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 |
|---|---|---|---|---|
| Peri-proc device eval pm CPT 93286 | $107.10 | $255.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $690.90 | $1,645.00 | not published | 0 |
| Perit-vens shunt pat tst CPT 78291 | $1,499.58 | $3,570.44 | not published | 0 |
| Perq art m-thrombect &/nfs CPT 61645 | $18,290.16 | $43,548.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $12,791.10 | $30,455.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $6,100.08 | $14,524.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $12,760.02 | $30,381.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $13,127.10 | $31,255.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $928.20 | $2,210.00 | not published | 0 |
| Perq transcath septal reduxn CPT 93583 | $15,748.32 | $37,496.00 | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $4,192.86 | $9,983.00 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $263.12 | $626.47 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,122.80 | $19,340.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $8,962.80 | $21,340.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,121.94 | $16,957.00 | not published | 0 |
| Pet image skull-thigh CPT 78812 | $1,520.82 | $3,621.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $47,767.34 | $113,731.75 | not published | 0 |
| Ph body fluid CPT 83986 | $109.20 | $260.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $160.57 | $382.32 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $543.48 | $1,294.00 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $56.70 | $135.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $633.36 | $1,508.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $702.24 | $1,672.00 | not published | 0 |
| Phosphorus CPT 84100 | $130.20 | $310.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $157.50 | $375.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $56.70 | $135.00 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $9,451.68 | $22,504.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $818.58 | $1,949.00 | not published | 0 |
| Pin finger fracture each CPT 26756 | $4,192.86 | $9,983.00 | not published | 0 |
| Pinworm exam CPT 87172 | $220.08 | $524.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $161.54 | $384.63 | not published | 0 |
| Place breast rad tube/caths CPT 19298 | $10,061.94 | $23,957.00 | not published | 0 |
| Place cath intracranial art CPT 36228 | $6,479.76 | $15,428.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $5,853.12 | $13,936.00 | not published | 0 |
| Place duod/jej tube perc CPT 49441 | $2,722.86 | $6,483.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $3,043.74 | $7,247.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,462.88 | $5,864.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,785.00 | $4,250.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $4,223.94 | $10,057.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,874.94 | $11,607.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $134.40 | $320.00 | not published | 0 |
| Placement of seton CPT 46020 | $3,619.14 | $8,617.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,285.84 | $29,252.00 | not published | 0 |
| Place needles pelvic for right CPT 55920 | $3,367.98 | $8,019.00 | not published | 0 |
| Place non-slctv cath thoracic arta CPT 36221 | $8,165.64 | $19,442.00 | not published | 0 |
| Place po breast cath for rad CPT 19296 | $11,240.88 | $26,764.00 | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $12,927.60 | $30,780.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $15,337.14 | $36,517.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $15,623.58 | $37,199.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $16,230.06 | $38,643.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $12,927.60 | $30,780.00 | not published | 0 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $27.30 | $65.00 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $184.80 | $440.00 | not published | 0 |
| Platelet automated CPT 85049 | $133.14 | $317.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $218.40 | $520.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $218.40 | $520.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $231.00 | $550.00 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $8,361.78 | $19,909.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $22,743.42 | $54,151.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $5,964.42 | $14,201.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $5,964.42 | $14,201.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $5,351.22 | $12,741.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $4,223.94 | $10,057.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $8,820.42 | $21,001.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $4,704.00 | $11,200.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $5,964.42 | $14,201.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $68.04 | $162.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $470.40 | $1,120.00 | not published | 0 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,040.80 | $7,240.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,169.38 | $14,689.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $115.92 | $276.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $219.08 | $521.62 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $108.78 | $259.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $2,656.08 | $6,324.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $476.70 | $1,135.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $16,836.12 | $40,086.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $884.10 | $2,105.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $7,274.40 | $17,320.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,313.40 | $10,270.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,313.40 | $10,270.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,265.08 | $7,774.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $392.70 | $935.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $543.90 | $1,295.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $478.80 | $1,140.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $127.68 | $304.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $127.68 | $304.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $330.12 | $786.00 | not published | 0 |
| Prealbumin CPT 84134 | $180.18 | $429.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.62 | $11.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,194.50 | $5,225.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $860.58 | $2,049.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $512.82 | $1,221.00 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $841.68 | $2,004.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,501.10 | $5,955.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,250.34 | $2,977.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $130.20 | $310.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $471.66 | $1,123.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $94.50 | $225.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,112.60 | $5,030.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,112.60 | $5,030.00 | 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.