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 |
|---|---|---|---|---|
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,000.00 – $3,378.09 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $168.00 | $400.00 | $216.90 – $430.83 | 5 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,704.66 – $6,200.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,000.00 – $4,843.16 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | $3,707.76 | $8,828.00 | $165.08 – $3,430.73 | 5 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $160.32 – $2,186.68 | 5 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $29.13 – $31.68 | 4 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $42.36 – $46.07 | 4 |
| Developmental screen/score/document 96110 CPT 96110 | $17.22 | $41.00 | $20.96 – $21.29 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $125.38 – $136.37 | 4 |
| Device ablt adv novasure HCPCS C1886 | $6,148.80 | $14,640.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,386.50 | $12,825.00 | $13.19 – $13.19 | 1 |
| Device intraute mirena HCPCS J7298 | $315.00 | $750.00 | $3,372.28 – $3,372.28 | 1 |
| Device sut capio slim opn HCPCS C2631 | $1,825.12 | $4,345.53 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $10,602.90 | $25,245.00 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $125.46 – $125.46 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $78.72 – $92.23 | 4 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $89.77 – $97.64 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.41 – $4.41 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $15.65 | $37.26 | $0.04 – $0.04 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $56.70 | $135.00 | $0.07 – $0.07 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $197.68 – $215.00 | 4 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.19 – $2.19 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $48.25 – $52.47 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $98.43 – $98.43 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $49.79 | $118.54 | $6.23 – $6.23 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $46.85 | $111.54 | $18.36 – $18.36 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $47.22 | $112.44 | $28.12 – $28.12 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $47.69 | $113.54 | $56.24 – $56.24 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $21.56 – $23.45 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $57.54 | $137.00 | $9.42 – $10.24 | 4 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $36.51 – $39.71 | 4 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.51 – $31.07 | 5 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,734.37 – $2,767.91 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,300.00 – $7,914.36 | 6 |
| Diagnostic anoscopy CPT 46601 | $134.82 | $321.00 | $219.15 – $473.44 | 5 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,166.03 – $2,170.59 | 5 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $74.76 | $178.00 | $129.64 – $345.63 | 5 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $316.04 – $316.04 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $316.04 – $316.04 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $207.06 | $493.00 | $129.12 – $1,000.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $207.06 | $493.00 | $158.99 – $211.54 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $254.10 | $605.00 | $101.74 – $110.66 | 4 |
| Diagnostic Mammogram (one breast) CPT 77065 | $198.66 | $473.00 | $82.77 – $90.02 | 4 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $84.80 – $92.23 | 4 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $406.59 – $442.22 | 4 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.05 – $13.98 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.33 – $0.33 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $96.23 | $229.13 | $23.00 – $23.00 | 1 |
| Dicyclomine injection HCPCS J0500 | $286.29 | $681.64 | $104.18 – $104.18 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.67 – $0.67 | 1 |
| Diffusing capacity CPT 94729 | not published | not published | $98.85 – $99.40 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $355.11 – $460.55 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $56.70 | $135.00 | $14.10 – $14.10 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,011.98 – $5,451.18 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $30.24 | $72.00 | $12.88 – $14.01 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $720.19 – $720.19 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $1,000.00 – $2,793.46 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $883.78 – $1,955.94 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $712.79 – $1,180.31 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $356.39 – $591.11 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,014.87 – $1,677.45 | 2 |
| Dilate tear duct opening CPT 68801 | $119.70 | $285.00 | $264.56 – $473.44 | 5 |
| Dilate urethra stricture CPT 53600 | $286.44 | $682.00 | $79.07 – $1,000.00 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $113.49 – $1,000.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,150.00 – $3,735.80 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $151.02 – $1,000.00 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | $194.04 | $462.00 | $88.50 – $1,000.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,000.00 – $3,817.35 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $79.72 – $3,430.73 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,000.00 – $3,817.35 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $151.61 – $571.58 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $108.81 – $1,000.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $1,000.00 – $4,272.75 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $2,150.00 – $4,843.16 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $99.37 – $1,644.38 | 5 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $833.70 | $1,985.00 | $140.68 – $1,000.00 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $669.20 | $1,593.34 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,613.00 – $3,735.80 | 4 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,434.81 – $3,735.80 | 4 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $209.32 – $209.32 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $37.21 – $37.21 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $726.51 – $790.17 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.10 | $5.00 | $0.07 – $0.07 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $56.70 | $135.00 | $2.56 – $2.56 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $5.88 | $14.00 | $139.35 – $139.35 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $36.40 – $113.54 | 5 |
| Disability dlco CPT 94727 | not published | not published | $210.40 – $349.66 | 5 |
| Disaccharidases CPT 82657 | not published | not published | $21.50 – $23.39 | 4 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,010.50 – $6,037.67 | 6 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $3,204.68 – $4,128.31 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $438.98 – $522.48 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $1,902.77 – $2,069.51 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $171.37 – $1,886.35 | 4 |
| Dissolve clot heart vessel CPT 92975 | $124.32 | $296.00 | $795.38 – $1,068.50 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,422.15 – $8,449.33 | 5 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $677.31 – $4,837.00 | 3 |
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.