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 |
|---|---|---|---|---|
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $254.52 | $606.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $525.42 | $1,251.00 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $12,405.39 | $29,536.65 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $6,384.50 | $15,201.20 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $34.13 | $81.25 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,883.76 | $11,628.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $4,307.10 | $10,255.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $3,936.24 | $9,372.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $612.36 | $1,458.00 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,110.14 | $12,167.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $435.54 | $1,037.00 | not published | 0 |
| Sialography s&i CPT 70390 | $1,152.48 | $2,744.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $4,761.96 | $11,338.00 | not published | 0 |
| Sickling rbc CPT 85660 | $168.00 | $400.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,364.58 | $3,249.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,296.58 | $7,849.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,899.68 | $6,904.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $2,467.08 | $5,874.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $3,514.98 | $8,369.00 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $84.21 | $200.49 | not published | 0 |
| Skin Biopsy CPT 11102 | $254.52 | $606.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $8,731.38 | $20,789.00 | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $24.57 | $58.50 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $163.80 | $390.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $13,632.92 | $32,459.33 | not published | 0 |
| Slitting of prepuce CPT 54001 | $2,612.82 | $6,221.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $417.48 | $994.00 | not published | 0 |
| Smear gram stain CPT 87205 | $207.06 | $493.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $723.66 | $1,723.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $48.72 | $116.00 | not published | 0 |
| Smear wet mount CPT 87210 | $248.22 | $591.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $136.08 | $324.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $46.85 | $111.54 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $47.27 | $112.54 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $50.73 | $120.79 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $48.11 | $114.54 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $63.13 | $150.31 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $85.68 | $204.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $56.70 | $135.00 | not published | 0 |
| Somatosensory testing CPT 95927 | $577.08 | $1,374.00 | not published | 0 |
| Special physics consult CPT 77370 | $2,868.60 | $6,830.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $661.50 | $1,575.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $6,389.46 | $15,213.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $2,459.94 | $5,857.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,469.62 | $8,261.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $586.32 | $1,396.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.03 | $252.46 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,713.66 | $11,223.00 | not published | 0 |
| Split blood or products CPT 86985 | $246.12 | $586.00 | not published | 0 |
| Srs multisource CPT 77371 | $50,984.64 | $121,392.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $61.32 | $146.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $189.00 | $450.00 | not published | 0 |
| Stem cells total count CPT 86367 | $755.58 | $1,799.00 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,198.58 | $40,949.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $57,771.00 | $137,550.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $33,488.94 | $79,735.57 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $31,250.64 | $74,406.28 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $7,023.54 | $16,722.72 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,198.58 | $40,949.00 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $14,507.22 | $34,541.00 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | $10,468.08 | $24,924.00 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $19,765.20 | $47,060.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $409.50 | $975.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $850.50 | $2,025.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $874.44 | $2,082.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $316.26 | $753.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $205.38 | $489.00 | not published | 0 |
| Strapping of chest CPT 29200 | $205.38 | $489.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $81.06 | $193.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $105.84 | $252.00 | not published | 0 |
| Strapping of hip CPT 29520 | $163.80 | $390.00 | not published | 0 |
| Strapping of knee CPT 29530 | $163.80 | $390.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $108.78 | $259.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $307.86 | $733.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $590.52 | $1,406.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $422.94 | $1,007.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $386.82 | $921.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $59.13 | $140.78 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $73.38 | $174.72 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $162.12 | $386.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $364.98 | $869.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $504.42 | $1,201.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $825.30 | $1,965.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $974.82 | $2,321.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,829.94 | $4,357.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $225.96 | $538.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $10.50 | $25.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $413.70 | $985.00 | not published | 0 |
| Svc venogram s&i CPT 75827 | $4,891.74 | $11,647.00 | not published | 0 |
| Sweat collection by iontophoresis CPT 89230 | $1,168.44 | $2,782.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $375.48 | $894.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $42,700.77 | $101,668.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $26,599.86 | $63,333.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,795.20 | $18,560.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $1,197.76 | $2,851.80 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $109.62 | $261.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $156.24 | $372.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $167.16 | $398.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $24.02 | $57.20 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $294.84 | $702.00 | 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.