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 |
|---|---|---|---|---|
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,412.06 | $5,743.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $3,270.96 | $7,788.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,034.04 | $2,462.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $291.90 | $695.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27197 | $291.90 | $695.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27198 | $291.90 | $695.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,479.68 | $5,904.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $291.90 | $695.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $291.90 | $695.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,021.04 | $4,812.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $291.90 | $695.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $916.02 | $2,181.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,021.04 | $4,812.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,994.20 | $9,510.00 | not published | 0 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,192.86 | $9,983.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $614.04 | $1,462.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $291.90 | $695.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $445.20 | $1,060.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,100.42 | $5,001.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $291.90 | $695.00 | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $299.88 | $714.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $291.90 | $695.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $291.90 | $695.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $291.90 | $695.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $291.90 | $695.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $291.90 | $695.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $291.90 | $695.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,021.04 | $4,812.00 | not published | 0 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,021.04 | $4,812.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $291.90 | $695.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,021.04 | $4,812.00 | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $291.90 | $695.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,021.04 | $4,812.00 | not published | 0 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $7,520.94 | $17,907.00 | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,955.10 | $4,655.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,122.30 | $9,815.00 | not published | 0 |
| Cltx palatal/max fx wire fix CPT 21421 | $4,122.30 | $9,815.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | $291.90 | $695.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,949.66 | $7,023.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,021.04 | $4,812.00 | not published | 0 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $291.90 | $695.00 | not published | 0 |
| Cltx thigh fx CPT 27267 | $4,313.40 | $10,270.00 | not published | 0 |
| C motor evoked upr&lwr limbs CPT 95939 | $793.80 | $1,890.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $105.84 | $252.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $82.71 | $196.93 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $154.14 | $366.99 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $49.90 | $118.82 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $543.09 | $1,293.08 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $268.74 | $639.86 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $279.95 | $666.54 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $198.24 | $472.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $153.30 | $365.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $108.36 | $258.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $1,047.06 | $2,493.00 | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | $1,364.58 | $3,249.00 | not published | 0 |
| Colpocentesis 57020 CPT 57020 | $6,528.48 | $15,544.00 | not published | 0 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $5,479.32 | $13,046.00 | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $292.32 | $696.00 | not published | 0 |
| Colposcopy vulva 56820 CPT 56820 | $250.74 | $597.00 | not published | 0 |
| Colpotomy drng of abscess 57010 CPT 57010 | $4,096.68 | $9,754.00 | not published | 0 |
| Colpotomy w/exploration 57000 CPT 57000 | $4,096.68 | $9,754.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $488.88 | $1,164.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $403.20 | $960.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $552.30 | $1,315.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $363.30 | $865.00 | not published | 0 |
| Complex cystometrogram 51726 CPT 51726 | $1,640.52 | $3,906.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $989.10 | $2,355.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $858.90 | $2,045.00 | not published | 0 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $616.14 | $1,467.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $958.86 | $2,283.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,525.86 | $3,633.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $360.36 | $858.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $832.02 | $1,981.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,420.44 | $3,382.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $330.12 | $786.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $261.66 | $623.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $739.20 | $1,760.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $645.96 | $1,538.00 | not published | 0 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,501.10 | $5,955.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $861.84 | $2,052.00 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $2,063.25 | $4,912.50 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $4,727.06 | $11,254.90 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $154.14 | $367.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $269.64 | $642.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $614.88 | $1,464.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $610.26 | $1,453.00 | not published | 0 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $662.34 | $1,577.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $816.06 | $1,943.00 | not published | 0 |
| Cont intraop neuro monitor HCPCS G0453 | $341.88 | $814.00 | not published | 0 |
| Contrast baths charges CPT 97034 | $60.06 | $143.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $7,103.46 | $16,913.00 | not published | 0 |
| Contrast exam thoracic aorta CPT 75600 | $4,596.90 | $10,945.00 | not published | 0 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $6,538.14 | $15,567.00 | not published | 0 |
| Contrast x-ray gallbladder CPT 74290 | $271.74 | $647.00 | not published | 0 |
| Contrast x-ray of elbow CPT 73085 | $637.14 | $1,517.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $2,160.90 | $5,145.00 | not published | 0 |
| Contrast x-ray of knee joint CPT 73580 | $1,294.86 | $3,083.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $968.52 | $2,306.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $11,451.13 | $27,264.60 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $6,148.80 | $14,640.00 | 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.