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 |
|---|---|---|---|---|
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $10.42 – $131.89 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $214.44 – $219.01 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $37.41 – $40.69 | 4 |
| Drug assay posaconazole CPT 80187 | not published | not published | $26.30 – $28.60 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $26.30 – $28.60 | 4 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $37.41 – $40.69 | 4 |
| Drug assay voriconazole CPT 80285 | not published | not published | $26.30 – $28.60 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.08 – $19.67 | 4 |
| Drug of abuse screen urine CPT 80305 | $54.44 | $129.63 | $12.22 – $13.29 | 4 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $26.30 – $28.60 | 4 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $192.78 – $209.67 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $111.00 – $120.72 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $239.51 – $260.50 | 4 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $151.89 – $165.20 | 4 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $60.28 – $65.56 | 4 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.63 – $18.08 | 4 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $355.32 | $846.00 | $60.28 – $65.56 | 4 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.44 – $18.97 | 4 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $330.79 – $6,999.01 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $640.53 – $2,069.51 | 4 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $324.51 – $430.83 | 5 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $147.00 | $350.00 | $288.72 – $430.83 | 5 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $318.44 – $783.27 | 5 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $379.39 – $783.27 | 5 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $514.84 – $637.70 | 5 |
| Ductogram sgl duct CPT 77053 | not published | not published | $232.50 – $252.87 | 4 |
| Duodenal exclusion CPT 48547 | not published | not published | $3,759.56 – $4,884.80 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $202.26 – $395.48 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $232.50 – $252.87 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $101.87 – $110.80 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $142.38 | $339.00 | $101.87 – $298.23 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $392.28 | $934.00 | $210.40 – $325.42 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $932.40 | $2,220.00 | $232.50 – $372.79 | 5 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $14,438.37 | $34,377.08 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $83.56 – $90.88 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $255.36 | $608.00 | $101.87 – $110.80 | 4 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $125.38 – $136.37 | 4 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $37.18 – $37.18 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,734.37 – $2,767.91 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,725.38 | $6,489.00 | $1,734.37 – $2,767.91 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,853.46 | $4,413.00 | $1,000.00 – $2,767.91 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $218.65 – $473.44 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $418.49 – $961.23 | 5 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $418.49 – $961.23 | 5 |
| Dx gastr intub w/asp spec CPT 43754 | $760.62 | $1,811.00 | $210.40 – $345.63 | 5 |
| Dx gastr intub w/asp specs CPT 43755 | $194.04 | $462.00 | $125.38 – $865.09 | 5 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $119.55 – $119.55 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $319.94 – $319.94 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $104.76 – $104.76 | 1 |
| Dx laryngoscopy newborn CPT 31520 | $437.22 | $1,041.00 | $381.11 – $1,013.65 | 5 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,853.46 | $4,413.00 | $1,734.37 – $3,304.20 | 6 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $203.82 – $203.82 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $129.85 – $264.79 | 5 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $205.90 – $534.04 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $47.90 – $228.84 | 5 |
| Ear and throat examination CPT 92502 | not published | not published | $525.53 – $953.02 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $220.52 – $1,644.38 | 5 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,300.00 – $6,273.88 | 6 |
| Ear irrigation 69209 CPT 69209 | $201.18 | $479.00 | $57.48 – $146.74 | 5 |
| Ear protector evaluation CPT 92596 | not published | not published | $36.40 – $39.58 | 4 |
| Ecallantide injection HCPCS J1290 | not published | not published | $561.38 – $610.58 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $165.90 | $395.00 | $57.48 – $170.13 | 5 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $15.21 – $15.52 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $146.58 | $349.00 | $57.48 – $113.54 | 5 |
| Ecg < 30 days transmission & analysis CPT 93271 | $146.58 | $349.00 | $92.64 – $372.79 | 5 |
| Ecg external < 48 hours recording CPT 93225 | $60.90 | $145.00 | $129.64 – $170.13 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $57.48 – $170.13 | 5 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $36.40 – $39.58 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $36.40 – $39.58 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $433.44 – $448.91 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $54.75 – $55.91 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,113.00 | $2,650.00 | $285.93 – $579.09 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | not published | $47.14 – $49.71 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,002.96 | $2,388.00 | $763.87 – $1,492.95 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $450.66 | $1,073.00 | $155.89 – $252.87 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $601.44 | $1,432.00 | $339.95 – $1,063.38 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $41.82 – $44.27 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $101.87 – $110.80 | 4 |
| Echo exam of eye CPT 76519 | not published | not published | $101.87 – $110.80 | 4 |
| Echo exam of eye CPT 76529 | not published | not published | $84.80 – $92.23 | 4 |
| Echo exam of eye thickness CPT 76514 | $10.50 | $25.00 | $28.18 – $30.65 | 4 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $532.44 – $579.09 | 4 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $232.50 – $252.87 | 4 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $101.87 – $110.80 | 4 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $101.87 – $110.80 | 4 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $232.50 – $252.87 | 4 |
| Echograp trans r pros study CPT 76873 | $441.42 | $1,051.00 | $101.87 – $110.80 | 4 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $84.77 – $84.77 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $144.80 – $144.80 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $113.37 – $113.37 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $44.79 – $44.79 | 1 |
| Echo guide for artery repair CPT 76936 | $620.34 | $1,477.00 | $210.40 – $228.84 | 4 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $113.84 – $113.84 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $238.56 – $238.56 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $136.82 – $136.82 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $119.88 – $119.88 | 1 |
| Echo stress CPT 93350 | $945.84 | $2,252.00 | $250.18 – $579.09 | 5 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $60.07 – $579.09 | 5 |
| Echo tee guidance CPT 93355 | not published | not published | $499.38 – $499.61 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $945.84 | $2,252.00 | $293.52 – $579.09 | 5 |
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.