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 |
|---|---|---|---|---|
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $168.00 | $400.00 | not published | 0 |
| Mayo fbl culture fungi blood CPT 87103 | $428.40 | $1,020.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $108.78 | $259.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $202.44 | $482.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $243.60 | $580.00 | not published | 0 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $361.20 | $860.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $1,095.36 | $2,608.00 | not published | 0 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $379.68 | $904.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $319.62 | $761.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $211.26 | $503.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $238.14 | $567.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $97.02 | $231.00 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $2,975.28 | $7,084.00 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $13,762.02 | $32,766.72 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $3,239.96 | $7,714.20 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $83.59 | $199.02 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $461.58 | $1,099.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $519.12 | $1,236.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $461.58 | $1,099.00 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $126.09 | $300.22 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $401.52 | $956.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $4.62 | $11.00 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $250.91 | $597.40 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $56.70 | $135.00 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $69.30 | $165.00 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1,371.37 | $3,265.17 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $57.96 | $138.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $284.76 | $678.00 | not published | 0 |
| Mnpj elbow under anes CPT 24300 | $2,021.04 | $4,812.00 | not published | 0 |
| Mnpj of tmj w/anesth CPT 21073 | $2,011.38 | $4,789.00 | not published | 0 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,256.80 | $22,040.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $86.00 | $204.75 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $57.96 | $138.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $319.20 | $760.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $4,745.16 | $11,298.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,484.32 | $8,296.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,393.14 | $3,317.00 | not published | 0 |
| MRA pelvis CPT 72198 | $2,822.40 | $6,720.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,863.56 | $6,818.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $3,817.80 | $9,090.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $3,284.82 | $7,821.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,738.38 | $4,139.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,899.26 | $6,903.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,645.58 | $6,299.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $3,281.46 | $7,813.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $5,994.24 | $14,272.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $4,307.10 | $10,255.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,908.94 | $9,307.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,883.76 | $11,628.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,653.12 | $3,936.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,122.70 | $7,435.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,846.74 | $4,397.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,470.46 | $8,263.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,883.76 | $11,628.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $2,594.76 | $6,178.00 | not published | 0 |
| Mr spectroscopy CPT 76390 | $2,454.48 | $5,844.00 | not published | 0 |
| Multiple sleep latency test CPT 95805 | $4,220.58 | $10,049.00 | not published | 0 |
| Muscle-skin graft leg CPT 15738 | $4,713.66 | $11,223.00 | not published | 0 |
| Muscle test cran nerv unilat CPT 95867 | $994.56 | $2,368.00 | not published | 0 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $75.76 | $180.37 | not published | 0 |
| Mycophenolic acid HCPCS J7518 | $26.79 | $63.79 | not published | 0 |
| Myelography l-s spine CPT 72265 | $4,967.34 | $11,827.00 | not published | 0 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $12,178.74 | $28,997.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $12,178.74 | $28,997.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $12,178.74 | $28,997.00 | not published | 0 |
| Myelography via inj w/s&i thoracic CPT 62303 | $12,178.74 | $28,997.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $67.20 | $160.00 | not published | 0 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $56.70 | $135.00 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $56.86 | $135.38 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $293.58 | $699.00 | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $293.58 | $699.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $258.72 | $616.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $480.48 | $1,144.00 | not published | 0 |
| N block inj hypogas plxs CPT 64517 | $1,121.82 | $2,671.00 | not published | 0 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $163.80 | $390.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $35.28 | $84.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $35.28 | $84.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $2,593.50 | $6,175.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $6,133.26 | $14,603.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $4,058.04 | $9,662.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,707.74 | $6,447.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,848.06 | $11,543.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,801.84 | $9,052.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,564.54 | $8,487.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,693.48 | $8,794.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,429.30 | $8,165.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,354.08 | $3,224.00 | not published | 0 |
| Nerve conduction 7-8 studies CPT 95910 | $10,865.40 | $25,870.00 | not published | 0 |
| Nerve conduction studies 11-12 CPT 95912 | $16,303.14 | $38,817.00 | not published | 0 |
| Nerve conduction studies 1-2 CPT 95907 | $2,716.56 | $6,468.00 | not published | 0 |
| Nerve conduction studies 13+ CPT 95913 | $17,656.38 | $42,039.00 | not published | 0 |
| Nerve conduction studies 3-4 CPT 95908 | $5,432.70 | $12,935.00 | not published | 0 |
| Nerve conduction studies 5-6 CPT 95909 | $8,149.26 | $19,403.00 | not published | 0 |
| Nerve conduction studies 9-10 CPT 95911 | $13,581.54 | $32,337.00 | not published | 0 |
| Neurolysis celiac plexus CPT 64680 | $1,535.52 | $3,656.00 | not published | 0 |
| Neurolysis trigeminal nerve CPT 64600 | $1,200.78 | $2,859.00 | not published | 0 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $742.14 | $1,767.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $393.12 | $936.00 | not published | 0 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $103.39 | $246.16 | not published | 0 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $907.62 | $2,161.00 | 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.