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Covenant Childrens Hospital

4015 22Nd Place, Lubbock, TX 79410 · (806) 725-7975

Price file

Prices published

File dated 2026-04-01

923 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $52

$52
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $460

$460
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $245

$140
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $836

$753
cash
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cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $81

$117
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,047

$1,047
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 7 lines · metro median $47

$44
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $65

$65
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $336

$336
cash
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cash
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cash
Family psychotherapy with the patient

CPT 90847 · lowest of 5 lines · metro median $78

$78
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $78

$78
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 9 lines · metro median $70

$117
cash
Group psychotherapy

CPT 90853 · lowest of 6 lines · metro median $49

$49
cash
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Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,711

$4,989
cash
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cash
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cash
Left heart catheterization

CPT 93452 · metro median $12,413

$14,651
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 12 lines · metro median $88

$82
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $50

$50
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $690

$495
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 3 lines · metro median $749

$749
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $562

$562
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $665

$665
cash
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PSA test (prostate)

CPT 84153 · lowest of 6 lines · metro median $99

$97
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 10 lines · metro median $36

$34
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $72

$125
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $540

$861
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $24

$24
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 5 lines · metro median $78

$78
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 5 lines · metro median $78

$78
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 5 lines · metro median $78

$78
cash
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cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $125

$125
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 6 lines · metro median $850

$850
cash
—
cash
$1,201
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $857

$908
cash
TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $90

$88
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $459

$459
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $459

$459
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,040

$1,040
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $1,040

$1,040
cash
Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $24

$24
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $239

$383
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.