Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Team conf without pat by hc pro CPT 99368 | not published | not published | $80.60 – $80.78 | 2 |
| Team conf without pat by phys CPT 99367 | not published | not published | $122.42 – $123.49 | 2 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $90.50 – $91.64 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $215.82 – $234.73 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $763.87 – $1,492.95 | 5 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $654.36 | $1,558.00 | $763.87 – $1,492.95 | 5 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.82 – $7.42 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $337.62 – $344.83 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $364.85 – $396.82 | 4 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $217.17 – $396.82 | 4 |
| Temozolomide HCPCS J8700 | not published | not published | $15.25 – $15.25 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.09 – $10.97 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $125.38 – $349.66 | 5 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $6,200.00 – $32,051.62 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.18 – $31.73 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $1,000.00 – $3,467.69 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,600.00 – $6,826.20 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $1,000.00 – $3,467.69 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,300.00 – $5,797.82 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $42,656.71 | $101,563.59 | $191.52 – $208.30 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $6,400.49 – $6,400.49 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,300.00 – $3,467.69 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,188.30 – $6,826.20 | 5 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,566.86 – $3,222.30 | 6 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,506.72 – $3,467.69 | 5 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $3,969.00 | $9,450.00 | $2,150.00 – $4,573.81 | 6 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $527.36 – $2,150.00 | 6 |
| Tension based scoliosis orth HCPCS L1005 | $3,104.64 | $7,392.00 | not published | 0 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $24.53 – $24.53 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $56.70 | $135.00 | $10.24 – $10.24 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $211.88 – $211.88 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $179.64 – $195.39 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.83 – $6.34 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.65 – $6.14 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $9.26 – $10.08 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $389.55 – $423.68 | 4 |
| Testosterone pellet 75 mg HCPCS S0189 | $31.50 | $75.00 | $388.47 – $388.47 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $50.09 – $54.48 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.07 – $2.25 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $86.94 | $207.00 | $57.48 – $62.52 | 4 |
| Test stress cardiovascular tracing only CPT 93017 | $427.98 | $1,019.00 | $210.40 – $516.08 | 5 |
| Test urine for lactose CPT 83633 | not published | not published | $10.91 – $11.87 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.96 – $14.09 | 4 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.34 – $4.72 | 4 |
| Tetanus ig im CPT 90389 | not published | not published | $1,965.93 – $1,965.93 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $541.37 – $588.81 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.06 – $18.55 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $132.89 – $144.54 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $736.74 – $801.30 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,832.01 – $3,080.18 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $579.97 – $630.80 | 4 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $166.01 – $180.56 | 4 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $166.01 – $180.56 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $166.01 – $180.56 | 4 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $50.78 – $55.23 | 4 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $429.89 – $779.92 | 5 |
| Theophylline therapeutic drug level CPT 80198 | $31.92 | $76.00 | $13.72 – $14.92 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $20.53 – $113.54 | 5 |
| Therapy activation ipnss CPT 93150 | not published | not published | $92.64 – $100.76 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $92.40 | $220.00 | $25.15 – $71.46 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $86.94 | $207.00 | $21.40 – $59.79 | 5 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $195.50 – $294.35 | 5 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $2,600.00 – $5,105.49 | 6 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $418.74 | $997.00 | $170.91 – $185.89 | 4 |
| Ther/proph/diag inj ia CPT 96373 | $239.40 | $570.00 | $40.30 – $225.42 | 5 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $480.63 – $480.63 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $307.68 – $307.68 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $204.12 – $204.12 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $56.70 | $135.00 | $11.39 – $11.39 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $1,923.26 – $1,923.26 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $3,174.25 – $4,148.98 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $3,230.03 – $4,459.08 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,625.82 | $3,871.00 | $611.26 – $1,283.72 | 5 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $5,774.81 – $7,522.67 | 2 |
| Thoracic duct procedure CPT 38380 | not published | not published | $1,180.75 – $1,516.75 | 2 |
| Thoracic duct procedure CPT 38381 | not published | not published | $1,681.30 – $2,188.66 | 2 |
| Thoracic duct procedure CPT 38382 | not published | not published | $1,406.76 – $1,844.71 | 2 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $451.29 – $590.17 | 2 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $7,616.92 – $10,001.71 | 2 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $2,556.36 – $3,384.97 | 2 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $3,352.46 – $4,384.85 | 2 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $5,619.00 – $8,063.71 | 5 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $3,193.81 – $4,154.63 | 2 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $452.01 – $592.03 | 2 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $3,701.62 – $4,883.86 | 2 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $2,289.07 – $2,994.02 | 2 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $2,809.90 – $3,674.40 | 2 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $2,217.35 – $2,889.71 | 2 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,997.14 – $2,606.84 | 2 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $1,390.10 – $1,813.71 | 2 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $2,411.48 – $3,120.91 | 2 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $1,771.13 – $4,837.00 | 3 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $3,474.89 – $4,536.16 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $5,619.00 – $8,063.71 | 5 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $5,619.00 – $11,265.58 | 5 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $2,927.97 – $3,826.63 | 2 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,865.30 – $2,440.52 | 2 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $1,659.58 – $2,188.66 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.