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 |
|---|---|---|---|---|
| Repair of nasal septum CPT 30520 | $4,007.22 | $9,541.00 | not published | 0 |
| Repair of rectum CPT 45505 | $3,619.14 | $8,617.00 | not published | 0 |
| Repair of toe dislocation CPT 28675 | $4,313.40 | $10,270.00 | not published | 0 |
| Repair palate CPT 42182 | $7,520.94 | $17,907.00 | not published | 0 |
| Repair pm/icd lead dual CPT 33220 | $3,644.34 | $8,677.00 | not published | 0 |
| Repair pm/icd lead sgl CPT 33218 | $5,088.72 | $12,116.00 | not published | 0 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $323.40 | $770.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $521.22 | $1,241.00 | not published | 0 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $4,192.86 | $9,983.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $4,192.86 | $9,983.00 | not published | 0 |
| Repair throat wound CPT 42900 | $1,955.10 | $4,655.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $292.74 | $697.00 | not published | 0 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $9,316.86 | $22,183.00 | not published | 0 |
| Repair vagina/perineum CPT 57210 | $4,096.68 | $9,754.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $1,162.98 | $2,769.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $887.04 | $2,112.00 | not published | 0 |
| Replace g-j tube perc CPT 49452 | $1,162.98 | $2,769.00 | not published | 0 |
| Replace/irrigate catheter CPT 62225 | $3,021.06 | $7,193.00 | not published | 0 |
| Replace/revise brain shunt CPT 62230 | $8,952.72 | $21,316.00 | not published | 0 |
| Replace tunneled cv cath CPT 36578 | $2,990.82 | $7,121.00 | not published | 0 |
| Replantation digit complete CPT 20822 | $2,079.00 | $4,950.00 | not published | 0 |
| Reposition pm/icd lead CPT 33215 | $3,827.46 | $9,113.00 | not published | 0 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $933.24 | $2,222.00 | not published | 0 |
| Repos sq defib eltrd CPT 33273 | $3,482.64 | $8,292.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $1,021.44 | $2,432.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $1,614.48 | $3,844.00 | not published | 0 |
| Reticulated platelet assay CPT 85055 | $235.62 | $561.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $41.58 | $99.00 | not published | 0 |
| Revasc intra lithotrip-ather HCPCS C9766 | $19,142.34 | $45,577.00 | not published | 0 |
| Revasc intra lithotrip-stent HCPCS C9765 | $23,364.18 | $55,629.00 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $9,570.54 | $22,787.00 | not published | 0 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $16,907.94 | $40,257.00 | not published | 0 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $30,794.82 | $73,321.00 | not published | 0 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $14,658.00 | $34,900.00 | not published | 0 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $18,472.02 | $43,981.00 | not published | 0 |
| Revise eye socket implant CPT 67560 | $4,661.16 | $11,098.00 | not published | 0 |
| Revise finger joint each CPT 26140 | $2,021.04 | $4,812.00 | not published | 0 |
| Revision of cervix CPT 57720 | $3,982.44 | $9,482.00 | not published | 0 |
| Revision of cervix CPT 59320 | $2,136.12 | $5,086.00 | not published | 0 |
| Revision of cornea CPT 65600 | $2,819.46 | $6,713.00 | not published | 0 |
| Revision of eyelid CPT 67950 | $2,819.46 | $6,713.00 | not published | 0 |
| Revision of penis CPT 54430 | $2,357.46 | $5,613.00 | not published | 0 |
| Revision of penis CPT 54435 | $4,643.94 | $11,057.00 | not published | 0 |
| Revision tips CPT 37183 | $1,190.28 | $2,834.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $55.02 | $131.00 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,309.92 | $3,118.86 | not published | 0 |
| Right ventric recording CPT 93603 | $1,706.46 | $4,063.00 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,443.35 | $5,817.50 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $914.34 | $2,177.00 | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | $2,021.04 | $4,812.00 | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,638.88 | $8,664.00 | not published | 0 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,552.34 | $6,077.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,112.60 | $5,030.00 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $6,431.04 | $15,312.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $48,106.38 | $114,539.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $48,106.38 | $114,539.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $42,952.14 | $102,267.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $4,039.56 | $9,618.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $746.76 | $1,778.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $11,282.46 | $26,863.00 | not published | 0 |
| Rmvl perq right heart vad CPT 33997 | $740.88 | $1,764.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $14,553.84 | $34,652.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $13,269.90 | $31,595.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $202.02 | $481.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $809.34 | $1,927.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $3,900.12 | $9,286.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,495.20 | $3,560.00 | not published | 0 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $3,743.04 | $8,912.00 | not published | 0 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $532.14 | $1,267.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $6,026.16 | $14,348.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $4,225.20 | $10,060.00 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,095.80 | $4,990.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,666.02 | $3,966.71 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,897.98 | $4,519.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $2,059.68 | $4,904.00 | not published | 0 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $9,316.86 | $22,183.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $472.08 | $1,124.00 | not published | 0 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $162.12 | $386.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $330.54 | $787.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,508.24 | $5,972.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,674.12 | $3,986.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,034.48 | $4,844.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,268.82 | $3,021.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $220.08 | $524.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $574.98 | $1,369.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,147.88 | $5,114.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,575.00 | $3,750.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,516.62 | $3,611.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,815.72 | $11,466.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,163.35 | $17,055.60 | not published | 0 |
| Screening Mammogram CPT 77067 | $336.84 | $802.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $64,280.97 | $153,049.92 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $85.68 | $204.00 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $120.96 | $288.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,581.34 | $8,527.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $163.38 | $389.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $328.02 | $781.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $4,081.56 | $9,718.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $5,856.90 | $13,945.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $254.52 | $606.00 | 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.