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 |
|---|---|---|---|---|
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,734.18 | $4,129.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,433.04 | $3,412.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $26,981.22 | $64,241.00 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $171.75 | $408.94 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $395.64 | $942.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $914.34 | $2,177.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $2,112.60 | $5,030.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $364.56 | $868.00 | not published | 0 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,638.88 | $8,664.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $420.42 | $1,001.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,173.08 | $5,174.00 | not published | 0 |
| Drainage of eye CPT 65800 | $2,879.10 | $6,855.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $388.92 | $926.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $292.74 | $697.00 | not published | 0 |
| Drainage of mouth lesion CPT 41007 | $1,955.10 | $4,655.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $5,699.40 | $13,570.00 | not published | 0 |
| Drainage of mouth lesion CPT 41015 | $643.44 | $1,532.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $4,007.22 | $9,541.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $292.74 | $697.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $643.44 | $1,532.00 | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | $4,192.86 | $9,983.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $1,160.88 | $2,764.00 | not published | 0 |
| Drainage of salivary gland CPT 42305 | $4,007.22 | $9,541.00 | not published | 0 |
| Drainage of salivary gland CPT 42320 | $643.44 | $1,532.00 | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,612.82 | $6,221.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $1,316.28 | $3,134.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $294.84 | $702.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $5,225.22 | $12,441.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $5,120.64 | $12,192.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $907.62 | $2,161.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $408.24 | $972.00 | not published | 0 |
| Drain lower leg bursa CPT 27604 | $4,313.40 | $10,270.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $3,638.88 | $8,664.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,638.88 | $8,664.00 | not published | 0 |
| Drain penis lesion CPT 54015 | $2,112.60 | $5,030.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $3,638.88 | $8,664.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,638.88 | $8,664.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $615.30 | $1,465.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $495.60 | $1,180.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $719.88 | $1,714.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $818.58 | $1,949.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $15,247.86 | $36,304.42 | not published | 0 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $120.96 | $288.00 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $6,170.22 | $14,691.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,192.86 | $9,983.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $656.88 | $1,564.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,112.60 | $5,030.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $643.44 | $1,532.00 | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,525.44 | $3,632.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,176.02 | $5,181.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | $1,955.10 | $4,655.00 | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $643.44 | $1,532.00 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,372.29 | $5,648.30 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $3,964.00 | $9,438.10 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $886.80 | $2,111.42 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $35.10 | $83.57 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $7,156.03 | $17,038.16 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $28,551.05 | $67,978.69 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $355.32 | $846.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $345.66 | $823.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $345.66 | $823.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,064.28 | $2,534.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $2,076.90 | $4,945.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,279.76 | $5,428.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $14,438.37 | $34,377.08 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $870.66 | $2,073.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,599.84 | $10,952.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,976.56 | $9,468.00 | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $676.62 | $1,611.00 | not published | 0 |
| Dx gastr intub w/asp specs CPT 43755 | $204.96 | $488.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $619.08 | $1,474.00 | not published | 0 |
| Dx laryngoscopy w/oper scope CPT 31526 | $2,624.16 | $6,248.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $158.76 | $378.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $375.90 | $895.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $315.42 | $751.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $165.48 | $394.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,850.54 | $6,787.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $951.30 | $2,265.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,850.54 | $6,787.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $654.36 | $1,558.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $537.18 | $1,279.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $326.76 | $778.00 | not published | 0 |
| Echo exam of fetal heart CPT 76825 | $1,036.14 | $2,467.00 | not published | 0 |
| Echo exam of fetal heart CPT 76827 | $1,036.14 | $2,467.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $512.82 | $1,221.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $756.84 | $1,802.00 | not published | 0 |
| Echo stress CPT 93350 | $1,609.44 | $3,832.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,018.08 | $2,424.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $1,261.68 | $3,004.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $331.38 | $789.00 | not published | 0 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $5,924.52 | $14,106.00 | not published | 0 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $5,924.52 | $14,106.00 | not published | 0 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $11,230.80 | $26,740.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $11,230.80 | $26,740.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $28,129.92 | $66,976.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $28,129.92 | $66,976.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $5,924.52 | $14,106.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $7,712.46 | $18,363.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $682.92 | $1,626.00 | not published | 0 |
| Eeg during surgery CPT 95955 | $1,324.68 | $3,154.00 | 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.