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 |
|---|---|---|---|---|
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $804.72 | $1,916.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,168.86 | $2,783.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $2,606.94 | $6,207.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $2,018.52 | $4,806.00 | not published | 0 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $136.92 | $326.00 | not published | 0 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $273.00 | $650.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $1,127.28 | $2,684.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $2,194.50 | $5,225.00 | not published | 0 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $389.76 | $928.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,183.02 | $24,245.29 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $116.34 | $277.00 | not published | 0 |
| Electrocorticography durng sx CPT 95829 | $210.00 | $500.00 | not published | 0 |
| Electrode stimulation brain CPT 95961 | $1,353.66 | $3,223.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $897.12 | $2,136.00 | not published | 0 |
| Electrophysiology evaluation CPT 93619 | $8,811.60 | $20,980.00 | not published | 0 |
| Electrophysiology evaluation CPT 93620 | $8,811.60 | $20,980.00 | not published | 0 |
| Electrophysiology evaluation CPT 93621 | $6,297.90 | $14,995.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $5,186.16 | $12,348.00 | not published | 0 |
| Electrophysiology evaluation CPT 93641 | $3,670.38 | $8,739.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $3,003.00 | $7,150.00 | not published | 0 |
| Electrophysiology evaluation CPT 93644 | $273.00 | $650.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $6,418.44 | $15,282.00 | not published | 0 |
| Embolization s&i CPT 75894 | $3,950.10 | $9,405.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $6,458.34 | $15,377.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $6,458.34 | $15,377.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $6,458.34 | $15,377.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $5,766.18 | $13,729.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $250.74 | $597.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $1,310.82 | $3,121.00 | not published | 0 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $187.74 | $447.00 | not published | 0 |
| Emg cranial nerve bilateral CPT 95868 | $1,225.56 | $2,918.00 | not published | 0 |
| Emg needle test 1-extremity CPT 95860 | $1,399.02 | $3,331.00 | not published | 0 |
| Emg needle test 4-extremities CPT 95864 | $2,277.24 | $5,422.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $2,013.90 | $4,795.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $1,218.00 | $2,900.00 | not published | 0 |
| Endoluminal bx biliary tree CPT 47543 | $2,658.18 | $6,329.00 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,165.12 | $7,536.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $2,520.00 | $6,000.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $298.20 | $710.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,624.16 | $6,248.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $145.36 | $346.09 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $28,102.62 | $66,911.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $37,831.08 | $90,074.00 | not published | 0 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $4,407.48 | $10,494.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $56.70 | $135.00 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,753.12 | $8,936.00 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $689.42 | $1,641.48 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,070.25 | $2,548.22 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $186.06 | $443.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $220.92 | $526.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $2,013.90 | $4,795.00 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $325.08 | $774.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $541.80 | $1,290.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $937.86 | $2,233.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,706.04 | $4,062.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $3,231.06 | $7,693.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $155.74 | $370.80 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,040.34 | $2,477.00 | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $2,194.50 | $5,225.00 | not published | 0 |
| Esophagus motility study CPT 91010 | $3,580.92 | $8,526.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $1,962.24 | $4,672.00 | not published | 0 |
| Estradiol total CPT 82670 | $277.62 | $661.00 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $3,142.49 | $7,482.12 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $572.04 | $1,362.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $610.68 | $1,454.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,746.00 | $11,300.00 | not published | 0 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,993.38 | $11,889.00 | not published | 0 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $328.44 | $782.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $97.86 | $233.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,982.44 | $9,482.00 | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | $3,982.44 | $9,482.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,112.60 | $5,030.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $3,638.88 | $8,664.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,112.60 | $5,030.00 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $914.34 | $2,177.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $914.34 | $2,177.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $914.34 | $2,177.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,112.60 | $5,030.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $914.34 | $2,177.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,112.60 | $5,030.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,638.88 | $8,664.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $525.42 | $1,251.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $914.34 | $2,177.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $5,132.40 | $12,220.00 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $2,523.78 | $6,009.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $1,876.56 | $4,468.00 | not published | 0 |
| Excise/repair mouth lesion CPT 40812 | $1,955.10 | $4,655.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $914.34 | $2,177.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,112.60 | $5,030.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $914.34 | $2,177.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,112.60 | $5,030.00 | not published | 0 |
| Excision of gum lesion 41825 CPT 41825 | $4,007.22 | $9,541.00 | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $2,528.40 | $6,020.00 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $914.34 | $2,177.00 | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $3,638.88 | $8,664.00 | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | $4,313.40 | $10,270.00 | not published | 0 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $2,112.60 | $5,030.00 | not published | 0 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $2,021.04 | $4,812.00 | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,525.44 | $3,632.00 | not published | 0 |
| Exc vagina lesion 57135 CPT 57135 | $4,096.68 | $9,754.00 | 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.