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 |
|---|---|---|---|---|
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $2,613.00 – $6,200.00 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $3,616.85 – $11,187.58 | 5 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $35.61 – $38.73 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $2.45 – $2.45 | 1 |
| Enlarge breast CPT 19324 | not published | not published | $2,600.00 – $16,352.48 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $97.90 | $233.09 | $4.53 – $4.53 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.62 – $12.64 | 4 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $15.52 – $16.88 | 4 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $514.32 – $666.27 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $509.98 – $660.63 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,570.13 – $3,325.76 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $5,167.05 – $6,721.07 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $6,011.67 – $7,772.63 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,761.36 – $3,569.15 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,967.08 – $4,086.06 | 5 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $3,405.34 – $4,410.22 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,770.41 – $2,285.46 | 5 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.02 – $14.16 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $42.71 – $46.45 | 4 |
| Enzyme histochemistry CPT 88319 | not published | not published | $785.07 – $853.87 | 4 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $1,908.99 – $27,701.10 | 5 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $2,539.65 – $27,701.10 | 5 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $55.21 – $60.05 | 4 |
| 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 |
| Epidurography CPT 72275 | not published | not published | $286.98 – $286.98 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Epikeratoplasty CPT 65767 | not published | not published | $2,677.34 – $8,624.00 | 3 |
| 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 esrd use HCPCS J0887 | not published | not published | $6.68 – $6.68 | 1 |
| 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 |
| Erwinaze injection HCPCS J9019 | not published | not published | $1,495.43 – $1,495.43 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $569.33 | $1,355.55 | $276.02 – $276.02 | 1 |
| Escharotomy ea addl incision CPT 16036 | $249.06 | $593.00 | $170.95 – $219.91 | 2 |
| 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 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $5,745.83 – $7,072.51 | 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 |
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.