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 |
|---|---|---|---|---|
| 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 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $2,728.76 – $3,570.09 | 2 |
| 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 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $7,855.96 – $10,215.93 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $6,591.19 – $8,573.07 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $7,363.37 – $7,374.20 | 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 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $3,409.68 – $4,471.31 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,593.79 – $1,965.26 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $2,071.02 – $2,711.18 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,918.56 – $3,843.55 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $2,120.99 – $2,844.62 | 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 |
| Established Patient Office Visit (level 5) CPT 99215 | $118.86 | $283.00 | $238.01 – $243.86 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $2,150.00 – $4,837.00 | 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 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $519.21 – $519.21 | 1 |
| 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 funcj ea addl 15 CPT 92627 | not published | not published | $38.78 – $38.83 | 2 |
| 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 cervical mucus CPT 89330 | not published | not published | $10.07 – $10.95 | 4 |
| 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 1st&/crv rib w/sympth CPT 21616 | not published | not published | $1,489.33 – $7,690.19 | 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 extended CPT 69554 | not published | not published | $5,204.71 – $6,827.26 | 2 |
| 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 |
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.