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 |
|---|---|---|---|---|
| Unlisted px foot/toes CPT 28899 | $63.00 | $150.00 | $240.36 – $443.58 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $240.36 – $443.58 | 5 |
| Unlisted px hands/fingers CPT 26989 | $300.72 | $716.00 | $240.36 – $443.58 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $309.29 – $782.67 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $240.36 – $443.58 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $243.46 – $297.04 | 5 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,172.89 – $8,157.94 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $130.97 – $142.45 | 4 |
| Unlisted px middle ear CPT 69799 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $230.73 – $443.58 | 5 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,973.21 – $2,445.85 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | $277.62 | $661.00 | $230.79 – $340.29 | 5 |
| Unlisted px small intestine CPT 44799 | $1,199.94 | $2,857.00 | $883.78 – $5,996.66 | 5 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $130.97 – $142.45 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $230.79 – $340.29 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $389.55 – $423.68 | 4 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $195.50 – $213.53 | 5 |
| Unlisted surgical path px CPT 88399 | not published | not published | $50.78 – $55.23 | 4 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $28.18 – $30.65 | 4 |
| Unlisted ultrasound procedure CPT 76999 | $278.46 | $663.00 | $84.80 – $92.23 | 4 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $611.26 – $5,697.11 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $389.55 – $423.68 | 4 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,619.00 – $7,914.36 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $668.76 – $1,330.24 | 5 |
| Upgrade pm system CPT 33214 | not published | not published | $8,624.00 – $24,904.32 | 5 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,559.48 | $6,094.00 | $339.95 – $1,047.33 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,512.86 | $5,983.00 | $339.95 – $925.84 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $957.18 | $2,279.00 | $883.78 – $1,955.94 | 6 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $957.18 | $2,279.00 | $883.78 – $2,150.00 | 6 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $538.22 – $702.00 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $883.78 – $2,150.00 | 6 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,600.00 – $7,018.50 | 6 |
| Urea nitrogen CPT 84520 | $23.52 | $56.00 | $3.83 – $4.17 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | $33.18 | $79.00 | $5.39 – $5.87 | 4 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.98 – $7.60 | 4 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.98 – $5.41 | 4 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $389.55 – $423.68 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,000.00 – $3,735.80 | 6 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,000.00 – $3,735.80 | 6 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,316.59 – $2,995.90 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,364.40 – $3,051.36 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $490.98 | $1,169.00 | $232.50 – $252.87 | 4 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,434.81 – $6,583.40 | 5 |
| Urethrocystography void s&i CPT 74455 | $490.98 | $1,169.00 | $232.50 – $252.87 | 4 |
| Uric acid blood CPT 84550 | $26.88 | $64.00 | $4.38 – $4.77 | 4 |
| Uric acid urine CPT 84560 | $30.24 | $72.00 | $4.93 – $5.36 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.56 – $4.96 | 4 |
| Urinalysis microscopic only CPT 81015 | $44.52 | $106.00 | $2.96 – $3.22 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.10 – $2.29 | 4 |
| Urinalysis (with microscopy) CPT 81001 | $46.62 | $111.00 | $3.07 – $3.34 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $33.18 | $79.00 | $2.18 – $2.37 | 4 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $240.98 – $240.98 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.06 – $4.06 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $7.68 – $7.68 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $57.48 – $162.78 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $52.11 – $52.11 | 1 |
| Urine Culture Test CPT 87086 | $56.28 | $134.00 | $7.83 – $8.51 | 4 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $129.64 – $345.63 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $8.33 – $8.33 | 1 |
| Urine pregnancy test CPT 81025 | $126.42 | $301.00 | $8.35 – $9.08 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.08 – $31.63 | 4 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,562.15 – $3,297.56 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $464.31 – $464.31 | 1 |
| Urography, antegrade CPT 74425 | not published | not published | $339.95 – $369.74 | 4 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $170.91 – $185.89 | 4 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $1,595.63 – $1,595.63 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $31.91 – $31.91 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $101.87 – $110.80 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.28 – $12.26 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $880.79 – $880.79 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $4,992.74 – $13,606.53 | 5 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $122.57 | $291.84 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $122.57 | $291.84 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $110.12 | $262.20 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $73.74 | $175.56 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $54.90 | $130.72 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $10.50 | $25.00 | $102.62 – $102.62 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $29.40 | $70.00 | $343.58 – $343.58 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $14.70 | $35.00 | $226.24 – $226.24 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $155.99 | $371.40 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $29.40 | $70.00 | $417.30 – $417.30 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $12.60 | $30.00 | $108.78 – $108.78 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $12.60 | $30.00 | $47.08 – $47.08 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $21.00 | $50.00 | $249.16 – $249.16 | 1 |
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.