Supplies, drugs & other prices at Covenant Medical Center
Lubbock, TX · every code in this section with a posted price and a Medicare benchmark.
38 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,018.08 | $2,424 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $483 | $1,150 | 1.4× |
| Catheterize for urine spec (P9612) | $23.52 | $56 | 2.5× |
| Chemo extend iv infus w/pump (G0498) | $442.26 | $1,053 | 1.3× |
| Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $841.68 | $2,004 | 1.1× |
| Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $841.68 | $2,004 | 1.1× |
| Direct refer hospital observ (G0379) | $114.66 | $273 | 0.2× |
| Hbot, full body chamber, 30m (G0277) | $1,209.18 | $2,879 | 8.7× |
| Home sleep test/type 3 porta (G0399) | $179.76 | $428 | 0.8× |
| Hospital outpt clinic visit (G0463) | $168 | $400 | 1.3× |
| Intens cardiac rehab no exer (G0423) | $245.70 | $585 | 1.9× |
| Intens cardiac rehab w/exerc (G0422) | $245.70 | $585 | 1.9× |
| Obtaining screen pap smear (Q0091) | $44.52 | $106 | 1.5× |
| Oth resp proc, group (G0239) | $102.48 | $244 | 2.7× |
| Oth resp proc, indiv (G0238) | $67.20 | $160 | 2.3× |
| Pathogen test for platelets (P9100) | $114.66 | $273 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $34,329.96 | $81,738 | 1.9× |
| Perc d-e cor revasc t cabg s (C9604) | $34,329.96 | $81,738 | 3.0× |
| Perc d-e cor stent ather s (C9602) | $34,329.96 | $81,738 | 1.9× |
| Perc drug-el cor stent sing (C9600) | $26,705.70 | $63,585 | 2.3× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,522.12 | $8,386 | 0.5× |
| Revasc intra lithotrip-ather (C9766) | $19,142.34 | $45,577 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $23,364.18 | $55,629 | 1.3× |
| Revasc intravasc lithotripsy (C9764) | $9,570.54 | $22,787 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $18,472.02 | $43,981 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $16,907.94 | $40,257 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $14,658 | $34,900 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $30,794.82 | $73,321 | 1.7× |
| Therapeutic procd strg endur (G0237) | $70.98 | $169 | 2.4× |
| Tomosynthesis, mammo (G0279) | $69.72 | $166 | 5.5× |
| Trauma respons w/hosp criti (G0390) | $8,877.54 | $21,137 | 6.6× |
| Trim nail(s) (G0127) | $97.02 | $231 | 1.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $27,387.36 | $65,208 | 2.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $15,982.26 | $38,053 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $938.70 | $2,235 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $938.70 | $2,235 | 1.2× |
| Unsched dialysis esrd pt hos (G0257) | $5,449.92 | $12,976 | 7.9× |
| Vasc emb/occ w/prs cath (C9797) | $24,208.80 | $57,640 | 1.3× |