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 |
|---|---|---|---|---|
| Cystoscopy inject material CPT 52327 | not published | not published | $2,150.00 – $8,168.38 | 6 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,224.64 – $5,682.47 | 5 |
| Cystoscopy removal of clots CPT 52001 | $3,715.74 | $8,847.00 | $2,150.00 – $3,735.80 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,036.91 – $3,218.68 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,036.91 – $5,469.22 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,600.00 – $5,682.47 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | $2,150.40 | $5,120.00 | $2,036.91 – $5,469.22 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,695.56 | $6,418.00 | $2,036.91 – $5,469.22 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,600.00 – $5,469.22 | 6 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,434.81 – $5,469.22 | 5 |
| Cystouretero & or pyeloscope CPT 52351 | $3,715.74 | $8,847.00 | $2,300.00 – $5,469.22 | 6 |
| Cysto/uretero stricture tx CPT 52344 | $3,715.74 | $8,847.00 | $2,300.00 – $5,469.22 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,600.00 – $5,682.47 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,600.00 – $5,682.47 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,224.64 – $8,168.38 | 5 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,600.00 – $8,168.38 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,300.00 – $5,682.47 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,600.00 – $5,469.22 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,373.86 | $8,033.00 | $2,036.91 – $3,218.68 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,036.91 – $5,469.22 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $126.77 – $2,613.00 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $474.48 – $5,619.00 | 3 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $2,172.89 – $4,837.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,300.00 – $5,469.22 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $2.45 – $2.45 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $41.11 – $44.71 | 4 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $39.48 – $42.94 | 4 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,125.20 – $1,223.80 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $873.00 – $949.50 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $68.46 | $163.00 | $13.96 – $15.18 | 4 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $110.46 | $263.00 | $16.34 – $17.78 | 4 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.02 – $14.16 | 4 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,754.35 – $1,908.08 | 4 |
| Cyto/molecular report CPT 88291 | not published | not published | $125.36 – $125.36 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $24.61 – $26.77 | 4 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.21 – $15.46 | 4 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $28.18 – $30.65 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $175.98 | $419.00 | $50.78 – $55.23 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $25.81 – $28.07 | 4 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $19.65 – $21.37 | 4 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $97.86 | $233.00 | $36.40 – $39.58 | 4 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $119.70 | $285.00 | $36.40 – $39.58 | 4 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $26.68 – $26.68 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $527.10 | $1,255.00 | $166.01 – $180.56 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $175.98 | $419.00 | $50.78 – $55.23 | 4 |
| Cytopath smear other source CPT 88160 | $87.36 | $208.00 | $28.18 – $30.65 | 4 |
| Cytopath smear other source CPT 88162 | not published | not published | $50.78 – $55.23 | 4 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $28.18 – $30.65 | 4 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $17.98 – $19.56 | 4 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $76.29 – $82.98 | 4 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $28.79 – $31.31 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $166.01 – $180.56 | 4 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $21.04 – $21.04 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $327.54 – $356.24 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,044.06 | $14,390.62 | $14.55 – $15.83 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $68.89 – $68.89 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $203.94 | $485.58 | $2.08 – $2.08 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $53.38 – $58.06 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,417.66 | $3,375.37 | $2.98 – $3.24 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.98 – $3.24 | 4 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $253.36 – $275.56 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $172.00 – $172.00 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $195.50 – $366.25 | 5 |
| D&c after delivery 59160 CPT 59160 | $4,109.28 | $9,784.00 | $2,300.00 – $4,843.16 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,769.92 | $8,976.00 | $2,150.00 – $4,843.16 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $4.89 – $5.32 | 4 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $196.19 – $395.48 | 5 |
| Dch validity tests CPT 81002 | $51.24 | $122.00 | $3.38 – $3.67 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,902.77 – $7,732.33 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,230.65 – $9,785.04 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,000.00 – $3,630.85 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,300.00 – $4,843.16 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.69 – $12.71 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,480.65 – $1,904.86 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $774.90 | $1,845.00 | $68.92 – $430.83 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $149.94 | $357.00 | $24.33 – $2,613.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,926.14 | $6,967.00 | $1,609.35 – $2,168.38 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $387.66 | $923.00 | $2,613.00 – $2,613.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,000.02 | $2,381.00 | $2,613.00 – $2,613.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,025.22 | $2,441.00 | $396.12 – $2,150.00 | 6 |
| Debride nail1-5 11720 CPT 11720 | $76.86 | $183.00 | $57.48 – $137.39 | 5 |
| Debride nail6 or more 11721 CPT 11721 | $76.86 | $183.00 | $57.48 – $137.39 | 5 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $865.20 | $2,060.00 | $690.02 – $2,150.00 | 6 |
| Debride skin bone at fx site CPT 11012 | $3,444.42 | $8,201.00 | $2,150.00 – $3,078.44 | 6 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $903.00 | $2,150.00 | $1,208.99 – $1,573.12 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,640.02 – $2,125.70 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $249.06 | $593.00 | $2,613.00 – $2,613.00 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $195.50 – $258.37 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $865.20 | $2,060.00 | $690.02 – $2,168.38 | 6 |
| Debr inf skin add-on 11001 CPT 11001 | $387.66 | $923.00 | $2,613.00 – $2,613.00 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $774.90 | $1,845.00 | $720.17 – $2,150.00 | 6 |
| Decalcification CPT 88311 | $74.76 | $178.00 | $33.34 – $33.34 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $29.38 – $29.38 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $385.56 | $918.00 | $63.11 – $350.06 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,566.86 – $6,826.20 | 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.