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 |
|---|---|---|---|---|
| Cath right hrt mnpul art CPT 36013 | $294.00 | $700.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $294.00 | $700.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $4,578.00 | $10,900.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $451.92 | $1,076.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $886.50 | $2,110.71 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,286.49 | $3,063.06 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $439.32 | $1,046.00 | not published | 0 |
| Cauterization of cervix 57510 CPT 57510 | $5,436.06 | $12,943.00 | not published | 0 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $56.70 | $135.00 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $80.66 | $192.04 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,547.27 | $3,683.98 | not published | 0 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $72.58 | $172.81 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $2,855.89 | $6,799.73 | not published | 0 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $56.70 | $135.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $129.36 | $308.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $825.72 | $1,966.00 | not published | 0 |
| Cerebrospinal fld flw imag CPT 78645 | $609.32 | $1,450.76 | not published | 0 |
| Change cystostomy tube; complex 51710 CPT 51710 | $881.16 | $2,098.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $628.74 | $1,497.00 | not published | 0 |
| Change g-tube to g-j perc CPT 49446 | $2,981.16 | $7,098.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $523.32 | $1,246.00 | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,389.78 | $3,309.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $470.40 | $1,120.00 | not published | 0 |
| Chemo ia push tecnique CPT 96420 | $381.36 | $908.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $700.98 | $1,669.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $611.94 | $1,457.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $4,456.20 | $10,610.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $3,773.28 | $8,984.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $2,226.84 | $5,302.00 | not published | 0 |
| Chest X-ray CPT 71046 | $523.74 | $1,247.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $468.30 | $1,115.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $63.84 | $152.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $966.42 | $2,301.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $56.70 | $135.00 | not published | 0 |
| Chloride CPT 82435 | $123.90 | $295.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $128.94 | $307.00 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $732.65 | $1,744.40 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $2,726.22 | $6,491.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $702.66 | $1,673.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,129.84 | $7,452.00 | not published | 0 |
| Cholesterol CPT 82465 | $179.76 | $428.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $1,047.48 | $2,494.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $148.68 | $354.00 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $24,788.40 | $59,020.00 | not published | 0 |
| Clearance of airways CPT 31720 | $241.50 | $575.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $87.49 | $208.32 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $4,658.12 | $11,090.75 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $1,045.77 | $2,489.92 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $162.12 | $386.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,021.04 | $4,812.00 | not published | 0 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $299.88 | $714.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $299.88 | $714.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,021.04 | $4,812.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $291.90 | $695.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,332.66 | $3,173.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $270.90 | $645.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $643.44 | $1,532.00 | not published | 0 |
| Closed tx orbit w/manipulj CPT 21401 | $1,955.10 | $4,655.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,416.26 | $5,753.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $4,007.22 | $9,541.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $291.90 | $695.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $291.90 | $695.00 | not published | 0 |
| Closed tx vert fx w/manj CPT 22315 | $4,313.40 | $10,270.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $443.52 | $1,056.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,412.06 | $5,743.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $782.88 | $1,864.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | $1,229.34 | $2,927.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,921.08 | $4,574.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $480.48 | $1,144.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $359.10 | $855.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,021.04 | $4,812.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $291.90 | $695.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,021.04 | $4,812.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $291.90 | $695.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $291.90 | $695.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $444.36 | $1,058.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,854.72 | $4,416.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $291.90 | $695.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $1,475.04 | $3,512.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,748.90 | $6,545.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,021.04 | $4,812.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $459.06 | $1,093.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $304.08 | $724.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,283.94 | $3,057.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $879.48 | $2,094.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,554.42 | $3,701.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $727.02 | $1,731.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,406.16 | $3,348.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $291.90 | $695.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,917.72 | $4,566.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $829.50 | $1,975.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $780.78 | $1,859.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $746.76 | $1,778.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $643.44 | $1,532.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $291.90 | $695.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $803.04 | $1,912.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $863.52 | $2,056.00 | not published | 0 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $4,192.86 | $9,983.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $686.70 | $1,635.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $536.76 | $1,278.00 | 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.