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 |
|---|---|---|---|---|
| Cover eye w/membrane CPT 65778 | not published | not published | $971.38 – $1,840.68 | 5 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $2,613.00 – $6,999.01 | 5 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $70.14 | $167.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | not published | not published | $429.67 – $467.32 | 4 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | not published | not published | $429.67 – $467.32 | 4 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $49.77 – $54.13 | 4 |
| #covid19rsv-rsv CPT 87634 | $107.10 | $255.00 | $68.09 – $74.06 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $12.64 – $13.75 | 4 |
| C-peptide CPT 84681 | not published | not published | $20.19 – $21.95 | 4 |
| Cptrized corneal topography CPT 92025 | not published | not published | $57.48 – $112.87 | 5 |
| Cptr ophth dx img post segmt CPT 92134 | $33.60 | $80.00 | $57.48 – $112.87 | 5 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $210.40 – $228.84 | 4 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $1,860.42 – $2,023.45 | 4 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $5,056.94 – $6,675.95 | 2 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $3,487.91 – $4,551.19 | 2 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $4,152.90 – $5,557.66 | 2 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $5,871.15 – $7,657.98 | 2 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $6,284.04 – $8,200.23 | 2 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $4,024.68 – $5,269.14 | 2 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $4,377.46 – $5,753.12 | 2 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $4,204.34 – $5,509.72 | 2 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $4,641.15 – $6,106.47 | 2 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $529.08 – $575.44 | 4 |
| C-reactive protein CPT 86140 | $44.52 | $106.00 | $5.02 – $5.46 | 4 |
| C-reactive protein high sensitivity CPT 86141 | $111.30 | $265.00 | $12.56 – $13.66 | 4 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $10.32 – $11.23 | 4 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $2,600.00 – $8,449.33 | 6 |
| Create eardrum opening CPT 69436 | not published | not published | $1,511.89 – $3,323.37 | 6 |
| Create passage to kidney CPT 52334 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Create tear duct drain CPT 68745 | not published | not published | $2,600.00 – $6,999.01 | 6 |
| Create tear duct drain CPT 68750 | not published | not published | $2,600.00 – $4,166.53 | 6 |
| Create tear sac drain CPT 68720 | not published | not published | $2,600.00 – $6,999.01 | 6 |
| Creatine isoforms CPT 82554 | not published | not published | $11.51 – $12.52 | 4 |
| Creatine kinase CPT 82550 | $38.64 | $92.00 | $6.31 – $6.87 | 4 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $12.99 – $14.13 | 4 |
| Creatine kinase mb CPT 82553 | not published | not published | $11.20 – $12.19 | 4 |
| Creatine - sendout CPT 82540 | not published | not published | $4.50 – $4.90 | 4 |
| Creatinine CPT 82565 | $30.24 | $72.00 | $4.97 – $5.40 | 4 |
| Creatinine 24 hour urine CPT 82570 | $30.66 | $73.00 | $5.02 – $5.46 | 4 |
| Creatinine clearance urine CPT 82575 | $56.28 | $134.00 | $9.18 – $9.98 | 4 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $28.33 – $30.82 | 4 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Cricotracheal resection CPT 31592 | not published | not published | $5,768.40 – $10,832.19 | 5 |
| Critical care 30-74 minutes CPT 99291 | $1,546.86 | $3,683.00 | $804.90 – $1,424.27 | 5 |
| Critical care each additional 30 minutes CPT 99292 | $1,315.86 | $3,133.00 | $239.53 – $245.42 | 2 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $126.05 – $137.09 | 4 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $2,767.87 – $7,837.00 | 3 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $2,404.24 – $3,166.95 | 2 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $23.19 – $23.19 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,422.15 – $8,449.33 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | $7,731.56 | $18,408.48 | $1,785.79 – $1,942.28 | 4 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $1,667.54 – $2,180.21 | 2 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $52.62 – $52.62 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $6,200.00 – $17,904.15 | 6 |
| Cryocautery of cervix 57511 CPT 57511 | $97.02 | $231.00 | $180.09 – $322.95 | 5 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $295.45 – $579.49 | 4 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $13.72 – $14.92 | 4 |
| Cryoprecipitate each unit HCPCS P9012 | $21.63 | $51.50 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $785.07 – $853.87 | 4 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $166.01 – $180.56 | 4 |
| Cryopreservation sperm CPT 89259 | not published | not published | $166.01 – $180.56 | 4 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $429.89 – $779.92 | 5 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $50.78 – $55.23 | 4 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,815.28 – $4,330.73 | 5 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $195.50 – $258.37 | 5 |
| Cryotherapy of acne 17340 CPT 17340 | $43.26 | $103.00 | $57.48 – $137.39 | 5 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $13.98 – $15.20 | 4 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.62 – $12.64 | 4 |
| Crystal identification light microscopy CPT 89060 | $16.80 | $40.00 | $7.11 – $7.73 | 4 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $4,853.39 – $6,293.47 | 2 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $2,636.76 – $7,187.00 | 3 |
| Csf leakage imaging CPT 78650 | not published | not published | $868.22 – $1,372.08 | 4 |
| Csf shunt reprogram 62252 CPT 62252 | $402.36 | $958.00 | $70.37 – $325.51 | 5 |
| Csf ventriculography CPT 78635 | not published | not published | $529.08 – $575.44 | 4 |
| CT 3d report other modality w/workstation CPT 76377 | $76.02 | $181.00 | $52.81 – $106.55 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,231.86 | $2,933.00 | $170.91 – $611.25 | 5 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,231.86 | $2,933.00 | $170.91 – $611.25 | 5 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,231.86 | $2,933.00 | $170.91 – $611.25 | 5 |
| Cta neck without &/or w/contrast CPT 70498 | $1,572.48 | $3,744.00 | $170.91 – $611.25 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,539.74 | $6,047.00 | $339.95 – $603.45 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,231.86 | $2,933.00 | $170.91 – $611.25 | 5 |
| CT Angiogram of the Head CPT 70496 | $1,572.48 | $3,744.00 | $170.91 – $611.25 | 5 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $339.95 – $650.84 | 5 |
| CT angio pelvis CPT 72191 | $1,231.86 | $2,933.00 | $170.91 – $611.25 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,231.86 | $2,933.00 | $170.91 – $611.25 | 5 |
| CT bone density axial CPT 77078 | $558.60 | $1,330.00 | $84.80 – $220.58 | 5 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $170.91 – $185.89 | 4 |
| CT colonography dx CPT 74261 | not published | not published | $101.87 – $110.80 | 4 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $170.91 – $185.89 | 4 |
| CT colonography screening CPT 74263 | not published | not published | $232.50 – $252.87 | 4 |
| CT guidance for needle placement CPT 77012 | $1,399.02 | $3,331.00 | $262.75 – $262.75 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $744.66 | $1,773.00 | $214.33 – $214.33 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $240.36 – $4,356.88 | 5 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $661.15 – $661.15 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $63.39 – $92.23 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $339.95 – $571.62 | 5 |
| CT hrt w/3d image CPT 75572 | not published | not published | $339.95 – $427.93 | 5 |
| CT limited or localized follow-up study CPT 76380 | $558.60 | $1,330.00 | $84.80 – $128.72 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,231.86 | $2,933.00 | $170.91 – $522.32 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $751.80 | $1,790.00 | $101.87 – $260.21 | 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.