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 |
|---|---|---|---|---|
| Ghs corneal fb without slit lamp bilat CPT 65220 | $632.52 | $1,506.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $632.52 | $1,506.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $2,451.54 | $5,837.00 | not published | 0 |
| Ghs cutdown placement age 1 and over CPT 36425 | $532.14 | $1,267.00 | not published | 0 |
| Ghs cutdown placement under 1 yr CPT 36420 | $163.80 | $390.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $2,832.48 | $6,744.00 | not published | 0 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,196.58 | $2,849.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $695.94 | $1,657.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,377.18 | $3,279.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $7,659.12 | $18,236.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $225.12 | $536.00 | not published | 0 |
| Ghs eye exam CPT 92002 | $184.80 | $440.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $353.22 | $841.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,112.60 | $5,030.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,638.88 | $8,664.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $2,112.60 | $5,030.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $2,112.60 | $5,030.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $372.96 | $888.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $341.46 | $813.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,612.82 | $6,221.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,705.24 | $8,822.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,082.76 | $2,578.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $767.76 | $1,828.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $366.24 | $872.00 | not published | 0 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $293.58 | $699.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $1,640.10 | $3,905.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $146.58 | $349.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $383.46 | $913.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $917.28 | $2,184.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,336.86 | $3,183.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,433.46 | $3,413.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,431.38 | $5,789.00 | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $40.74 | $97.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,519.14 | $3,617.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $229.74 | $547.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $380.52 | $906.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $866.88 | $2,064.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,154.16 | $2,748.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $684.18 | $1,629.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $803.46 | $1,913.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,529.64 | $3,642.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,021.02 | $2,431.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,217.16 | $2,898.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,578.36 | $3,758.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,140.72 | $2,716.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,627.08 | $3,874.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,189.44 | $2,832.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,678.74 | $3,997.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,238.16 | $2,948.00 | not published | 0 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,767.80 | $6,590.00 | not published | 0 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,286.88 | $3,064.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $275.94 | $657.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $511.14 | $1,217.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $422.10 | $1,005.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $303.24 | $722.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $202.02 | $481.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $202.02 | $481.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $338.10 | $805.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $215.88 | $514.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $303.24 | $722.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $1,147.02 | $2,731.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,150.38 | $2,739.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,970.64 | $4,692.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,864.38 | $4,439.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,200.78 | $2,859.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $1,200.78 | $2,859.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $1,200.78 | $2,859.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $819.42 | $1,951.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $711.06 | $1,693.00 | not published | 0 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $53.76 | $128.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $815.22 | $1,941.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,922.76 | $4,578.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | $184.80 | $440.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $122.64 | $292.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $487.20 | $1,160.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $422.10 | $1,005.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $2,059.68 | $4,904.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $991.20 | $2,360.00 | not published | 0 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $8,730.96 | $20,788.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $64.26 | $153.00 | not published | 0 |
| Ghs refill of implantable pump CPT 95990 | $1,273.86 | $3,033.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $545.16 | $1,298.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $405.72 | $966.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,021.04 | $4,812.00 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,192.86 | $9,983.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $28.98 | $69.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $163.38 | $389.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $369.18 | $879.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,670.34 | $3,977.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $921.06 | $2,193.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,938.30 | $4,615.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,040.76 | $2,478.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $812.28 | $1,934.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $798.00 | $1,900.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $860.58 | $2,049.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $2,108.82 | $5,021.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,089.48 | $2,594.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $309.54 | $737.00 | not published | 0 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,838.36 | $6,758.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $383.46 | $913.00 | 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.