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 |
|---|---|---|---|---|
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $28,542.53 | $67,958.41 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $991.62 | $2,361.00 | not published | 0 |
| Cystoscopy and treatment CPT 52214 | $5,260.50 | $12,525.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $3,044.58 | $7,249.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,459.96 | $8,238.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $5,260.50 | $12,525.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $3,044.58 | $7,249.00 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,688.00 | $6,400.00 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | $5,260.50 | $12,525.00 | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | $5,260.50 | $12,525.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,415.84 | $5,752.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $25.62 | $61.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $29.82 | $71.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $368.34 | $877.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $293.58 | $699.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $293.58 | $699.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $67.20 | $160.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $335.16 | $798.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $526.68 | $1,254.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $231.00 | $550.00 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $232.27 | $553.02 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $4,096.68 | $9,754.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,982.44 | $9,482.00 | not published | 0 |
| Dch validity tests CPT 81002 | $106.26 | $253.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $818.58 | $1,949.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $318.36 | $758.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,131.10 | $7,455.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $341.46 | $813.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,061.34 | $2,527.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,640.52 | $3,906.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $149.10 | $355.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $149.10 | $355.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $914.34 | $2,177.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $3,638.88 | $8,664.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $341.46 | $813.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $849.66 | $2,023.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $409.08 | $974.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,052.54 | $4,887.00 | not published | 0 |
| Decalcification CPT 88311 | $175.56 | $418.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $872.34 | $2,077.00 | not published | 0 |
| Decompress fasciotomyhand 26037 CPT 26037 | $4,313.40 | $10,270.00 | not published | 0 |
| Decompression of lower leg CPT 27600 | $4,192.86 | $9,983.00 | not published | 0 |
| Decompression of thigh/knee CPT 27496 | $4,192.86 | $9,983.00 | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | $5,045.46 | $12,013.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $3,982.44 | $9,482.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $270.06 | $643.00 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $433.86 | $1,033.00 | not published | 0 |
| Derma-fat-fascia graft 15770 CPT 15770 | $4,713.66 | $11,223.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $2,016.00 | $4,800.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $56.70 | $135.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $254.52 | $606.00 | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $525.42 | $1,251.00 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $525.42 | $1,251.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $254.52 | $606.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $4,006.38 | $9,539.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $6,148.80 | $14,640.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,386.50 | $12,825.00 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $1,825.12 | $4,345.53 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $10,602.90 | $25,245.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $77.83 | $185.30 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $56.70 | $135.00 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $46.43 | $110.54 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $47.48 | $113.04 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $48.11 | $114.54 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $315.84 | $752.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $190.68 | $454.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $190.68 | $454.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $77.28 | $184.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $77.28 | $184.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $293.58 | $699.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $247.38 | $589.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $421.26 | $1,003.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $316.26 | $753.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $842.10 | $2,005.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $96.23 | $229.13 | not published | 0 |
| Diffusing capacity CPT 94729 | $522.48 | $1,244.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $699.30 | $1,665.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $56.70 | $135.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $627.06 | $1,493.00 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $4,066.86 | $9,683.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,022.30 | $4,815.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,898.40 | $4,520.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $3,037.44 | $7,232.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $302.82 | $721.00 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $204.96 | $488.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $881.16 | $2,098.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $669.20 | $1,593.34 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $676.62 | $1,611.00 | not published | 0 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.10 | $5.00 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $56.70 | $135.00 | not published | 0 |
| Disability dlco CPT 94727 | $498.96 | $1,188.00 | not published | 0 |
| Disaccharidases CPT 82657 | $265.02 | $631.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $3,240.30 | $7,715.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $575.40 | $1,370.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $138.60 | $330.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $138.60 | $330.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $112.61 | $268.12 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $84.30 | $200.72 | not published | 0 |
| Doppler echo complete CPT 93320 | $575.40 | $1,370.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $541.80 | $1,290.00 | 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.