How many shoppable procedure prices are published for Covenant Medical Center?

Covenant Medical Center in Lubbock, TX currently has 136 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Covenant Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Covenant Medical Center's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is Covenant Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Covenant Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 452 Beds · rural Updated: 2026-04-01

Covenant Medical Center

3615 19Th Street, Lubbock, TX 79410 · 136 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.11×vs. Fair Market Price

Typical commercial prices here are +111% above the fair benchmark (2.11×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 38% of the Time

File Completeness51

Price Logic65

Peer Alignment72

Clean Billing86

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.11× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +38% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Covenant Medical Center prices routine shoppable procedures at 2.7× Medicare (median 2.22× Fair BaseRate) while upper-quartile commercial rates jump +38% to 3.07× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#276 of 307 in TX · 89th State Percentile#3,142 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.47× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 38% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 70% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.11× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 2.22× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.07×) jump +38% above the median procedure ratio (Q50 2.22×)
Consolidated metro market (HHI 3,009) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.67× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+38% Upper Tail

Q25 1.47× · Q50 2.22× · Q75 3.07×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.7× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.7× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.4× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

38% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Covenant Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 136 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$33,588	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$26,312	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,283	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$24,258	$17,936	1.4×
Total hip replacement CPT Code: `27130`	—	$10,537	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$10,536	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,463	$8,223	1.3×
Rabies immune globulin HCPCS Code: `90375`	$9,113	$9,113	$322	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,095	$6,109	1.2×
Inguinal hernia repair CPT Code: `49505`	$4,989	$5,504	$3,629	1.5×
Bunion correction surgery CPT Code: `28296`	$4,193	$5,098	$3,446	1.5×
Breast lump removal CPT Code: `19120`	—	$5,098	$3,875	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,845	$3,372	1.4×
C-section delivery (full package) CPT Code: `59510`	—	$4,521	$2,975	1.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,104	$2,540	1.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,086	$2,680	1.5×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$3,577	$269	unverified
Trauma team activation HCPCS Code: `G0390`	$8,878	$3,039	$1,453	2.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,521	$2,224	$1,021	2.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,047	$2,150	$981	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,040	$2,150	$987	2.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,150	$1,256	1.7×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,934	$257	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$1,937	$364	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$3,239	$1,302	$511	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,269	$855	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,146	$1,146	$151	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$460	$1,013	$448	2.3×
Behavioral health day treatment HCPCS Code: `H0010`	—	$922	$343	2.7×
MRI, lower back (no contrast) CPT Code: `72148`	$422	$772	$338	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,383	$772	$343	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,408	$772	$369	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,381	$727	$258	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$698	$627	$201	3.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,956	$650	$242	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$647	$646	$272	2.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$310	$639	$303	2.1×
Residential mental health treatment HCPCS Code: `H2036`	—	$597	$406	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,895	$622	$583	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$379	$525	$148	3.5×
Behavioral health assessment HCPCS Code: `H0001`	—	$536	$157	3.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$683	$489	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$859	$489	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$684	$489	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$755	$489	$130	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$337	$434	$123	3.5×
New patient office visit (30-44 min) CPT Code: `99203`	—	$380	$110	3.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$393	$123	3.2×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$342	$88	3.9×
X-ray, pelvis CPT Code: `72170`	$459	$304	$110	2.8×
X-ray, lower back CPT Code: `72110`	$675	$304	$112	2.7×
CT scan, head (no contrast) CPT Code: `70450`	$140	$324	$160	2.0×
CT scan, pelvis CPT Code: `72192`	$1,343	$324	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$1,442	$324	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,343	$324	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,343	$324	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,563	$324	$169	1.9×
X-ray, chest (single view) CPT Code: `71045`	$323	$348	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$351	$348	$93	unverified
Blood transfusion CPT Code: `36430`	$645	$318	$498	0.6×
X-ray, hip CPT Code: `73502`	$595	$287	$93	3.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$255	$87	2.9×
X-ray, shoulder CPT Code: `73030`	$449	$226	$92	2.5×
X-ray, foot CPT Code: `73630`	$433	$226	$92	2.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$568	$226	$93	2.4×
X-ray, hand CPT Code: `73130`	$462	$226	$93	2.4×
X-ray, ankle CPT Code: `73610`	$448	$226	$93	2.4×
Neurobehavioral status check CPT Code: `96116`	$159	$229	$231	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$94	$188	$166	1.1×
Family therapy session CPT Code: `90847`	$86	$188	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$94	$188	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$86	$188	$185	1.0×
Behavioral health day program HCPCS Code: `H2012`	—	$157	$100	1.6×
Mental health services (assessment) HCPCS Code: `H0031`	—	$179	$140	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$125	$151	$40	3.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$125	$142	$38	3.7×
Physical therapy (gait training) CPT Code: `97116`	$125	$123	$33	3.7×
Occupational therapy (self-care training) CPT Code: `97535`	$109	$139	$38	3.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$125	$124	$35	3.5×
Physical therapy (manual therapy) CPT Code: `97140`	$132	$113	$34	3.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$70	$107	$35	3.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$108	$108	$38	2.8×
Prosthetic fitting and training CPT Code: `97761`	$123	$123	$45	2.7×
Orthotic fitting and training CPT Code: `97760`	$123	$123	$51	2.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$325	$125	$64	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$125	$125	$86	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$121	$121	$86	1.4×
Psychological testing evaluation CPT Code: `96136`	$64	$116	$128	0.9×
Psychological testing by technician CPT Code: `96138`	$207	$116	$395	0.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$84	$25	3.4×
Group therapy session CPT Code: `90853`	$104	$108	$100	1.1×
Speech therapy (group session) CPT Code: `92508`	—	$82	$27	3.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$80	$65	1.2×
Typhoid vaccine HCPCS Code: `90675`	$2,202	$2,202	$347	unverified
Hepatitis C antibody test CPT Code: `86803`	$1,355	$1,355	$15	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,083	$624	$203	3.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$565	$565	$14	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$292	$292	$11	26.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$314	$314	$14	22.4×
Culture, blood CPT Code: `87040`	$270	$270	$11	24.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$685	$286	$111	2.6×
Blood test, liver function panel CPT Code: `80076`	$258	$258	$9	28.7×
Blood test, basic metabolic panel CPT Code: `80048`	$257	$257	$9	28.6×
Pneumococcal vaccine HCPCS Code: `90732`	$265	$265	$140	1.9×
Culture, bacterial CPT Code: `87070`	$224	$224	$9	24.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$192	$192	$19	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$149	$149	$3	unverified
Blood test, vitamin D CPT Code: `82306`	$164	$164	$31	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$183	$183	$10	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$304	$148	$56	2.6×
Blood test, vitamin B12 CPT Code: `82607`	$142	$142	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$165	$165	$18	unverified
Blood test, lipase CPT Code: `83690`	$112	$112	$7	16.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$136	$136	$8	unverified
Blood test, amylase CPT Code: `82150`	$107	$107	$7	15.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$77	$77	$4	19.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$80	$80	$5	16.0×
Blood test, calcium CPT Code: `82310`	$77	$77	$5	15.4×
Blood test, magnesium CPT Code: `83735`	$101	$101	$7	14.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$112	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	$105	$37	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$72	$72	$5	14.4×
Blood test, potassium CPT Code: `84132`	$67	$67	$5	13.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$61	$61	$6	10.2×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$57	$14	4.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$81	$48	1.7×
Blood test, sodium CPT Code: `84295`	$55	$55	$5	11.0×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$46	$16	2.9×
Behavioral health living support HCPCS Code: `H2019`	—	$54	$34	1.6×
Blood antibody screen CPT Code: `86850`	$316	$68	$46	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$49	$49	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$51	$51	$3	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	0.7×
Community mental health services HCPCS Code: `H0038`	—	$5	$16	0.3×
Care planning with family CPT Code: `90887`	$16	$16	$107	0.1×
Review of medical records for care CPT Code: `90889`	$8	$8	$114	0.1×

Showing top 25 high-impact procedures of 136 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.9%

Audit a Bill or Quote at Covenant Medical Center (Zero PHI Required)

CMS CCN: 450040

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $33,588

1. Amount on Your Bill or Quote ($) Pre-filled with Covenant Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $15,244 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,244

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.9% of gross = $15,244).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Covenant Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$49,836 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($80,611) is $49,836 above the denoised Fair BaseRate ($30,775) and 3.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 822913146

Filing Period: 201809

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (18.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait163 min

Left ER Before Seen7%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Covenant Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-14·administrative_or_closure
Met Requirements
Recorded
2023-04-27·administrative_or_closure
Closure Notice
Recorded
2022-01-12·cap_corrective_action
CAP Request
Recorded
2021-07-20·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (757 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Covenant Medical Center.

Price Index: 1.33× regional baseline

Quality: 62/100 CMS composite

Median Household Income$63,367U.S. Census ACS

Local Uninsured Share13.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 450040 EIN 822913146

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 450040) ↗ Verify IRS Form 990 (EIN 822913146) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows948 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450040

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy