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 |
|---|---|---|---|---|
| Ultrasound bone density measure CPT 76977 | not published | not published | $15.76 – $110.80 | 4 |
| Ultrasound breast complete CPT 76641 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $328.02 | $781.00 | $84.80 – $92.23 | 4 |
| Ultrasound chest CPT 76604 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $152.88 | $364.00 | $101.87 – $110.80 | 4 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $115.05 – $115.05 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound encephalogram CPT 76506 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $376.59 – $376.59 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | $162.54 | $387.00 | $66.60 – $66.60 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $531.72 | $1,266.00 | $84.77 – $84.77 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $346.08 | $824.00 | $219.17 – $219.17 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $354.78 – $354.78 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $278.46 | $663.00 | $84.80 – $92.23 | 4 |
| Ultrasound infant hips ltd without stress CPT 76886 | $278.46 | $663.00 | $84.80 – $92.23 | 4 |
| Ultrasound joint complete left CPT 76881 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $698.46 | $1,663.00 | $145.32 – $145.32 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $181.02 | $431.00 | $73.85 – $73.85 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $901.32 | $2,146.00 | $232.50 – $252.87 | 4 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $101.87 – $110.80 | 4 |
| Ultrasound retroperitoneal limited CPT 76775 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound scrotum and contents CPT 76870 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound spinal canal and contents CPT 76800 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $375.38 – $375.38 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $339.95 – $369.74 | 4 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $607.89 – $607.89 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.01 – $16.30 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | $384.72 | $916.00 | $143.43 – $164.46 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $296.93 – $593.29 | 5 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $28.18 – $113.54 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $28.18 – $30.65 | 4 |
| Unlisted chemotherapy px CPT 96549 | $299.88 | $714.00 | $45.63 – $70.63 | 5 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.80 – $92.23 | 4 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $125.38 – $306.06 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $197.00 – $343.60 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.80 – $92.23 | 4 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $197.00 – $343.60 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,890.88 – $7,914.36 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,890.88 – $7,914.36 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,890.88 – $7,914.36 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,890.88 – $7,914.36 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted mr procedure CPT 76498 | not published | not published | $84.80 – $92.23 | 4 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $125.38 – $205.90 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $28.18 – $112.87 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $28.18 – $93.92 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $906.17 – $2,072.05 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $883.78 – $1,955.94 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $309.29 – $782.67 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $690.02 – $1,278.44 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $309.29 – $782.67 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $690.02 – $1,278.44 | 5 |
| Unlisted procedure rectum CPT 45999 | $1,208.34 | $2,877.00 | $906.17 – $1,160.84 | 5 |
| Unlisted procedure spine CPT 22899 | not published | not published | $240.36 – $6,826.20 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,847.19 – $7,187.00 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $36.51 – $39.71 | 4 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $240.36 – $4,356.88 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,973.21 – $2,445.85 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $240.36 – $5,644.25 | 5 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $883.78 – $4,809.83 | 5 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $158.34 – $335.45 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $309.29 – $782.67 | 5 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,172.89 – $8,157.94 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $690.02 – $993.09 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $309.29 – $4,025.92 | 5 |
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.