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 |
|---|---|---|---|---|
| Control nosebleed pack+caut 30905 CPT 30905 | $1,035.30 | $2,465.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $204.54 | $487.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $521.22 | $1,241.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $428.40 | $1,020.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $4,122.30 | $9,815.00 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | $5,132.40 | $12,220.00 | not published | 0 |
| Coombs direct CPT 86880 | $327.60 | $780.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $343.98 | $819.00 | not published | 0 |
| Copper intrauterine device HCPCS J7300 | $2,643.05 | $6,292.97 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $2,112.60 | $5,030.00 | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $4,192.86 | $9,983.00 | not published | 0 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $9,928.17 | $23,638.50 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $20,643.42 | $49,151.00 | not published | 0 |
| Coronary angio/lv gram/lt heart CPT 93458 | $19,599.72 | $46,666.00 | not published | 0 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $21,724.92 | $51,726.00 | not published | 0 |
| Coronary art/grft angio s&i CPT 93455 | $11,687.76 | $27,828.00 | not published | 0 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $10,644.48 | $25,344.00 | not published | 0 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $508.62 | $1,211.00 | not published | 0 |
| Correct finger deformity CPT 26567 | $4,192.86 | $9,983.00 | not published | 0 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $4,192.86 | $9,983.00 | not published | 0 |
| Correct rectal prolapse CPT 45541 | $3,722.88 | $8,864.00 | not published | 0 |
| Cortisol total am CPT 82533 | $439.74 | $1,047.00 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $3,647.70 | $8,685.00 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $122.64 | $292.00 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $2,162.04 | $5,147.71 | not published | 0 |
| C-reactive protein CPT 86140 | $387.66 | $923.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $469.14 | $1,117.00 | not published | 0 |
| C-reactive protein, quantitative CPT 86406 | $103.74 | $247.00 | not published | 0 |
| Creatine kinase CPT 82550 | $177.24 | $422.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $43.26 | $103.00 | not published | 0 |
| Creatinine CPT 82565 | $133.56 | $318.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $213.78 | $509.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $255.78 | $609.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $4,887.96 | $11,638.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $2,443.98 | $5,819.00 | not published | 0 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $911.40 | $2,170.00 | not published | 0 |
| Cryoprecipitate each unit HCPCS P9012 | $21.63 | $51.50 | not published | 0 |
| Cryopreserve stem cells CPT 38207 | $1,560.72 | $3,716.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $1,360.80 | $3,240.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | $493.18 | $1,174.24 | not published | 0 |
| Csf shunt reprogram 62252 CPT 62252 | $400.68 | $954.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $2,062.62 | $4,911.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,554.88 | $8,464.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,340.64 | $3,192.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,070.62 | $7,311.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $1,185.66 | $2,823.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $8,867.46 | $21,113.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,711.12 | $8,836.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $4,035.36 | $9,608.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $1,383.48 | $3,294.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $3,711.12 | $8,836.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,070.62 | $7,311.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $3,598.14 | $8,567.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,646.40 | $3,920.00 | not published | 0 |
| CT guid parench tis ablat CPT 77013 | $842.52 | $2,006.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $1,014.30 | $2,415.00 | not published | 0 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,569.14 | $6,117.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $1,383.06 | $3,293.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $1,023.12 | $2,436.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,777.46 | $6,613.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,155.86 | $5,133.00 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,966.06 | $9,443.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $3,228.54 | $7,687.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $2,421.30 | $5,765.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $4,035.36 | $9,608.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $4,444.86 | $10,583.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $3,555.72 | $8,466.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,667.00 | $6,350.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $292.74 | $697.00 | not published | 0 |
| CT scan for therapy guide CPT 77014 | $1,335.18 | $3,179.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $8,867.46 | $21,113.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,962.74 | $14,197.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,472.16 | $10,648.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $2,704.38 | $6,439.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $2,226.84 | $5,302.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $78.12 | $186.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $3,268.86 | $7,783.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,496.06 | $5,943.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,871.94 | $4,457.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,119.76 | $7,428.00 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $497.70 | $1,185.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $411.60 | $980.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $509.88 | $1,214.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $341.88 | $814.00 | not published | 0 |
| Culture body fluid CPT 87070 | $412.44 | $982.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $497.70 | $1,185.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $497.70 | $1,185.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $403.62 | $961.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $354.06 | $843.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $486.36 | $1,158.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $374.64 | $892.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $241.92 | $576.00 | not published | 0 |
| Curette/treat cornea CPT 65435 | $1,168.02 | $2,781.00 | not published | 0 |
| Curette/treat cornea CPT 65436 | $2,819.46 | $6,713.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $17,876.25 | $42,562.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,017.24 | $2,422.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $56.70 | $135.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $126.00 | $300.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $1,049.16 | $2,498.00 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $30.87 | $73.50 | 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.