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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 5) CPT 99215 | $118.86 | $283.00 | $238.01 – $243.86 | 2 |
| Estradiol total CPT 82670 | $165.06 | $393.00 | $27.10 – $29.48 | 4 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $28.35 | $67.50 | $25.56 – $25.56 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.05 – $22.89 | 4 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,020.32 – $2,020.32 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $503.07 – $547.15 | 4 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,300.00 – $5,105.49 | 6 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $14.45 – $15.72 | 4 |
| Etonogestrel implant system HCPCS J7307 | $3,142.49 | $7,482.12 | $3,468.18 – $3,468.18 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $2.41 – $2.41 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $84.23 – $91.62 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $102.41 – $111.39 | 4 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.16 – $8.87 | 4 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,750.00 – $4,843.16 | 6 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $125.38 – $255.72 | 5 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $113.31 – $271.83 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $305.76 | $728.00 | $95.17 – $103.51 | 4 |
| Evaluation heart device CPT 93640 | not published | not published | $395.41 – $8,624.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $293.16 | $698.00 | $129.10 – $236.10 | 5 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,425.52 | $8,156.00 | $1,166.26 – $1,451.03 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $507.79 – $618.11 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,548.57 – $2,548.57 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $2,596.92 – $7,837.00 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $3,878.36 – $7,837.00 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $4,724.19 – $7,837.00 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $914.05 – $914.05 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $2,850.90 – $7,837.00 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $4,751.02 – $7,837.00 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $2,362.09 – $7,837.00 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $3,791.78 – $7,837.00 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $2,063.04 – $2,063.04 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,641.47 – $1,641.47 | 1 |
| Event monitor CPT 93270 | $43.68 | $104.00 | $36.37 – $76.21 | 5 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $8.54 – $395.48 | 5 |
| Evoked oa emissions ltd CPT 92587 | $25.20 | $60.00 | $6.98 – $228.84 | 5 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $244.44 | $582.00 | $123.69 – $123.69 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $210.40 – $281.93 | 5 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $106.45 – $240.76 | 5 |
| Evok oa screening qual CPT 92558 | $49.98 | $119.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $126.95 – $322.95 | 5 |
| Exam pelvic add-on CPT 99459 | $56.70 | $135.00 | $48.61 – $48.61 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,769.92 | $8,976.00 | $2,150.00 – $4,843.16 | 6 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,150.00 – $3,518.94 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,600.00 – $4,785.74 | 6 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,513.63 – $3,256.22 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $3,698.00 – $4,775.77 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,609.35 – $3,518.94 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,609.35 – $3,518.94 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc bartholins gland/cyst CPT 56740 | $3,769.92 | $8,976.00 | $2,300.00 – $4,843.16 | 6 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,999.20 | $4,760.00 | $1,000.00 – $2,168.38 | 6 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $3,444.42 | $8,201.00 | $2,150.00 – $4,785.74 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,999.20 | $4,760.00 | $1,609.35 – $3,518.94 | 6 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $865.20 | $2,060.00 | $185.70 – $1,000.00 | 6 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $865.20 | $2,060.00 | $203.83 – $750.48 | 5 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $865.20 | $2,060.00 | $248.09 – $750.48 | 5 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,999.20 | $4,760.00 | $274.93 – $1,750.38 | 5 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $865.20 | $2,060.00 | $209.64 – $1,000.00 | 6 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,999.20 | $4,760.00 | $251.71 – $1,750.38 | 6 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,444.42 | $8,201.00 | $2,150.00 – $4,785.74 | 6 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $497.70 | $1,185.00 | $211.81 – $1,000.00 | 6 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $865.20 | $2,060.00 | $250.99 – $1,000.00 | 6 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $2,300.00 – $5,686.41 | 6 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $2,870.74 – $3,818.18 | 2 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,750.00 – $10,438.65 | 6 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $1,687.82 – $2,192.44 | 2 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,830.41 – $3,078.44 | 4 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,600.00 – $3,755.67 | 6 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,168.38 – $3,078.44 | 6 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $2,150.00 – $3,467.69 | 6 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $2,300.00 – $4,356.88 | 6 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $2,300.00 – $13,691.48 | 6 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $2,150.00 – $4,356.88 | 6 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $3,214.83 – $4,163.07 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $2,300.00 – $4,785.74 | 6 |
| Exc excessive skin hip CPT 15834 | not published | not published | $2,300.00 – $4,785.74 | 6 |
| Exc excessive skin leg CPT 15833 | not published | not published | $2,300.00 – $4,785.74 | 6 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $2,300.00 – $4,785.74 | 6 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $2,830.41 – $3,518.94 | 5 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $2,830.41 – $3,518.94 | 5 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $1,000.00 – $3,518.94 | 6 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $642.70 – $1,750.38 | 5 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $1,188.18 – $3,078.44 | 5 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $237.30 | $565.00 | $314.83 – $1,000.00 | 6 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $377.22 – $1,750.38 | 6 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,609.35 – $3,518.94 | 6 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $1,609.35 – $4,785.74 | 5 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,609.35 – $3,518.94 | 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.