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 |
|---|---|---|---|---|
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $28.18 – $73.00 | 5 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $28.18 – $67.58 | 5 |
| Acute hepatitis panel CPT 80074 | $601.02 | $1,431.00 | $46.20 – $50.25 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $914.26 – $1,372.08 | 4 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $139.46 | $332.04 | $0.45 – $0.45 | 1 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.36 – $17.80 | 4 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.00 – $17.40 | 4 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $57.65 – $188.11 | 4 |
| Adapter b 8 channel 10cm HCPCS C1883 | $9,071.66 | $21,599.20 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $194.46 | $463.00 | $44.24 – $172.22 | 5 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $56.70 | $135.00 | $4.67 – $4.67 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.62 – $12.64 | 4 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.48 – $13.58 | 4 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.11 – $22.96 | 4 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,850.08 – $7,187.00 | 3 |
| Adh-sendout CPT 84588 | not published | not published | $32.92 – $35.81 | 4 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $883.78 – $1,955.94 | 5 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $9,612.96 | $22,888.00 | $2,300.00 – $7,690.19 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,508.24 | $5,972.00 | $2,010.50 – $3,692.11 | 6 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $227.19 | $540.93 | $0.52 – $0.52 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $61.36 – $76.31 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $70.16 – $136.69 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $295.13 – $350.06 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $231.93 – $350.06 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $42.00 | $100.00 | $70.16 – $76.31 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $70.16 – $163.10 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $70.22 | $167.20 | $55.13 – $76.31 | 5 |
| Administration immunization each additional component CPT 90461 | not published | not published | $27.37 – $27.97 | 2 |
| Administration immunization each additional vaccine CPT 90472 | $14.78 | $35.20 | $27.37 – $27.97 | 2 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $30.43 – $55.13 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $5.78 | $13.75 | $55.13 – $76.31 | 5 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $5.78 | $13.75 | $27.37 – $27.97 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $5.78 | $13.75 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $45.63 – $111.83 | 5 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $45.63 – $51.25 | 5 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $45.63 – $103.28 | 5 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $5.78 | $13.75 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $40.93 – $44.52 | 4 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,261.53 – $1,372.08 | 4 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $2,560.70 – $3,301.31 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $86.98 – $159.68 | 2 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $210.40 – $228.84 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $210.40 – $228.84 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | $500.64 | $1,192.00 | $210.40 – $228.84 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,855.12 – $3,105.31 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $19.45 – $21.15 | 4 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.09 – $7.71 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $111.90 – $121.70 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $709.93 – $772.14 | 4 |
| After cataract laser surgery CPT 66821 | $231.42 | $551.00 | $535.93 – $2,150.00 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $220.75 – $240.10 | 4 |
| Air conduction bilat CPT 92552 | $208.32 | $496.00 | $129.64 – $255.72 | 5 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $125.38 – $349.66 | 5 |
| Albumin body fluid quantitative each specimen CPT 82042 | $46.20 | $110.00 | $7.55 – $8.21 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $505.66 | $1,203.96 | $51.48 – $56.00 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.59 – $22.40 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $504.06 | $1,200.15 | $51.48 – $56.00 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.30 – $11.20 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $32.92 – $35.81 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $34.44 | $82.00 | $5.61 – $6.10 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | $29.40 | $70.00 | $4.80 – $5.22 | 4 |
| Albuterol ipratrop non-comp HCPCS J7620 | $5.64 | $13.44 | $0.89 – $0.89 | 1 |
| Albuterol non-comp con HCPCS J7611 | $12.45 | $29.65 | $0.37 – $0.37 | 1 |
| Albuterol non-comp unit HCPCS J7613 | $18.25 | $43.45 | $0.30 – $0.30 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $16.75 – $18.22 | 4 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $28.18 – $30.65 | 4 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $139.15 – $188.11 | 5 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,238.70 – $3,522.51 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,367.20 – $2,574.64 | 4 |
| Alkaline phosphatase CPT 84075 | $30.66 | $73.00 | $5.02 – $5.46 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.39 – $18.92 | 4 |
| Allergen egg white ige CPT 86003 | $44.94 | $107.00 | $5.06 – $5.51 | 4 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.73 – $8.41 | 4 |
| Allergy injections; 2 or more 95117 CPT 95117 | $24.36 | $58.00 | $22.53 – $49.63 | 5 |
| Allergy injection; single 95115 CPT 95115 | $7.14 | $17.00 | $19.43 – $49.63 | 5 |
| Allergy Skin Testing CPT 95004 | not published | not published | $285.64 – $910.10 | 5 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $285.64 – $910.10 | 5 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $5,619.00 – $13,606.53 | 5 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $5,705.38 | $13,584.24 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $28,035.16 | $66,750.39 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,021.04 | $26,240.57 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $29,442.76 | $70,101.82 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $22,300.03 | $53,095.30 | $121.26 – $131.89 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,058.74 | $14,425.56 | $121.26 – $131.89 | 4 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $7,740.23 | $18,429.12 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,000.56 | $14,287.05 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $6,587.41 | $15,684.32 | $121.26 – $131.89 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $55.76 – $131.89 | 4 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $36.40 – $113.54 | 5 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $28.18 – $63.39 | 5 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.99 – $5.42 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $62.48 – $67.95 | 4 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $16.49 – $17.93 | 4 |
| Alpha-fetoprotein tumor marker CPT 82105 | $99.12 | $236.00 | $16.27 – $17.69 | 4 |
| Alprostadil for injection HCPCS J0270 | $1,219.67 | $2,903.98 | $0.70 – $0.70 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $26,603.69 | $63,342.12 | $92.24 – $100.32 | 4 |
| Alt/sgpt CPT 84460 | $31.50 | $75.00 | $5.14 – $5.59 | 4 |
| Aluminum - quest CPT 82108 | not published | not published | $24.72 – $26.88 | 4 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $557.84 – $3,513.75 | 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.