Covenant Long-Term Care LLC
Covenant Long-Term Care LLC in Lubbock, TX publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
3815 20th St, Lubbock, TX 79410 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $5,962.74 | $14,197.00 | 58% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $5,962.74 | $14,197.00 | 58% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $2,421.30 | $5,765.00 | 58% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $2,421.30 | $5,765.00 | 58% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $2,968.98 | $7,069.00 | 58% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $2,968.98 | $7,069.00 | 58% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $421.26 | $1,003.00 | 58% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $421.26 | $1,003.00 | 58% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $316.26 | $753.00 | 58% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $316.26 | $753.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $2,408.28 | $5,734.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $3,127.32 | $7,446.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $2,408.28 | $5,734.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $3,127.32 | $7,446.00 | 58% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $4,883.76 | $11,628.00 | 58% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $4,883.76 | $11,628.00 | 58% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $2,075.64 | $4,942.00 | 58% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $3,215.94 | $7,657.00 | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $2,075.64 | $4,942.00 | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $3,215.94 | $7,657.00 | 58% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $4,187.40 | $9,970.00 | 58% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $4,187.40 | $9,970.00 | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $5,611.20 | $13,360.00 | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $6,102.60 | $14,530.00 | 58% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $5,611.20 | $13,360.00 | 58% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $6,102.60 | $14,530.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $860.58 | $2,049.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $860.58 | $2,049.00 | 58% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $336.84 | $802.00 | 58% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $336.84 | $802.00 | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $336.84 | $802.00 | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $336.84 | $802.00 | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $8,020.32 | $19,096.00 | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE 95810 | $8,730.96 | $20,788.00 | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $8,731.38 | $20,789.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $8,020.32 | $19,096.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE 95810 | $8,730.96 | $20,788.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $8,731.38 | $20,789.00 | 58% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $1,226.40 | $2,920.00 | 58% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $1,226.40 | $2,920.00 | 58% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,259.58 | $2,999.00 | 58% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,259.58 | $2,999.00 | 58% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $967.26 | $2,303.00 | 58% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $967.26 | $2,303.00 | 58% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $461.58 | $1,099.00 | 58% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $461.58 | $1,099.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $1,047.48 | $2,494.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $1,047.48 | $2,494.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $1,047.48 | $2,494.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $1,047.48 | $2,494.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $1,047.48 | $2,494.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $1,047.48 | $2,494.00 | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $227.22 | $541.00 | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $227.22 | $541.00 | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $227.22 | $541.00 | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $227.22 | $541.00 | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $227.22 | $541.00 | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $227.22 | $541.00 | 58% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $218.82 | $521.00 | 58% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $218.82 | $521.00 | 58% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $218.82 | $521.00 | 58% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $218.82 | $521.00 | 58% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $519.12 | $1,236.00 | 58% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $519.12 | $1,236.00 | 58% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $442.68 | $1,054.00 | 58% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $442.68 | $1,054.00 | 58% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $466.20 | $1,110.00 | 58% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $466.20 | $1,110.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $288.12 | $686.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $288.12 | $686.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $288.12 | $686.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $288.12 | $686.00 | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $87.36 | $208.00 | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $87.36 | $208.00 | 58% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $87.36 | $208.00 | 58% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $87.36 | $208.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $120.12 | $286.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $120.12 | $286.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC AC PROTIME | $120.12 | $286.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $120.12 | $286.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $120.12 | $286.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC AC PROTIME | $120.12 | $286.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $241.50 | $575.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $241.50 | $575.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $241.50 | $575.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $241.50 | $575.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $241.50 | $575.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $241.50 | $575.00 | 58% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $148.68 | $354.00 | 58% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $162.96 | $388.00 | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $148.68 | $354.00 | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $162.96 | $388.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $110.88 | $264.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $121.80 | $290.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $121.80 | $290.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $110.88 | $264.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $121.80 | $290.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $121.80 | $290.00 | 58% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $106.26 | $253.00 | 58% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $106.26 | $253.00 | 58% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $106.26 | $253.00 | 58% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $106.26 | $253.00 | 58% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,047.06 | $2,493.00 | 58% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,047.06 | $2,493.00 | 58% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $4,989.18 | $11,879.00 | 58% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $4,989.18 | $11,879.00 | 58% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $14,650.86 | $34,883.00 | 58% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $14,650.86 | $34,883.00 | 58% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $907.62 | $2,161.00 | 58% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $907.62 | $2,161.00 | 58% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $907.62 | $2,161.00 | 58% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $907.62 | $2,161.00 | 58% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,200.78 | $2,859.00 | 58% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,200.78 | $2,859.00 | 58% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,040.34 | $2,477.00 | 58% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,040.34 | $2,477.00 | 58% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,040.34 | $2,477.00 | 58% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,040.34 | $2,477.00 | 58% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTH IOP CD/SA | $159.18 | $379.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTH IOP CD/SA | $159.18 | $379.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $189.00 | $450.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $189.00 | $450.00 | 58% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTH IND 30 MIN IOP CD/SA | $217.56 | $518.00 | 58% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTH IND 30 MIN IOP CD/SA | $217.56 | $518.00 | 58% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTH IND 45 MIN IOP CD/SA | $296.52 | $706.00 | 58% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTH IND 45 MIN IOP CD/SA | $296.52 | $706.00 | 58% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTH IND 60 MIN IOP CD/SA | $296.52 | $706.00 | 58% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTH IND 60 MIN IOP CD/SA | $296.52 | $706.00 | 58% |
Source file: https://pricetransparency.providence.org/txnm/live/205033419_covenant-specialty-hospital_standardcharges.json