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 |
|---|---|---|---|---|
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $611.72 – $2,613.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $270.63 – $294.34 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $132.89 – $144.54 | 4 |
| Dna antibody native/double stranded CPT 86225 | $118.02 | $281.00 | $13.33 – $14.50 | 4 |
| Dna gardnerella CPT 87510 | $139.44 | $332.00 | $19.45 – $21.15 | 4 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.07 – $24.00 | 4 |
| Dna probe gc CPT 87590 | not published | not published | $26.07 – $28.36 | 4 |
| Dna trichomonas CPT 87660 | $139.44 | $332.00 | $19.45 – $21.15 | 4 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $243.99 | $580.93 | $10.57 – $10.57 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $8.98 – $8.98 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $4.12 – $53.39 | 4 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $21.67 – $21.67 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $354.34 – $354.34 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $84.30 | $200.72 | $0.93 – $0.93 | 1 |
| Doppler echo complete CPT 93320 | $393.96 | $938.00 | $75.28 – $79.22 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $531.72 | $1,266.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $866.04 | $2,062.00 | $210.40 – $255.52 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $382.20 | $910.00 | $129.64 – $169.30 | 5 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.67 – $2.67 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $153.48 – $153.48 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | $26,981.22 | $64,241.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $239.67 – $260.67 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $12.95 – $12.95 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $69.71 – $75.81 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $171.75 | $408.94 | not published | 0 |
| Dpyd gene common variants CPT 81232 | not published | not published | $169.57 – $184.42 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $609.42 | $1,451.00 | $232.82 – $750.48 | 5 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,024.80 | $2,440.00 | $232.82 – $750.48 | 5 |
| Drainage external ear complex 69005 CPT 69005 | $1,999.20 | $4,760.00 | $269.12 – $1,750.38 | 5 |
| Drainage external ear simple 69000 CPT 69000 | $363.30 | $865.00 | $232.82 – $750.48 | 5 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,444.42 | $8,201.00 | $1,000.00 – $3,078.44 | 6 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,150.00 – $4,291.14 | 6 |
| Drainage mouth roof lesion CPT 42000 | $277.62 | $661.00 | $230.79 – $2,150.00 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | $2,178.96 | $5,188.00 | $1,609.35 – $2,271.68 | 6 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,000.00 – $4,291.14 | 6 |
| Drainage of eye CPT 65800 | $3,138.66 | $7,473.00 | $824.79 – $2,445.85 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $2,248.79 – $4,597.68 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $2,150.00 – $4,597.68 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,566.86 – $4,356.88 | 6 |
| Drainage of kidney lesion CPT 50390 | $296.10 | $705.00 | $690.02 – $2,761.38 | 6 |
| Drainage of mouth lesion CPT 41005 | $277.62 | $661.00 | $230.79 – $1,000.00 | 6 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,000.00 – $5,105.49 | 6 |
| Drainage of mouth lesion CPT 41007 | $1,850.94 | $4,407.00 | $1,000.00 – $5,105.49 | 6 |
| Drainage of mouth lesion CPT 41008 | $5,581.80 | $13,290.00 | $1,000.00 – $3,513.75 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $525.53 – $1,000.00 | 6 |
| Drainage of mouth lesion CPT 41015 | $609.42 | $1,451.00 | $525.53 – $1,000.00 | 6 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,000.00 – $6,273.88 | 6 |
| Drainage of mouth lesion CPT 41017 | $3,793.02 | $9,031.00 | $1,000.00 – $3,513.75 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,000.00 – $1,696.40 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | $277.62 | $661.00 | $186.46 – $251.02 | 5 |
| Drainage of nose lesion sept 30020 CPT 30020 | $609.42 | $1,451.00 | $402.60 – $571.58 | 5 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,000.00 – $4,356.88 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,969.00 | $9,450.00 | $1,000.00 – $4,356.88 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,000.00 – $5,469.22 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,150.00 – $5,469.22 | 6 |
| Drainage of rectal abscess CPT 45005 | $1,241.94 | $2,957.00 | $1,166.03 – $3,817.35 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,150.00 – $3,817.35 | 6 |
| Drainage of salivary gland CPT 42305 | $3,793.02 | $9,031.00 | $2,150.00 – $5,105.49 | 6 |
| Drainage of salivary gland CPT 42320 | $609.42 | $1,451.00 | $525.53 – $1,000.00 | 6 |
| Drainage of throat abscess CPT 42725 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,150.00 – $4,272.75 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,472.96 | $5,888.00 | $164.66 – $2,215.40 | 5 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $679.46 – $4,272.75 | 6 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,036.91 – $4,272.75 | 5 |
| Drain bladder by trocar/cath CPT 51101 | $1,245.72 | $2,966.00 | $162.78 – $910.10 | 5 |
| Drain blood from under nail 11740 CPT 11740 | $204.54 | $487.00 | $129.64 – $141.01 | 5 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,609.35 – $2,761.38 | 5 |
| Drain cath image guided visceral pq CPT 49405 | $2,881.20 | $6,860.00 | $1,609.35 – $2,761.38 | 5 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $747.18 | $1,779.00 | $687.82 – $1,000.00 | 6 |
| Drain chest lesion CPT 21502 | not published | not published | $2,150.00 – $4,356.88 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $158.34 | $377.00 | $177.46 – $232.82 | 5 |
| Drain lower leg bursa CPT 27604 | $4,326.00 | $10,300.00 | $2,150.00 – $6,826.20 | 6 |
| Drain lower leg lesion 27603 CPT 27603 | $2,995.02 | $7,131.00 | $2,150.00 – $4,291.14 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,444.42 | $8,201.00 | $2,150.00 – $4,291.14 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $2,371.64 – $3,125.61 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,154.32 – $4,843.16 | 5 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,300.00 – $4,843.16 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $2,302.82 – $2,984.63 | 2 |
| Drain penis lesion CPT 54015 | $1,999.20 | $4,760.00 | $1,609.35 – $4,291.14 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,566.86 – $4,356.88 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,300.00 – $4,291.14 | 6 |
| Drain shoulder lesion CPT 23030 | $3,444.42 | $8,201.00 | $1,000.00 – $4,291.14 | 6 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,444.42 | $8,201.00 | $2,300.00 – $4,291.14 | 6 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,000.00 – $1,696.40 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,549.47 – $2,012.01 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $426.72 | $1,016.00 | $195.50 – $2,150.00 | 6 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $426.72 | $1,016.00 | $142.58 – $212.63 | 5 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $497.70 | $1,185.00 | $396.12 – $2,150.00 | 6 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $774.90 | $1,845.00 | $345.63 – $783.27 | 5 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $15,247.86 | $36,304.42 | $121.26 – $131.89 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $131.88 | $314.00 | $1,885.58 – $2,529.80 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,465.38 | $3,489.00 | $666.44 – $878.65 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,623.36 – $2,106.91 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,969.00 | $9,450.00 | $2,150.00 – $3,467.69 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | $353.22 | $841.00 | $274.73 – $428.89 | 5 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,999.20 | $4,760.00 | $1,000.00 – $2,271.68 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $129.12 – $750.48 | 5 |
| Drng of mouth lesion 40801 CPT 40801 | $609.42 | $1,451.00 | $525.53 – $2,150.00 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,300.00 – $4,843.16 | 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.