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 |
|---|---|---|---|---|
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,010.50 – $3,692.11 | 6 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,000.00 – $2,613.00 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,128.34 – $2,186.68 | 6 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,000.00 – $2,613.00 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $1,000.00 – $2,613.00 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $861.85 – $3,856.35 | 6 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $861.85 – $1,763.03 | 6 |
| Epiglottidectomy CPT 31420 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $94.91 – $2,583.23 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $537.43 – $1,290.36 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $56.70 | $135.00 | not published | 0 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $5.16 – $5.16 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,769.92 | $8,976.00 | $224.88 – $3,430.73 | 5 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $5.94 – $5.94 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,721.47 | $6,479.70 | $7.65 – $8.32 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,070.25 | $2,548.22 | $7.09 – $7.71 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $6.68 – $6.68 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $33.43 – $33.43 | 1 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $12.73 – $13.84 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $131.46 | $313.00 | $14.83 – $16.13 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $155.82 | $371.00 | $17.60 – $19.14 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.16 – $3.44 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.93 – $21.68 | 4 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $156.21 – $156.21 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $5,619.00 – $8,329.21 | 5 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,756.85 – $5,123.50 | 5 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,756.85 – $5,123.50 | 5 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $2,150.00 – $6,433.98 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,150.00 – $5,123.50 | 6 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,869.82 – $5,123.50 | 5 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,869.82 – $5,123.50 | 6 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $5,619.00 – $8,329.21 | 5 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,150.00 – $5,123.50 | 6 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $17.66 – $17.66 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $74.45 – $80.98 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $388.09 | $924.02 | $125.10 – $125.10 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $158.34 | $377.00 | $82.17 – $131.14 | 5 |
| ER Visit (level 2) CPT 99282 | $294.00 | $700.00 | $149.62 – $244.53 | 5 |
| ER Visit (level 3) CPT 99283 | $580.44 | $1,382.00 | $265.99 – $430.12 | 5 |
| ER Visit (level 4) CPT 99284 | $911.40 | $2,170.00 | $406.59 – $723.69 | 5 |
| ER Visit (level 5, high severity) CPT 99285 | $1,308.30 | $3,115.00 | $580.30 – $1,068.17 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $569.33 | $1,355.55 | $276.02 – $276.02 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,756.85 – $4,086.06 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $2.00 – $2.00 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $810.47 | $1,929.68 | $1.04 – $1.04 | 1 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $96.87 – $96.87 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $244.11 – $317.63 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $389.55 – $423.68 | 4 |
| Esophageal recording CPT 93615 | not published | not published | $114.95 – $1,290.36 | 5 |
| Esophageal recording CPT 93616 | not published | not published | $143.68 – $1,290.36 | 5 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $244.11 – $4,086.06 | 4 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,803.37 – $3,632.11 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,805.54 – $3,682.88 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $290.16 – $1,955.94 | 5 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $4,837.00 – $8,329.21 | 5 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,869.82 – $2,793.46 | 6 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,000.00 – $2,793.46 | 6 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,869.82 – $2,793.46 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,000.00 – $2,033.67 | 6 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $957.18 | $2,279.00 | $883.78 – $1,955.94 | 6 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $272.03 – $1,955.94 | 5 |
| Esophagoscopy flex remove fb CPT 43215 | $2,018.94 | $4,807.00 | $1,000.00 – $2,793.46 | 6 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,756.85 – $5,024.04 | 5 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,000.00 – $5,024.04 | 6 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,793.46 – $4,086.06 | 5 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,869.82 – $2,033.67 | 5 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,837.00 – $6,273.88 | 5 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,000.00 – $2,793.46 | 6 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,869.82 – $2,793.46 | 6 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,000.00 – $2,793.46 | 6 |
| Esophagus motility study CPT 91010 | $6,256.32 | $14,896.00 | $239.98 – $395.48 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $363.61 – $855.09 | 5 |
| Esoph egd dilation <30 mm CPT 43249 | $2,026.08 | $4,824.00 | $1,869.82 – $2,793.46 | 6 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,000.00 – $2,793.46 | 6 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,721.14 – $2,222.50 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,361.49 – $3,102.09 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $31.85 – $34.98 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $210.40 – $242.32 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $363.61 – $870.62 | 5 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,869.82 – $2,793.46 | 5 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,000.00 – $2,033.67 | 6 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,000.00 – $2,793.46 | 6 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $7,543.75 – $9,791.32 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $4,874.49 – $10,438.65 | 6 |
| Establish access to aorta CPT 36160 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,199.24 – $2,903.80 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $18.90 | $45.00 | $19.77 – $20.18 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $52.50 | $125.00 | $54.75 – $55.91 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $70.14 | $167.00 | $109.51 – $111.07 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $87.36 | $208.00 | $168.82 – $171.64 | 2 |
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.