Texas / Covenant Medical Center

CMS certification 450040 · Lubbock, TX · 4 entries in CMS's price-transparency list

Covenant Medical Center: charges and Medicare payments

Covenant Medical Center reported 3,886 Medicare inpatient stays across 103 DRGs in 2024. Across them it charged 11.04 times what it was paid — among the higher ratios in Texas, number 27 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 492 stays at an average charge of $183,167, 103% above the national average. It also billed 2,845 outpatient services, charging 15.4 times what Medicare paid.

1Medicare inpatient stays 3,886
2Charge ÷ paid, inpatient 11.04×
3Rank in TX (highest ratio = 1) 27 of 190
4CMS price-transparency actions 4

Average charge per stay at Covenant Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 103 DRGs that can be compared with the national average, Covenant Medical Center charged more than the national average in 103 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	492	$183,167	+103%	$15,712
291 Heart Failure and Shock with MCC	208	$134,790	+139%	$10,986
177 Respiratory Infections and Inflammations with MCC	160	$158,860	+125%	$13,333
193 Simple Pneumonia and Pleurisy with MCC	116	$123,978	+107%	$11,118
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	112	$174,048	+74%	$15,147
481 Hip and Femur Procedures except Major Joint with CC	110	$188,608	+87%	$15,524
682 Renal Failure with MCC	95	$153,084	+132%	$12,285
853 Infectious and Parasitic Diseases with O.R. Procedures with...	95	$391,921	+71%	$36,991
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	88	$97,566	+75%	$9,133
280 Acute Myocardial Infarction, Discharged Alive with MCC	86	$137,760	+82%	$12,707
189 Pulmonary Edema and Respiratory Failure	85	$111,530	+94%	$10,724
378 Gastrointestinal Hemorrhage with CC	80	$108,783	+124%	$8,259
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	77	$182,947	+79%	$16,258
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	69	$111,806	+128%	$8,873
689 Kidney and Urinary Tract Infections with MCC	67	$104,719	+104%	$9,388
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	64	$119,606	+98%	$10,487
683 Renal Failure with CC	64	$105,547	+159%	$8,133
274 Percutaneous and Other Intracardiac Procedures without MCC	59	$170,781	+9%	$25,472
377 Gastrointestinal Hemorrhage with MCC	57	$176,033	+106%	$14,469
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	57	$84,870	+111%	$7,196
690 Kidney and Urinary Tract Infections without MCC	48	$82,502	+118%	$7,190
308 Cardiac Arrhythmia and Conduction Disorders with MCC	39	$119,973	+112%	$10,005
314 Other Circulatory System Diagnoses with MCC	37	$162,622	+71%	$15,129
329 Major Small and Large Bowel Procedures with MCC	36	$350,495	+63%	$32,222
330 Major Small and Large Bowel Procedures with CC	36	$212,687	+79%	$18,401
025 Craniotomy and Endovascular Intracranial Procedures with MCC	35	$407,070	+76%	$30,774
312 Syncope and Collapse	35	$91,941	+102%	$7,593
480 Hip and Femur Procedures except Major Joint with MCC	34	$251,148	+81%	$21,475
208 Respiratory System Diagnosis with Ventilator Support <=96...	33	$232,757	+72%	$21,267
552 Medical Back Problems without MCC	33	$99,657	+104%	$9,216
698 Other Kidney and Urinary Tract Diagnoses with MCC	33	$158,630	+116%	$12,973
100 Seizures with MCC	32	$160,847	+70%	$15,223
309 Cardiac Arrhythmia and Conduction Disorders with CC	31	$71,814	+99%	$6,537
389 Gastrointestinal Obstruction with CC	31	$73,368	+88%	$7,364
637 Diabetes with MCC	30	$133,916	+101%	$12,142
023 Craniotomy with Major Device Implant or Acute Complex Cns...	29	$361,972	+29%	$39,401
101 Seizures without MCC	29	$91,202	+87%	$11,720
321 Percutaneous Cardiovascular Procedures with Intraluminal...	29	$250,217	+53%	$22,213
322 Percutaneous Cardiovascular Procedures with Intraluminal...	29	$201,251	+76%	$14,725
432 Cirrhosis and Alcoholic Hepatitis with MCC	28	$180,138	+88%	$17,417
417 Laparoscopic Cholecystectomy without C.D.E. with MCC	25	$196,677	+57%	$17,432
467 Revision of Hip or Knee Replacement with CC	25	$257,031	+63%	$28,504
194 Simple Pneumonia and Pleurisy with CC	24	$72,873	+90%	$7,439
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$119,493	+96%	$10,438
603 Cellulitis without MCC	22	$75,547	+103%	$7,663
270 Other Major Cardiovascular Procedures with MCC	21	$370,161	+43%	$36,652
286 Circulatory Disorders except AMI, with Cardiac...	21	$167,819	+49%	$16,782
331 Major Small and Large Bowel Procedures without CC/MCC	21	$159,732	+86%	$14,772
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$240,997	+78%	$20,979
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	20	$200,483	+133%	$18,520
673 Other Kidney and Urinary Tract Procedures with MCC	20	$286,421	+65%	$28,966
069 Transient Ischemia without Thrombolytic	19	$92,975	+84%	$7,143
070 Other Cerebrovascular Disorders with MCC	19	$136,996	+80%	$13,355
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$115,802	+78%	$11,063
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$91,366	+81%	$8,942
388 Gastrointestinal Obstruction with MCC	18	$100,101	+46%	$11,439
435 Malignancy of Hepatobiliary System or Pancreas with MCC	18	$183,911	+95%	$16,572
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	18	$174,278	+46%	$17,552
091 Other Disorders of Nervous System with MCC	17	$177,761	+115%	$13,966
243 Permanent Cardiac Pacemaker Implant with CC	17	$168,986	+52%	$16,994

Showing the 60 most frequent of 103 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	908	$50,097	$2,354
Level 1 Endovascular Procedures	176	$47,331	$2,821
Level 2 Upper GI Procedures	176	$34,448	$1,622
Level 3 Electrophysiologic Procedures	155	$164,716	$20,221
Level 2 Excision/ Biopsy/ Incision and Drainage	139	$18,217	$1,407
Level 1 Laparoscopy and Related Services	112	$86,849	$4,935
Level 4 Urology and Related Services	97	$45,545	$3,004
Level 3 Vascular Procedures	94	$29,649	$2,742
Level 2 Laparoscopy and Related Services	82	$154,509	$8,750
Level 4 Airway Endoscopy	67	$56,072	$3,249
Level 6 Musculoskeletal Procedures	56	$158,911	$16,137
Level 4 Musculoskeletal Procedures	54	$81,777	$6,208
Level 3 Excision/ Biopsy/ Incision and Drainage	53	$46,728	$2,466
Level 5 Urology and Related Services	53	$57,449	$4,490
Level 3 Endovascular Procedures	52	$101,032	$9,054
Level 5 Musculoskeletal Procedures	45	$124,060	$10,976
Level 2 Breast/Lymphatic Surgery and Related Procedures	44	$86,485	$5,658
Level 4 Vascular Procedures	41	$72,764	$4,768
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	40	$61,178	$3,002
Level 2 Musculoskeletal Procedures	38	$27,107	$1,395
Level 3 Pacemaker and Similar Procedures	38	$63,262	$9,261
Level 4 Endovascular Procedures	37	$118,124	$15,186
Level 3 Upper GI Procedures	33	$49,014	$3,323
Level 2 Pacemaker and Similar Procedures	26	$41,884	$7,372
Level 3 Urology and Related Services	24	$36,524	$1,767

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Covenant Medical Center charged $183,167 on average, 65% more than the Texas average of $111,133, and was paid $15,712 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Covenant Medical Center charged $134,790 on average, 98% more than the Texas average of $67,944, and was paid $10,986 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Covenant Medical Center charged $158,860 on average, 94% more than the Texas average of $81,715, and was paid $13,333 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Covenant Medical Center charged $123,978 on average, 68% more than the Texas average of $73,756, and was paid $11,118 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $50,097 was 79% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $47,331 was 31% above the state average of $36,220. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $34,448 was 112% above the state average of $16,236. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $164,716 was 26% below the state average of $221,522.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Covenant Medical Center in Lubbock, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-07-20 (CMS case 387)
CAP Request — 2022-01-12 (CMS case 387)
Closure Notice — 2023-04-27 (CMS case 387)
Met Requirements — 2025-07-14 (CMS case 5723)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.