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 |
|---|---|---|---|---|
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $1,576.26 – $2,080.60 | 2 |
| Burr hole implant ventricular cath/other device CPT 61210 | $1,210.86 | $2,883.00 | $786.67 – $1,033.72 | 2 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $2,675.87 – $3,502.44 | 2 |
| Burr hole skull & remove clot 61154 CPT 61154 | $131.88 | $314.00 | $2,690.36 – $3,524.06 | 2 |
| Bur rotalink 2.15mm HCPCS C1724 | $7,754.17 | $18,462.30 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.66 – $0.71 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $57.96 | $138.00 | $3.38 – $3.38 | 1 |
| Buttock fasciotomy CPT 27027 | not published | not published | $4,837.00 – $7,690.19 | 5 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,566.86 – $4,356.88 | 5 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $362.70 – $1,750.38 | 5 |
| Bx bone trocar/ndl deep CPT 20225 | $3,576.72 | $8,516.00 | $1,609.35 – $3,518.94 | 6 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $1,609.35 – $2,761.38 | 5 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,887.92 | $6,876.00 | $1,609.35 – $2,761.38 | 5 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Bx breast add lesion strtctc CPT 19082 | $1,443.96 | $3,438.00 | $2,613.00 – $2,613.00 | 1 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,168.44 | $2,782.00 | $2,613.00 – $2,613.00 | 1 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,000.00 – $1,750.38 | 6 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $2,613.00 – $5,686.41 | 5 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $101.64 | $242.00 | $145.81 – $322.95 | 5 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $4,487.57 – $5,900.65 | 2 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $2,150.00 – $6,150.36 | 6 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $2,150.00 – $6,150.36 | 6 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $3,285.81 – $4,288.05 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,150.00 – $4,785.74 | 6 |
| Bx liver with other CPT 47001 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Bx muscle CPT 20200 | not published | not published | $1,609.35 – $3,518.94 | 6 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Bx of breast open 19101 CPT 19101 | $1,354.50 | $3,225.00 | $2,150.00 – $5,686.41 | 6 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $399.69 – $3,430.73 | 5 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $1,000.00 – $2,761.38 | 6 |
| Bx perianal mass CPT 46999 | $1,208.34 | $2,877.00 | $906.17 – $1,160.84 | 5 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $1,000.00 – $2,761.38 | 6 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $3,434.81 – $3,836.08 | 5 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,150.00 – $4,785.74 | 6 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $273.48 – $1,750.38 | 5 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $387.66 | $923.00 | $2,613.00 – $2,613.00 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | $249.06 | $593.00 | $2,613.00 – $2,613.00 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $120.54 | $287.00 | $2,613.00 – $2,613.00 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $367.05 – $1,750.38 | 5 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,000.00 – $2,168.38 | 6 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,609.35 – $2,168.38 | 6 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,609.35 – $4,785.74 | 6 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $357.62 – $1,750.38 | 5 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,000.00 – $2,761.38 | 6 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,000.00 – $2,168.38 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $198.24 | $472.00 | $108.08 – $750.48 | 5 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $100.10 – $976.14 | 5 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $893.34 | $2,127.00 | $95.76 – $976.14 | 5 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $42.00 | $100.00 | $2,613.00 – $2,613.00 | 1 |
| Bypass temp external fem-fem CPT 37799 | $32.34 | $77.00 | $206.77 – $664.82 | 5 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $73.77 – $80.23 | 4 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $63.54 – $69.10 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $11.64 – $12.66 | 4 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $224.12 – $243.76 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $29.38 – $29.38 | 1 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $4,608.55 – $6,008.73 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $5,141.70 – $6,704.14 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $5,513.31 – $7,234.16 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $3,918.19 – $5,106.58 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $4,052.94 – $5,278.56 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $1,104.70 – $1,442.51 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $4,451.35 – $5,801.04 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $5,068.54 – $6,597.95 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $5,219.93 – $6,791.53 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $391.89 – $513.10 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $864.20 – $1,127.69 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $1,143.09 – $1,490.43 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $1,371.26 – $1,786.46 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $1,540.04 – $2,007.31 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,738.53 – $2,294.85 | 2 |
| Cable cath 22-pin diag HCPCS C1730 | $6,967.80 | $16,590.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $10,306.02 | $24,538.14 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $23.46 – $25.51 | 4 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $820.88 – $892.81 | 4 |
| Cad breast MRI w/r&i HCPCS C8937 | $205.80 | $490.00 | $62.97 – $62.97 | 1 |
| Cadd pump refill CPT 96521 | not published | not published | $207.26 – $301.33 | 5 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $56.70 | $135.00 | $5.12 – $5.12 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $79.61 – $86.59 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $10,028.39 – $10,028.39 | 1 |
| Calcium 24 hour urine CPT 82340 | $35.70 | $85.00 | $5.85 – $6.36 | 4 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $127.60 | $303.80 | $0.19 – $0.19 | 1 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $71.54 | $170.34 | $0.33 – $0.33 | 1 |
| Calcium ionized CPT 82330 | $51.66 | $123.00 | $13.27 – $14.43 | 4 |
| Calcium total CPT 82310 | $30.66 | $73.00 | $5.01 – $5.44 | 4 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.48 – $13.58 | 4 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.23 – $12.22 | 4 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $10.08 – $228.84 | 5 |
| Calprotectin fecal CPT 83993 | not published | not published | $19.04 – $20.71 | 4 |
| Campylobacter antibody CPT 86625 | not published | not published | $12.73 – $13.84 | 4 |
| Canakinumab injection HCPCS J0638 | not published | not published | $145.09 – $157.80 | 4 |
| Candida dna CPT 87480 | $139.44 | $332.00 | $19.45 – $21.15 | 4 |
| Candida skin test CPT 86485 | not published | not published | $28.18 – $30.65 | 4 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $2,300.00 – $5,897.28 | 6 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $294,632.10 | $701,505.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $3,072.72 | $7,316.00 | $1,000.00 – $4,025.92 | 6 |
| Cap nerve 2x15mm HCPCS C1763 | $50,506.81 | $120,254.30 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.32 – $3.61 | 4 |
| Capsular contracture release CPT 23020 | not published | not published | $2,150.00 – $6,826.20 | 6 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $509.23 – $2,300.00 | 6 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $2,300.00 – $4,573.81 | 6 |
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.