Covenant Specialty Hospital
3815 20th St, Lubbock, TX · Providence · · NPI 1013941780
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 |
|---|---|---|---|---|
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,018.08 | $2,424.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $509.46 | $1,213.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $463.68 | $1,104.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $14,992.74 | $35,697.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $2,062.62 | $4,911.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $184.80 | $440.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $7,103.46 | $16,913.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $641.76 | $1,528.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,571.24 | $6,122.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $399.00 | $950.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $459.48 | $1,094.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,554.88 | $8,464.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,843.82 | $6,771.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,133.18 | $5,079.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,884.18 | $11,629.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $4,307.10 | $10,255.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $3,908.94 | $9,307.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $4,367.58 | $10,399.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,259.58 | $2,999.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $908.04 | $2,162.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,467.48 | $3,494.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $13,392.96 | $31,888.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $5,719.14 | $13,617.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $7,660.38 | $18,239.00 | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,955.10 | $4,655.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $6,585.18 | $15,679.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $183.12 | $436.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $14,442.12 | $34,386.00 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $315.84 | $752.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,412.72 | $34,316.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $393.96 | $938.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,045.46 | $12,013.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $62.91 | $149.79 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $215.07 | $512.06 | not published | 0 |
| Acetone qualitative CPT 82009 | $26.46 | $63.00 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $46.99 | $111.87 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $254.52 | $606.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $1,241.10 | $2,955.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $139.46 | $332.04 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $9,071.66 | $21,599.20 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $205.38 | $489.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $56.70 | $135.00 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $9,584.82 | $22,821.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,501.10 | $5,955.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $717.03 | $1,707.22 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $610.68 | $1,454.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $453.60 | $1,080.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $828.66 | $1,973.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $304.92 | $726.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $251.16 | $598.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $325.08 | $774.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $124.11 | $295.51 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $23.64 | $56.29 | not published | 0 |
| Adrenal cortex & medulla img CPT 78075 | $1,661.52 | $3,956.00 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $1,058.82 | $2,521.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $2,807.28 | $6,684.00 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $1,401.96 | $3,338.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $51.24 | $122.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $264.43 | $629.60 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $177.24 | $422.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $133.98 | $319.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $7.36 | $17.52 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $4.62 | $11.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $103.32 | $246.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $51.24 | $122.00 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $5,705.38 | $13,584.24 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $28,035.16 | $66,750.39 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,021.04 | $26,240.57 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $29,442.76 | $70,101.82 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $22,300.03 | $53,095.30 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,058.74 | $14,425.56 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $7,740.23 | $18,429.12 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,000.56 | $14,287.05 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $6,587.41 | $15,684.32 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $158.34 | $377.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $1,358.41 | $3,234.30 | not published | 0 |
| Alt/sgpt CPT 84460 | $216.72 | $516.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $56.70 | $135.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $56.70 | $135.00 | not published | 0 |
| Ammonia CPT 82140 | $388.08 | $924.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $827.40 | $1,970.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,192.86 | $9,983.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $780.81 | $1,859.08 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $56.70 | $135.00 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $115.54 | $275.09 | not published | 0 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $250.32 | $596.00 | not published | 0 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $4,313.40 | $10,270.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $4,192.86 | $9,983.00 | not published | 0 |
| Amylase CPT 82150 | $179.76 | $428.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $163.80 | $390.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | $740.04 | $1,762.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $1,481.76 | $3,528.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $630.84 | $1,502.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $11,252.64 | $26,792.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $13,526.94 | $32,207.00 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $13,526.94 | $32,207.00 | not published | 0 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $12,778.50 | $30,425.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $12,272.88 | $29,221.15 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $14,672.70 | $34,935.00 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $9,445.80 | $22,490.00 | not published | 0 |
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.