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 |
|---|---|---|---|---|
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,200.78 | $2,859.00 | not published | 0 |
| Njx cath slct p-art angrp bi CPT 93573 | $590.94 | $1,407.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62324 | $1,200.78 | $2,859.00 | not published | 0 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,582.56 | $3,768.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,032.80 | $4,840.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $2,016.11 | $4,800.25 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,336.01 | $5,561.94 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,778.10 | $4,233.57 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,042.91 | $4,864.07 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,162.04 | $5,147.71 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $743.10 | $1,769.29 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,387.83 | $5,685.31 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,451.52 | $3,456.00 | not published | 0 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,102.92 | $2,626.00 | not published | 0 |
| Non-card vasc flow imaging CPT 78445 | $1,666.02 | $3,966.71 | not published | 0 |
| Noninv pace analysis CPT 93724 | $186.90 | $445.00 | not published | 0 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $3,435.60 | $8,180.00 | not published | 0 |
| Nsl/sins ndsc surg max sins CPT 31295 | $10,154.34 | $24,177.00 | not published | 0 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $5,223.12 | $12,436.00 | not published | 0 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $5,223.12 | $12,436.00 | not published | 0 |
| Nuclear rx intra-arterial CPT 79445 | $620.76 | $1,478.00 | not published | 0 |
| Nuclear rx IV admin CPT 79101 | $1,102.92 | $2,626.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,769.30 | $13,736.42 | not published | 0 |
| Nuclr rx interstit colloid CPT 79300 | $1,102.92 | $2,626.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $5,532.28 | $13,172.10 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $128.52 | $306.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $121.38 | $289.00 | not published | 0 |
| Obtaining screen pap smear HCPCS Q0091 | $44.52 | $106.00 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $656.88 | $1,564.00 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $56.70 | $135.00 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,499.07 | $3,569.21 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $128.90 | $306.91 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $56.70 | $135.00 | not published | 0 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $7,737.24 | $18,422.00 | not published | 0 |
| Optx clavicular fx w/int fix CPT 23515 | $9,316.86 | $22,183.00 | not published | 0 |
| Optx lunate dislocation CPT 25695 | $9,316.86 | $22,183.00 | not published | 0 |
| Optx medial ankle fx CPT 27766 | $9,316.86 | $22,183.00 | not published | 0 |
| Optx mndblr/max alv ridge fx CPT 21445 | $7,737.24 | $18,422.00 | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | $18,906.72 | $45,016.00 | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | $9,316.86 | $22,183.00 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $5,132.40 | $12,220.00 | not published | 0 |
| Oropharyngeal biopsy 42800 CPT 42800 | $2,218.86 | $5,283.00 | not published | 0 |
| Orthopantogram CPT 70355 | $852.18 | $2,029.00 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,417.75 | $3,375.60 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $53.34 | $127.00 | not published | 0 |
| Osmolality blood CPT 83930 | $147.84 | $352.00 | not published | 0 |
| Osmolality urine CPT 83935 | $54.60 | $130.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $908.04 | $2,162.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $454.02 | $1,081.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $680.82 | $1,621.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $102.48 | $244.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $67.20 | $160.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $134.40 | $320.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $122.64 | $292.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $201.18 | $479.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $162.12 | $386.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $201.18 | $479.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $128.52 | $306.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $128.52 | $306.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $189.00 | $450.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $201.18 | $479.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $141.96 | $338.00 | not published | 0 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $807.32 | $1,922.20 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $44,654.40 | $106,320.00 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $56.70 | $135.00 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $241.08 | $574.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,666.02 | $3,966.71 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,666.02 | $3,966.71 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $254.52 | $606.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $4,096.68 | $9,754.00 | not published | 0 |
| Partial removal finger bone CPT 26235 | $2,021.04 | $4,812.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $2,021.04 | $4,812.00 | not published | 0 |
| Partial removal of toe CPT 28160 | $4,192.86 | $9,983.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,921.76 | $11,718.48 | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $478.49 | $1,139.25 | not published | 0 |
| Pedicle enel/ntroral 15576 CPT 15576 | $2,501.10 | $5,955.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,711.12 | $8,836.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,968.98 | $7,069.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,226.84 | $5,302.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,884.18 | $11,629.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $3,930.36 | $9,358.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $3,908.94 | $9,307.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,051.26 | $2,503.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $521.64 | $1,242.00 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $165.38 | $393.76 | not published | 0 |
| Penile injection CPT 54235 | $484.68 | $1,154.00 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $19,235.57 | $45,798.97 | not published | 0 |
| Perc cryo ablate renal tum CPT 50593 | $21,997.50 | $52,375.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $34,329.96 | $81,738.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $34,329.96 | $81,738.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $34,329.96 | $81,738.00 | not published | 0 |
| Perc drug-el cor stent bran HCPCS C9601 | $15,652.98 | $37,269.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $26,705.70 | $63,585.00 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $5,848.50 | $13,925.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $9,366.42 | $22,301.00 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $127.68 | $304.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,056.74 | $4,897.00 | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $127.68 | $304.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $133.98 | $319.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $107.10 | $255.00 | 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.