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 |
|---|---|---|---|---|
| CT lwr extremity w/o&w/dye CPT 73702 | $1,288.56 | $3,068.00 | $170.91 – $584.74 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $1,572.48 | $3,744.00 | $170.91 – $522.32 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $959.28 | $2,284.00 | $101.87 – $260.21 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,627.92 | $3,876.00 | $170.91 – $584.74 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,627.92 | $3,876.00 | $170.91 – $584.74 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,572.48 | $3,744.00 | $170.91 – $522.32 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $959.28 | $2,284.00 | $101.87 – $260.21 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $277.62 | $661.00 | $230.79 – $1,000.00 | 6 |
| CT scan for therapy guide CPT 77014 | not published | not published | $259.12 – $259.12 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,596.02 | $6,181.00 | $339.95 – $814.25 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,539.74 | $6,047.00 | $339.95 – $814.25 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,588.02 | $3,781.00 | $232.50 – $513.52 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $1,231.86 | $2,933.00 | $170.91 – $522.32 | 5 |
| CT thoracic spine without contrast CPT 72128 | $751.80 | $1,790.00 | $101.87 – $260.21 | 5 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $558.60 | $1,330.00 | $101.87 – $110.80 | 4 |
| CT t-spine w /wo contrast CPT 72130 | $1,288.56 | $3,068.00 | $170.91 – $584.74 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,539.74 | $6,047.00 | $339.95 – $522.32 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $751.80 | $1,790.00 | $101.87 – $260.21 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,596.02 | $6,181.00 | $170.91 – $584.74 | 5 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $166.01 – $180.56 | 4 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $166.01 – $180.56 | 4 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $2,150.00 – $6,037.67 | 6 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,010.50 – $3,692.11 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | $56.28 | $134.00 | $7.84 – $8.52 | 4 |
| Culture afb any source CPT 87116 | not published | not published | $10.48 – $11.39 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $7.84 – $8.52 | 4 |
| Culture anaerobic except blood CPT 87075 | $65.94 | $157.00 | $9.19 – $9.99 | 4 |
| Culture bact stool aero addl path ea CPT 87046 | $199.08 | $474.00 | $9.16 – $9.96 | 4 |
| Culture body fluid CPT 87070 | $60.06 | $143.00 | $8.36 – $9.09 | 4 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $10.01 – $10.89 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $71.82 | $171.00 | $10.01 – $10.89 | 4 |
| Culture fungi other (except blood) CPT 87102 | $58.80 | $140.00 | $8.16 – $8.87 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | $53.76 | $128.00 | $7.48 – $8.13 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $14.17 – $15.41 | 4 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $14.93 – $16.24 | 4 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.59 – $10.43 | 4 |
| Culture screening strep group a CPT 87081 | $46.20 | $110.00 | $6.43 – $6.99 | 4 |
| Culture typing added method CPT 87158 | not published | not published | $7.51 – $8.17 | 4 |
| Culture typing immunologic CPT 87147 | not published | not published | $5.02 – $5.46 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $211.52 – $230.05 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $243.60 | $580.00 | $34.04 – $37.02 | 4 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.85 – $8.53 | 4 |
| Culture virus isolation CPT 87250 | not published | not published | $18.97 – $20.64 | 4 |
| Curette/treat cornea CPT 65435 | $1,268.40 | $3,020.00 | $96.48 – $1,056.50 | 5 |
| Curette/treat cornea CPT 65436 | $3,072.72 | $7,316.00 | $420.01 – $2,519.68 | 5 |
| Cutter lead HCPCS C1773 | $17,876.25 | $42,562.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,533.89 – $2,212.77 | 5 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $31.85 – $31.95 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $47.90 – $48.93 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $13.89 – $15.11 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $56.70 | $135.00 | $12.80 – $12.80 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $111.30 | $265.00 | $12.56 – $13.66 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $17.99 – $17.99 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $100.28 – $100.28 | 1 |
| Cyclosporine 2 hour CPT 80158 | $103.74 | $247.00 | $17.51 – $19.04 | 4 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $2.93 – $2.93 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $11.76 – $11.76 | 1 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $28,542.53 | $67,958.41 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $282.62 – $307.38 | 4 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $169.57 – $184.42 | 4 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $437.38 – $475.71 | 4 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $169.57 – $184.42 | 4 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $169.57 – $184.42 | 4 |
| Cystatin c CPT 82610 | not published | not published | $17.96 – $19.54 | 4 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $484.03 – $526.44 | 4 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.29 – $24.24 | 4 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $784.98 | $1,869.00 | $339.95 – $369.74 | 4 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $7,187.00 – $12,460.75 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $5,619.00 – $10,032.63 | 4 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,794.00 – $10,032.63 | 4 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $491.83 – $739.00 | 5 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,879.77 – $6,794.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,837.00 – $10,032.63 | 5 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,224.64 – $5,682.47 | 4 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,600.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52214 | $3,715.74 | $8,847.00 | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,300.00 – $5,682.47 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,036.91 – $3,218.68 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $546.22 – $2,215.40 | 5 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,036.91 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,036.91 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $679.46 – $3,218.68 | 6 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,036.91 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $2,150.00 – $5,682.47 | 6 |
| Cystoscopy and treatment CPT 52310 | $2,150.40 | $5,120.00 | $2,036.91 – $3,218.68 | 6 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,036.91 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,750.00 – $5,469.22 | 6 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,205.00 | $5,250.00 | $679.46 – $1,440.02 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,036.91 – $3,218.68 | 5 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $679.46 – $2,150.00 | 6 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,434.81 – $6,200.00 | 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.