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 st - eval for alt comm CPT 92567 | $49.98 | $119.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $336.42 | $801.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $807.66 | $1,923.00 | not published | 0 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $53.76 | $128.00 | not published | 0 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $262.50 | $625.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $562.80 | $1,340.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $525.42 | $1,251.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,011.38 | $4,789.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $811.02 | $1,931.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $291.90 | $695.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $4,096.68 | $9,754.00 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,260.00 | $3,000.00 | not published | 0 |
| Ghs windowing of cast CPT 29730 | $205.38 | $489.00 | not published | 0 |
| Gi endoscopic ultrasound CPT 76975 | $323.82 | $771.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $341.88 | $814.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $5,201.70 | $12,385.00 | not published | 0 |
| Gi wireless capsule measure CPT 91112 | $4,001.34 | $9,527.00 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,056.12 | $4,895.52 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $136.50 | $325.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $35.28 | $84.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $76.86 | $183.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $98.70 | $235.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $418.32 | $996.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $85.26 | $203.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $56.70 | $135.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $268.38 | $639.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $296.10 | $705.00 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,202.29 | $7,624.50 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $4,121.90 | $9,814.05 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $20,895.93 | $49,752.22 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $34,943.93 | $83,199.83 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $44,940.00 | $107,000.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $40,989.02 | $97,592.90 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $35,468.43 | $84,448.64 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $9,889.61 | $23,546.70 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $17,161.20 | $40,860.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $43,599.44 | $103,808.19 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,817.42 | $13,851.00 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $54,040.64 | $128,668.20 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $4,134.06 | $9,843.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $340.62 | $811.00 | not published | 0 |
| G-tube reposition CPT 43761 | $302.82 | $721.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,246.20 | $10,110.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $914.34 | $2,177.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,568.87 | $20,402.08 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,492.08 | $13,076.37 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $14,777.70 | $35,185.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $619.08 | $1,474.00 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $17,065.86 | $40,633.00 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $70.77 | $168.50 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $56.70 | $135.00 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,661.20 | $15,860.00 | not published | 0 |
| Hand tendon reconstruction CPT 26502 | $4,192.86 | $9,983.00 | not published | 0 |
| Hand X-ray CPT 73130 | $596.82 | $1,421.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $208.74 | $497.00 | not published | 0 |
| Harvest auto stem cells CPT 38206 | $3,699.36 | $8,808.00 | not published | 0 |
| Hbot, full body chamber, 30m HCPCS G0277 | $1,209.18 | $2,879.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $840.84 | $2,002.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $203.28 | $484.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $312.06 | $743.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | $2,021.04 | $4,812.00 | not published | 0 |
| Hc nm kidney imaging with flow CPT 78701 | $611.58 | $1,456.14 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $11,047.68 | $26,304.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $11,172.42 | $26,601.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $12,083.82 | $28,771.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $4,035.36 | $9,608.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $3,228.54 | $7,687.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $2,421.30 | $5,765.00 | not published | 0 |
| Heart infarct image CPT 78466 | $1,666.02 | $3,966.71 | not published | 0 |
| Hematocrit CPT 85014 | $88.62 | $211.00 | not published | 0 |
| Hemodialysis one evaluation CPT 90935 | $3,821.16 | $9,098.00 | not published | 0 |
| Hemoglobin CPT 85018 | $88.62 | $211.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $140.28 | $334.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $42.84 | $102.00 | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,170.54 | $2,787.00 | not published | 0 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $3,619.14 | $8,617.00 | not published | 0 |
| Heparin assay CPT 85520 | $230.16 | $548.00 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $129.87 | $309.22 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $56.70 | $135.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $812.28 | $1,934.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $845.04 | $2,012.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $870.24 | $2,072.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $382.20 | $910.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $1,557.78 | $3,709.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,678.50 | $3,996.44 | not published | 0 |
| Hernia Repair (Inguinal) CPT 49505 | $4,989.18 | $11,879.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $824.46 | $1,963.00 | not published | 0 |
| Hip X-ray CPT 73502 | $905.52 | $2,156.00 | not published | 0 |
| Homocysteine CPT 83090 | $272.58 | $649.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $393.12 | $936.00 | not published | 0 |
| H pylori drug admin CPT 83014 | $46.20 | $110.00 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $56.70 | $135.00 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $304.50 | $725.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $433.02 | $1,031.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $174.74 | $416.05 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $131.16 | $312.28 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $143.43 | $341.50 | not published | 0 |
| Hymenotomy CPT 56442 | $4,096.68 | $9,754.00 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $35,816.55 | $85,277.50 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,909.00 | $66,450.00 | 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.