Hospital Profile
Hospital (Part A Provider)
Covenant Specialty Hospital
3815 20TH ST, Lubbock, TX 79410
CMS Overall Rating No CMS Rating
Factual Overview
Covenant Specialty Hospital is a Hospital (Part A Provider) (ownership unpublished) operating in Lubbock, TX. Mapped commercial insurance prices across 82 procedures average N/A the Medicare baseline. CMS has not published a quality star rating for this facility.
Facility Overview
Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A
Patient Experience
Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A
Pricing & Transparency
Procedures Mapped: 82 codes Avg Markup vs Medicare: N/A Price File In Index: Yes MRF Version: 3.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Bunion correction surgery CPT Code: 28296 | $4,193 | — |
| Blood transfusion CPT Code: 36430 | $645 | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,040 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,047 | — |
| Inguinal hernia repair CPT Code: 49505 | $4,989 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $2,421 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $3,229 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $4,035 | — |
| CT scan, sinuses CPT Code: 70486 | $2,467 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,646 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,187 | — |
| X-ray, chest (single view) CPT Code: 71045 | $468 | — |
| X-ray, chest (two views) CPT Code: 71046 | $524 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,227 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $851 | — |
| X-ray, lower back CPT Code: 72110 | $967 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,708 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,227 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $5,857 | — |
| X-ray, pelvis CPT Code: 72170 | $535 | — |
| CT scan, pelvis CPT Code: 72192 | $2,227 | — |
| X-ray, shoulder CPT Code: 73030 | $612 | — |
| X-ray, hand CPT Code: 73130 | $597 | — |
| X-ray, hip CPT Code: 73502 | $906 | — |
| X-ray, ankle CPT Code: 73610 | $612 | — |
| X-ray, foot CPT Code: 73630 | $580 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $2,768 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,472 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,963 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $907 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,260 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $908 | — |
| Ultrasound, pelvis CPT Code: 76856 | $1,051 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $421 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $337 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $462 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $519 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $1,047 | — |
| Blood test, liver function panel CPT Code: 80076 | $466 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $156 | — |
| Blood test, amylase CPT Code: 82150 | $180 | — |
| Blood test, vitamin D CPT Code: 82306 | $173 | — |
| Blood test, calcium CPT Code: 82310 | $126 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $134 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $205 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $556 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $77 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $316 | — |
| Blood test, lipase CPT Code: 83690 | $187 | — |
| Blood test, magnesium CPT Code: 83735 | $166 | — |
| Blood test, potassium CPT Code: 84132 | $109 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $288 | — |
| Blood test, sodium CPT Code: 84295 | $86 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $242 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $133 | — |
| Blood test, hemoglobin CPT Code: 85018 | $89 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $227 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $120 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $87 | — |
| Hepatitis C antibody test CPT Code: 86803 | $1,456 | — |
| Blood antibody screen CPT Code: 86850 | $594 | — |
| Culture, blood CPT Code: 87040 | $496 | — |
| Culture, bacterial CPT Code: 87070 | $412 | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | Contact Desk | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $297 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $297 | — |
| Group therapy session CPT Code: 90853 | $159 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $423 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $376 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,851 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $766 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $698 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $8,731 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $189 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $201 | — |
| Physical therapy (gait training) CPT Code: 97116 | $162 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $201 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $201 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $142 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $138 | — |
| Orthotic fitting and training CPT Code: 97760 | $123 | — |
| Prosthetic fitting and training CPT Code: 97761 | $123 | — |