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 |
|---|---|---|---|---|
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $372.30 – $372.30 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $21.00 | $50.00 | $141.76 – $141.76 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $217.89 – $217.89 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $445.58 | $1,060.91 | $211.10 – $211.10 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $106.26 | $253.00 | $424.94 – $424.94 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $151.91 | $361.68 | $84.70 – $84.70 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $66.36 | $158.00 | $756.54 – $756.54 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $66.36 | $158.00 | $591.37 – $591.37 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $25.20 | $60.00 | $160.01 – $160.01 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $508.57 | $1,210.89 | $163.91 – $163.91 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $8.40 | $20.00 | $58.02 – $58.02 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $128.02 | $304.82 | $63.11 – $63.11 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $58.51 – $58.51 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $525.18 | $1,250.44 | $62.40 – $62.40 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $10.50 | $25.00 | $69.45 – $69.45 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $28.35 | $67.50 | $62.40 – $62.40 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $30.83 – $30.83 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $85.14 – $85.14 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $23.10 | $55.00 | $169.73 – $169.73 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $203.70 | $485.01 | $97.61 – $97.61 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $58.84 – $58.84 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $232.26 | $553.00 | $741.18 – $741.18 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $163.80 | $390.00 | $605.62 – $605.62 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $126.00 | $300.00 | $315.65 – $315.65 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $46.20 | $110.00 | $315.65 – $315.65 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $685.24 | $1,631.53 | $260.66 – $260.66 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | $86.10 | $205.00 | $750.90 – $750.90 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $125.16 | $298.00 | $434.89 – $434.89 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $84.00 | $200.00 | $685.61 – $685.61 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $919.63 – $919.63 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $245.28 | $584.00 | $919.63 – $919.63 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $8.40 | $20.00 | $117.64 – $117.64 | 1 |
| Vaccine rabies im CPT 90675 | $2,153.16 | $5,126.57 | $305.76 – $332.56 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $806.89 – $806.89 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $3,686.45 | $8,777.26 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $246.54 | $587.00 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $806.89 – $806.89 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $10.50 | $25.00 | $448.72 – $448.72 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $10.50 | $25.00 | $366.92 – $366.92 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $345.82 | $823.39 | $146.62 – $146.62 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $28.35 | $67.50 | $68.78 – $68.78 | 1 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $243.64 – $243.64 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $14.70 | $35.00 | $589.15 – $589.15 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $417.49 – $417.49 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,683.99 | $4,009.50 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,827.28 | $35,303.04 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,187.00 – $10,438.65 | 5 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,792.51 – $3,642.45 | 2 |
| Vaginal bx CPT 58999 | $4,002.18 | $9,529.00 | $197.00 – $343.60 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $4,109.28 | $9,784.00 | $3,154.32 – $4,843.16 | 5 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $4,377.46 – $5,696.74 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,613.00 – $4,843.16 | 5 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $77.65 – $1,782.48 | 4 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $3,692.91 – $5,619.00 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,839.21 – $5,619.00 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $236.15 – $307.30 | 2 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $2,509.26 – $3,271.25 | 2 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,476.68 – $3,201.70 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $30.66 | $73.00 | $13.13 – $14.28 | 4 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,232.41 – $1,340.40 | 4 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,545.97 – $11,907.81 | 5 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $4,047.86 – $5,193.48 | 2 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $4,790.37 – $6,153.96 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $8,624.00 – $25,256.92 | 5 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $8,624.00 – $25,256.92 | 5 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $6,483.98 – $8,459.59 | 2 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $5,122.12 – $6,673.14 | 2 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $77.39 | $184.27 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $310.75 | $739.88 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $5.27 – $5.27 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $30.66 | $73.00 | $13.13 – $14.28 | 4 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $34.04 – $37.02 | 4 |
| Vantas implant HCPCS J9225 | not published | not published | $16,628.81 – $16,628.81 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.77 – $0.77 | 1 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.49 – $13.59 | 4 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,292.35 – $2,493.23 | 4 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $5,619.00 – $19,428.01 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,188.30 – $9,871.54 | 5 |
| Vasectomy CPT 55250 | $1,131.48 | $2,694.00 | $2,036.91 – $4,753.93 | 6 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $147.84 | $352.00 | $12.06 – $12.06 | 1 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $4,593.33 – $5,968.34 | 2 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $2,365.85 – $3,117.13 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.35 – $22.13 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $363.61 – $395.48 | 4 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $836.77 – $910.10 | 4 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $363.61 – $395.48 | 4 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $363.61 – $395.48 | 4 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $210.40 – $228.84 | 4 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $3,030.84 – $4,046.54 | 2 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $3,511.11 – $4,681.81 | 2 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,862.04 – $3,822.88 | 2 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $3,503.13 – $4,656.44 | 2 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,076.71 – $3,346.32 | 4 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $15,443.20 – $15,443.20 | 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.