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 |
|---|---|---|---|---|
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,477.56 | $3,518.00 | not published | 0 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $4,192.86 | $9,983.00 | not published | 0 |
| Tx open nsl fx uncomp CPT 21325 | $4,007.22 | $9,541.00 | not published | 0 |
| Tx open nsl sptl fx CPT 21336 | $4,313.40 | $10,270.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,059.26 | $4,903.00 | not published | 0 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $291.90 | $695.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $561.12 | $1,336.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $467.46 | $1,113.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $686.70 | $1,635.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $1,373.82 | $3,271.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,044.12 | $2,486.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $258.30 | $615.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $388.08 | $924.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,057.98 | $2,519.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $1,374.66 | $3,273.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $811.44 | $1,932.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $1,471.68 | $3,504.00 | not published | 0 |
| Ultrasound infant hips ltd without stress CPT 76886 | $1,029.42 | $2,451.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $673.68 | $1,604.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $673.68 | $1,604.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $215.04 | $512.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $807.66 | $1,923.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $591.36 | $1,408.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $512.82 | $1,221.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $512.82 | $1,221.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $512.82 | $1,221.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,034.46 | $2,463.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $811.44 | $1,932.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $1,134.00 | $2,700.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,226.40 | $2,920.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $544.32 | $1,296.00 | not published | 0 |
| Unlisted chemotherapy px CPT 96549 | $241.08 | $574.00 | not published | 0 |
| Unlisted procedure rectum CPT 45999 | $1,204.14 | $2,867.00 | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | $315.84 | $752.00 | not published | 0 |
| Unlisted px salivry glnd/dux CPT 42699 | $292.74 | $697.00 | not published | 0 |
| Unlisted px small intestine CPT 44799 | $1,196.58 | $2,849.00 | not published | 0 |
| Unlisted special svc px/rprt CPT 99199 | $63.00 | $150.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $847.56 | $2,018.00 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $5,449.92 | $12,976.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $7,208.88 | $17,164.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $5,715.78 | $13,609.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $5,339.88 | $12,714.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,040.34 | $2,477.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,040.34 | $2,477.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $132.72 | $316.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $128.94 | $307.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $1,157.55 | $2,756.07 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $942.48 | $2,244.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $1,018.92 | $2,426.00 | not published | 0 |
| Uric acid blood CPT 84550 | $186.90 | $445.00 | not published | 0 |
| Uric acid urine CPT 84560 | $124.32 | $296.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $118.86 | $283.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $162.96 | $388.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $121.80 | $290.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $382.20 | $910.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $207.06 | $493.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $714.42 | $1,701.00 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $203.70 | $485.01 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,703.57 | $4,056.12 | not published | 0 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,683.99 | $4,009.50 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,827.28 | $35,303.04 | not published | 0 |
| Vaginal bx CPT 58999 | $4,206.30 | $10,015.00 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $4,096.68 | $9,754.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $770.28 | $1,834.00 | not published | 0 |
| Valvuloplasty aortic CPT 92986 | $11,714.64 | $27,892.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $259.95 | $618.93 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $178.88 | $425.90 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $647.64 | $1,542.00 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $24,208.80 | $57,640.00 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $147.84 | $352.00 | not published | 0 |
| Veeg cont 2-12 hrs CPT 95713 | $1,641.36 | $3,908.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,612.82 | $6,221.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,094.10 | $2,605.00 | not published | 0 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,094.10 | $2,605.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $547.26 | $1,303.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $5,254.20 | $12,510.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $6,538.14 | $15,567.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $9,080.40 | $21,620.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $6,538.14 | $15,567.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,833.32 | $6,746.00 | not published | 0 |
| Vein x-ray skull CPT 75870 | $3,894.66 | $9,273.00 | not published | 0 |
| Vein x-ray spleen/liver CPT 75810 | $4,522.14 | $10,767.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $587.16 | $1,398.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $117.60 | $280.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $2,512.86 | $5,983.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $2,019.36 | $4,808.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $9,554.16 | $22,748.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $6,526.38 | $15,539.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $6,538.14 | $15,567.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $3,837.12 | $9,136.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $4,016.88 | $9,564.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,094.10 | $2,605.00 | not published | 0 |
| Version cephalic external CPT 59412 | $4,587.66 | $10,923.00 | not published | 0 |
| Vest large holster HCPCS Q0498 | $1,390.37 | $3,310.41 | not published | 0 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $1,011.36 | $2,408.00 | not published | 0 |
| Visual audiometry (vra) CPT 92579 | $191.10 | $455.00 | not published | 0 |
| Vital capacity test CPT 94150 | $600.18 | $1,429.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $205.38 | $489.00 | not published | 0 |
| Vitamin D Test CPT 82306 | $173.04 | $412.00 | not published | 0 |
| Volume deplete of harvest CPT 38214 | $2,820.72 | $6,716.00 | 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.