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 |
|---|---|---|---|---|
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $129.64 – $168.54 | 5 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $129.64 – $141.01 | 4 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $234.64 – $255.20 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $1,216.15 | $2,895.60 | $1.41 – $1.41 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $80.66 | $192.04 | $6.38 – $6.38 | 1 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $7.68 – $7.68 | 1 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $24.67 – $24.67 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $139.49 | $332.13 | $16.36 – $16.36 | 1 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,547.27 | $3,683.98 | $4.13 – $4.49 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $87.99 | $209.50 | $6.23 – $6.23 | 1 |
| Ceftazidime and avibactam HCPCS J0714 | $2,856.82 | $6,801.95 | $101.61 – $110.51 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $130.23 | $310.06 | $9.39 – $9.39 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $5.12 – $5.12 | 1 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $91.90 – $99.95 | 4 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $105.86 – $115.13 | 4 |
| Cell count body fluid CPT 89050 | not published | not published | $4.58 – $4.98 | 4 |
| Cell count w differential body fluid CPT 89051 | $12.18 | $29.00 | $5.43 – $5.91 | 4 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $12.68 – $13.79 | 4 |
| Cell enumeration & id CPT 86152 | not published | not published | $243.26 – $264.57 | 4 |
| Cell function assay w/stim CPT 86352 | not published | not published | $131.78 – $143.33 | 4 |
| Cell marker study CPT 88182 | not published | not published | $50.78 – $55.23 | 4 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.87 – $31.40 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $17,222.97 – $17,222.97 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $504.17 – $6,794.00 | 3 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,000.00 – $4,843.16 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $529.08 – $575.44 | 4 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.68 – $4.00 | 4 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,150.36 – $7,037.30 | 5 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $96.29 | $229.26 | $59.31 – $116.47 | 5 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,907.31 – $2,507.24 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $78.04 – $84.88 | 4 |
| #cf-97variants CPT 81220 | not published | not published | $539.90 – $587.21 | 4 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $422.02 – $459.00 | 4 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $163.69 – $178.03 | 4 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $94.30 – $102.57 | 4 |
| Change cystostomy tube; complex 51710 CPT 51710 | $833.70 | $1,985.00 | $679.46 – $1,280.34 | 6 |
| Change cystostomy tube simple CPT 51705 | $501.06 | $1,193.00 | $123.31 – $264.79 | 5 |
| Change gastric port open CPT 43888 | not published | not published | $3,453.08 – $6,037.67 | 5 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,036.91 – $3,381.64 | 5 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,000.00 – $3,381.64 | 6 |
| Change of windpipe airway 31502 CPT 31502 | $377.58 | $899.00 | $230.79 – $340.29 | 5 |
| Change stent via transureth CPT 50385 | not published | not published | $2,036.91 – $5,469.22 | 5 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,036.91 – $5,469.22 | 5 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $166.01 – $180.56 | 4 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $185.70 – $212.63 | 5 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $258.37 – $430.83 | 5 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $258.37 – $430.83 | 5 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $258.37 – $783.27 | 5 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $172.62 – $350.06 | 5 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $178.45 – $748.10 | 5 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $195.85 – $748.10 | 5 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $158.87 – $748.10 | 5 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,166.03 – $3,817.35 | 5 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $123.48 | $294.00 | $155.23 – $325.31 | 5 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $253.88 – $336.39 | 5 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $124.76 – $325.31 | 5 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $108.08 – $325.31 | 5 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $137.10 – $325.31 | 5 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $131.29 – $325.31 | 5 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $151.61 – $325.31 | 5 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $159.59 – $748.10 | 5 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $175.55 – $748.10 | 5 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $321.86 – $350.06 | 4 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $45.63 – $172.42 | 5 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $321.86 – $371.23 | 5 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $224.34 – $350.06 | 5 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $99.61 – $225.42 | 5 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $65.24 – $76.31 | 5 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.51 – $16.87 | 4 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $90.50 – $350.06 | 5 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $60.07 – $350.06 | 5 |
| Chest 2 vws w oblique CPT 71048 | $208.74 | $497.00 | $101.87 – $110.80 | 4 |
| Chest apical lordotic proj CPT 71047 | $154.98 | $369.00 | $84.80 – $92.23 | 4 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,288.56 | $3,068.00 | $170.91 – $584.74 | 5 |
| Chest CT scan (with contrast) CPT 71260 | $1,231.86 | $2,933.00 | $170.91 – $522.32 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $751.80 | $1,790.00 | $101.87 – $260.21 | 5 |
| Chest X-ray CPT 71046 | $154.98 | $369.00 | $84.80 – $92.23 | 4 |
| Chest X-ray (single view) CPT 71045 | $154.98 | $369.00 | $84.80 – $92.23 | 4 |
| Chg pr pul rehab for copd patients CPT 94626 | $86.52 | $206.00 | $57.48 – $62.52 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $380.94 | $907.00 | $170.91 – $185.89 | 4 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $201.24 – $218.87 | 4 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $252.97 – $275.13 | 4 |
| Chlamydia culture CPT 87110 | not published | not published | $19.01 – $20.68 | 4 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.62 – $12.64 | 4 |
| Chlamydia type CPT 87140 | not published | not published | $5.40 – $5.88 | 4 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $36.32 – $36.32 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $99.80 – $99.80 | 1 |
| Chloride CPT 82435 | $36.54 | $87.00 | $4.46 – $4.85 | 4 |
| Chloride 24 hour urine CPT 82436 | $34.44 | $82.00 | $5.58 – $6.07 | 4 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.15 – $0.15 | 1 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $83.77 – $83.77 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $732.65 | $1,744.40 | $533.16 – $533.16 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $166.69 | $396.88 | $77.24 – $77.24 | 1 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.37 – $0.37 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $271.47 – $350.06 | 5 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,488.81 – $5,711.25 | 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.