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 |
|---|---|---|---|---|
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray sternum > 2 views CPT 71120 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray surgical specimen CPT 76098 | $923.58 | $2,199.00 | $532.44 – $579.09 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $380.94 | $907.00 | $170.91 – $185.89 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $241.92 | $576.00 | $101.87 – $110.80 | 4 |
| X-ray thoracic spine 3 views CPT 72072 | $241.92 | $576.00 | $101.87 – $110.80 | 4 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $241.92 | $576.00 | $101.87 – $110.80 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $380.94 | $907.00 | $170.91 – $185.89 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $380.94 | $907.00 | $170.91 – $185.89 | 4 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $849.21 – $849.21 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $397.92 – $397.92 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $170.91 – $185.89 | 4 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $399.82 – $399.82 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $190.87 – $201.15 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $7.88 – $131.89 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.52 – $13.62 | 4 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.45 – $1.57 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $12.79 – $13.92 | 4 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $55,119.81 – $59,949.90 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.15 – $11.04 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.47 – $1.60 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.08 – $1.08 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $49.77 – $54.13 | 4 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.34 – $17.78 | 4 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $25.17 | $59.93 | $1.62 – $1.62 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $472.76 | $1,125.62 | $92.16 – $92.16 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.35 – $9.08 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $7,282.19 | $17,338.55 | $25.04 – $25.04 | 1 |
| Zoster vaccine-live inj CPT 90736 | $84.00 | $200.00 | $789.01 – $789.01 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $187.45 – $203.88 | 4 |
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.