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 |
|---|---|---|---|---|
| Pvb thoracic single inj site CPT 64461 | $928.20 | $2,210.00 | $100.15 – $956.33 | 5 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $849.41 – $896.13 | 3 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $20,122.03 – $21,228.74 | 3 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,385.49 – $6,776.81 | 3 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,212.68 – $5,929.84 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,171.41 – $5,729.40 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,275.00 – $6,235.55 | 4 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,155.94 – $5,339.84 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $97.67 | $232.54 | $28.91 – $56.35 | 5 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $63.13 | 5 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $41.16 | 5 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $402.57 – $424.71 | 3 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $133.65 – $506.24 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,387.83 | $5,685.31 | $545.44 – $1,198.91 | 4 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,666.14 | $3,967.00 | $401.59 – $751.10 | 4 |
| Quest t3 uptake CPT 84479 | $209.16 | $498.00 | $6.47 – $28.21 | 5 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $631.93 – $666.69 | 3 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,406.46 – $1,877.09 | 4 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $1,650.53 | 5 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $242.18 – $829.85 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $14,705.15 | $35,012.25 | $275.18 – $1,410.26 | 6 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $690.95 | 5 |
| Radial keratotomy CPT 65771 | not published | not published | $794.83 – $7,215.00 | 4 |
| Radiation handling CPT 77790 | $345.24 | $822.00 | $60.76 – $438.79 | 2 |
| Radiation physics consult CPT 77336 | $1,842.96 | $4,388.00 | $135.02 – $319.28 | 4 |
| Radiation therapy dose plan CPT 77300 | $996.24 | $2,372.00 | $135.02 – $142.45 | 4 |
| Radiation therapy management CPT 77431 | not published | not published | $418.19 – $475.36 | 2 |
| Radiation treatment aid(s) CPT 77332 | $695.52 | $1,656.00 | $114.42 – $142.45 | 4 |
| Radiation treatment aid(s) CPT 77333 | $1,390.62 | $3,311.00 | $135.02 – $279.73 | 4 |
| Radiation treatment aid(s) CPT 77334 | $2,769.06 | $6,593.00 | $271.26 – $396.82 | 4 |
| Radiation treatment delivery CPT 77401 | not published | not published | $88.53 – $98.90 | 2 |
| Radiation treatment delivery CPT 77402 | $1,021.02 | $2,431.00 | $102.50 – $552.37 | 4 |
| Radiation treatment delivery CPT 77412 | $2,064.30 | $4,915.00 | $555.06 – $952.17 | 4 |
| Radiation tx management x5 CPT 77427 | not published | not published | $758.64 – $867.93 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,273.62 – $5,129.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,885.87 – $7,690.19 | 5 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,430.08 – $7,690.19 | 5 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,216.86 – $7,690.19 | 5 |
| Radical resection of elbow CPT 24149 | not published | not published | $3,122.57 – $9,152.38 | 7 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,489.95 – $7,690.19 | 5 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,609.70 – $8,852.00 | 6 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,189.18 – $16,636.00 | 6 |
| Radiesse injection HCPCS Q2026 | not published | not published | $246.66 – $368.40 | 3 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,496.09 – $6,853.37 | 3 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $955.74 – $1,008.31 | 3 |
| Radiology port images(s) CPT 77417 | $2,573.34 | $6,127.00 | $45.20 – $61.61 | 2 |
| Radiotherapy dose plan imrt CPT 77301 | $7,283.64 | $17,342.00 | $1,390.44 – $6,093.13 | 4 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.09 – $593.66 | 5 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $5,769.30 | $13,736.42 | $545.44 – $1,274.34 | 4 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,389.84 | $10,452.00 | $545.44 – $2,341.23 | 4 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,300.55 – $2,806.36 | 4 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,039.56 | $9,618.00 | $545.44 – $1,308.92 | 4 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $401.59 – $729.08 | 4 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $362.97 – $362.97 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $3,340.00 – $10,027.66 | 8 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,609.70 – $10,027.66 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,189.18 – $16,636.00 | 6 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,609.70 – $10,027.66 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,609.70 – $10,027.66 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,189.18 – $16,636.00 | 6 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,609.70 – $10,027.66 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,189.18 – $16,636.00 | 6 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $3,340.00 – $10,027.66 | 8 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,609.70 – $3,547.90 | 5 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.47 – $260.59 | 6 |
| Range of motion measurements CPT 95852 | not published | not published | $4.98 – $20.90 | 4 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $1,629.03 | 6 |
| Rapid desensitization CPT 95180 | not published | not published | $448.76 – $1,239.84 | 4 |
| Rapid Strep Test CPT 87880 | $185.22 | $441.00 | $16.53 – $72.07 | 5 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $15,034.90 | $35,797.38 | $382.19 – $1,317.68 | 6 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $223.68 – $928.82 | 6 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $972.40 – $1,906.87 | 3 |
| Rbc count only automated CPT 85041 | not published | not published | $3.02 – $13.17 | 5 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $313.00 – $330.22 | 3 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $289.51 – $2,681.00 | 6 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $145.22 – $153.21 | 3 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $37.50 | 5 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $32.57 | 5 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $34.06 – $475.37 | 5 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $591.12 – $591.12 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $336.74 – $336.74 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $58.99 – $58.99 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $154.85 – $154.85 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $162.21 – $162.21 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $154.85 – $154.85 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,272.00 – $7,421.31 | 5 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,895.76 – $6,273.88 | 5 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,619.33 – $6,273.88 | 5 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,030.74 – $6,273.88 | 5 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,114.98 – $6,273.88 | 5 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,915.41 – $6,273.88 | 5 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,741.75 – $6,273.88 | 5 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,548.73 – $6,273.88 | 5 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,235.67 – $6,273.88 | 5 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,982.05 – $6,273.88 | 5 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,335.45 – $4,007.51 | 5 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,340.00 – $7,421.31 | 5 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $4,476.06 – $7,421.31 | 5 |
| Realignment of knee CPT 27457 | not published | not published | $1,191.62 – $7,690.19 | 5 |
| Realignment of knee CPT 27455 | not published | not published | $1,169.26 – $7,690.19 | 5 |
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.