CPT 64795 | not published | not published | $1,264.85 – $6,330.82 | 9 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $2,215.45 – $10,027.66 | 9 |
| Biopsy of penis CPT 54105 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $1,000.00 – $4,121.53 | 9 |
| Biopsy of prostate CPT 55700 | not published | not published | $1,276.70 – $6,330.82 | 8 |
| Biopsy of prostate CPT 55705 | not published | not published | $1,599.72 – $6,330.82 | 9 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $1,464.96 | $3,488.00 | $1,000.00 – $4,121.53 | 9 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,615.32 – $10,027.66 | 9 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,137.36 | $2,708.00 | $94.39 – $2,681.00 | 6 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,558.65 – $6,330.82 | 9 |
| Biopsy of tear gland CPT 68510 | not published | not published | $1,000.00 – $4,121.53 | 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.