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 |
|---|---|---|---|---|
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $568.68 | $1,354.00 | $62.97 – $62.97 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,657.04 – $7,837.00 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $2,361.49 – $7,187.00 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,421.63 – $3,138.74 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,488.81 – $4,809.83 | 5 |
| Cholesterol CPT 82465 | $26.04 | $62.00 | $4.22 – $4.59 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $168.84 | $402.00 | $12.99 – $14.13 | 4 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,440.94 – $2,654.83 | 4 |
| Cholinesterase CPT 82480 | not published | not published | $7.63 – $8.30 | 4 |
| Cholinesterase challenge CPT 95857 | not published | not published | $64.46 – $228.84 | 5 |
| Chorion biopsy CPT 59015 | not published | not published | $124.04 – $976.14 | 5 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $80.06 – $80.06 | 1 |
| Chrom analysis CPT 88273 | not published | not published | $33.77 – $36.72 | 4 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $37.83 – $41.14 | 4 |
| Chromatography CPT 83021 | not published | not published | $17.52 – $19.05 | 4 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.53 – $12.54 | 4 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $55.33 – $60.18 | 4 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $168.45 – $183.21 | 4 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $167.97 – $182.69 | 4 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $121.73 – $132.39 | 4 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $167.97 – $182.69 | 4 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $145.78 – $158.56 | 4 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $256.41 – $278.88 | 4 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $167.97 – $182.69 | 4 |
| Chromosome analys placenta CPT 88267 | not published | not published | $182.91 – $198.94 | 4 |
| Chromosome banding study CPT 88283 | not published | not published | $66.54 – $72.37 | 4 |
| Chromosome count additional CPT 88285 | not published | not published | $26.10 – $28.39 | 4 |
| Chromosome karyotype study CPT 88280 | not published | not published | $32.47 – $35.31 | 4 |
| Chromosome study additional CPT 88289 | not published | not published | $33.40 – $36.32 | 4 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.09 – $13.15 | 4 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $59.66 – $64.88 | 4 |
| Cidofovir injection HCPCS J0740 | not published | not published | $543.97 – $591.63 | 4 |
| Cilastatin sodium injection HCPCS J0743 | $86.74 | $206.52 | $12.80 – $12.80 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,150.00 – $4,025.92 | 6 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $570,839.96 – $620,862.02 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.19 – $2.19 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $101.87 – $110.80 | 4 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $48.45 – $48.45 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $69.30 | $165.00 | $5.82 – $5.82 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $105.07 – $105.07 | 1 |
| Circum 28 days or older CPT 54161 | $283.50 | $675.00 | $2,036.91 – $4,753.93 | 6 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $147.00 | $350.00 | $679.46 – $4,753.93 | 6 |
| Circumcision (newborn) CPT 54150 | $159.60 | $380.00 | $1,000.00 – $4,753.93 | 6 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $9.09 – $9.09 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $319.62 – $347.63 | 4 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.46 – $9.21 | 4 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $24,788.40 | $59,020.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,750.00 – $6,826.20 | 6 |
| Claviculectomy total CPT 23125 | not published | not published | $2,750.00 – $6,826.20 | 6 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $316.27 – $571.58 | 5 |
| Clearance of airways CPT 31720 | $255.78 | $609.00 | $213.38 – $1,000.00 | 6 |
| Clearance of tear duct CPT 68530 | not published | not published | $274.73 – $428.89 | 5 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $129.64 – $218.65 | 5 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $129.64 – $218.65 | 5 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $116.07 – $218.65 | 5 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $36.40 – $112.87 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $56.70 | $135.00 | $6.64 – $6.64 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | $4,658.12 | $11,090.75 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,154.32 – $4,843.16 | 5 |
| Cllr miami j sm HCPCS L0174 | $1,045.77 | $2,489.92 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.61 – $11.54 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $6.30 | $15.00 | $50.27 – $50.27 | 1 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $5,871.15 – $7,661.73 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $606.90 | $1,445.00 | $219.01 – $307.37 | 5 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,912.68 | $4,554.00 | $560.95 – $1,704.16 | 6 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $300.72 | $716.00 | $1,553.09 – $2,043.01 | 5 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $300.72 | $716.00 | $240.36 – $443.58 | 5 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,912.68 | $4,554.00 | $1,566.86 – $4,356.88 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $275.94 | $657.00 | $219.01 – $307.37 | 5 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,349.04 | $3,212.00 | $560.95 – $1,704.16 | 6 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $460.32 | $1,096.00 | $179.17 – $261.42 | 5 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,511.89 – $5,105.49 | 6 |
| Closed tx orbit without manipulj CPT 21400 | $609.42 | $1,451.00 | $525.53 – $2,150.00 | 6 |
| Closed tx orbit w/manipulj CPT 21401 | $1,850.94 | $4,407.00 | $1,511.89 – $2,300.00 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,677.06 | $3,993.00 | $1,566.86 – $3,018.60 | 6 |
| Closed tx septal&nose fx CPT 21337 | $3,793.02 | $9,031.00 | $2,150.00 – $3,513.75 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | $275.94 | $657.00 | $150.89 – $261.42 | 5 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $275.94 | $657.00 | $219.01 – $261.42 | 5 |
| Closed tx vert fx w/manj CPT 22315 | $4,326.00 | $10,300.00 | $2,150.00 – $3,467.69 | 6 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $537.18 | $1,279.00 | $230.79 – $953.02 | 5 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,511.89 – $5,105.49 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,427.76 – $7,690.19 | 5 |
| Close tear duct opening CPT 68760 | $152.46 | $363.00 | $274.73 – $352.67 | 5 |
| Close tear duct opening CPT 68761 | $136.50 | $325.00 | $195.85 – $336.39 | 5 |
| Close tear system fistula CPT 68770 | not published | not published | $1,840.68 – $2,600.00 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.52 – $16.88 | 4 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,617.42 | $3,851.00 | $1,511.89 – $3,323.37 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,821.10 – $2,362.53 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $3,363.33 – $4,361.37 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,131.87 – $2,770.38 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,944.63 – $3,813.49 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $941.64 | $2,242.00 | $525.53 – $1,696.40 | 6 |
| Closure of eyelid by suture CPT 67875 | $1,163.82 | $2,771.00 | $971.38 – $1,840.68 | 5 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,000.00 – $3,513.75 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,000.00 – $5,105.49 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $611.26 – $1,283.72 | 5 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.36 – $19.97 | 4 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $19.81 – $21.54 | 4 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.36 – $19.97 | 4 |
| Clot factor xii hageman CPT 85280 | not published | not published | $18.77 – $20.41 | 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.