PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Church

Covenant Health System

Providence Saint Joseph Health · Lubbock, TX

3615 19th Street, Lubbock, TX 79410(806) 725-4431

3 of 5

CMS star rating

439

Beds

18,504

Inpatient discharges a year

$544.6M

Net patient revenue a year

41

In-network payers

About this hospital

Covenant Health System is a 439-bed voluntary non-profit - church hospital in Lubbock, TX, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 491 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • Helipad
CCN
450040
NPI
1972517365
Health system
Providence Saint Joseph Health
Teaching
Teaching hospital
County
Lubbock County
Metro area
Lubbock, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Covenant Health System most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,344 - $4,679

from 4 insurers · median $2,381

Aetna$4,679
Insurer A*$1,344
Insurer B*$1,817
Insurer C*$2,946
Medicare $322Nearby hospitals $1,22095% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$688 - $3,629

from 4 insurers · median $3,092

Blue Cross$688
Insurer A*$2,635
Insurer B*$3,550
Insurer C*$3,629
Medicare $504Nearby hospitals $1,337131% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$5,434 - $16,910

from 4 insurers · median $12,035

Cigna$16,674
Insurer A*$5,434
Insurer B*$7,397
Insurer C*$16,910
Medicare $9,805Nearby hospitals $9,41428% above nearby hospitals

82 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$59,160 - $61,468

from 2 insurers · median $60,314

Blue Cross$61,468
Insurer A*$59,160
Medicare $22,171Nearby hospitals $37,52361% above nearby hospitals

18 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Covenant Health System

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
502%
146
Insurer B*23
421%
152
Insurer C*24
201%
128
Insurer D*23
180%
230

How we chose these services: 6 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Covenant Health System, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 164 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 37 services, including trauma care
    • 692 affiliated clinicians
    See doctors and services
  • Finances

    $544.6M net patient revenue

    • Operating margin on patient care -16.3%
    • $35.9M unreimbursed and uncompensated care
    • -$48.1M net income
    See finances
  • Ownership and leadership

    Owned by Covenant Health System

    • Private (not for profit)
    • Amy N Thompson, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Covenant Health System in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
82-2913146Covenant Medical Center59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1972517365 Covenant Medical Center1033272497 Covenant Health System1457401036 Covenant Health Systemand 10 more
75-2765566(multi-state) Covenant Medical Center Lakeside31United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Asuris Northwest Health, BCBS, BridgeSpan and 26 more1578624169 Covenant Health System1629288238 Covenant Health System1972517365 Covenant Medical Centerand 24 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3615 19th Street, Lubbock, TX 79410

(806) 725-4431

Get directions

Frequently asked questions

About Covenant Health System's rates and hospital price transparency.

How much does an MRI cost at Covenant Health System?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Covenant Health System range from $792 to $4,084 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,999. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Covenant Health System?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Covenant Health System range from $1,344 to $4,679 across 4 insurers. Aetna's rate is $4,679. The median at nearby comparable hospitals is $1,220. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Covenant Health System?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Covenant Health System range from $1,656 to $4,643 across 4 insurers. Cigna's rate is $4,643. The median at nearby comparable hospitals is $1,554. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Covenant Health System?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Covenant Health System range from $271 to $533 across 4 insurers. Blue Cross Blue Shield's rate is $533. The median at nearby comparable hospitals is $216. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Covenant Health System's CMS star rating?

Covenant Health System has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Covenant Health System a teaching hospital?

Yes. CMS counts 0.02 Medicare-funded residents per bed at Covenant Health System for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Covenant Health System for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Covenant Health System's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Covenant Health System?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (492 discharges), heart failure and shock with mcc (208 discharges), respiratory infections and inflammations with mcc (160 discharges).

What is Covenant Health System's case mix index?

Covenant Health System's Medicare case mix index is 2.00 for fiscal year 2027, higher than 78% of hospitals paid under the inpatient prospective payment system.

How many patients does Covenant Health System admit?

Covenant Health System reported 18,504 inpatient discharges and 104,691 inpatient days from Jul 1, 2024 to Jun 30, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster