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 |
|---|---|---|---|---|
| Excise parotid gland/lesion CPT 42425 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $2,811.35 – $3,679.09 | 2 |
| Excise pharynx lesion CPT 42808 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Excise/repair mouth lesion CPT 40812 | $1,850.94 | $4,407.00 | $403.33 – $1,644.38 | 5 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $4,656.35 – $5,977.72 | 2 |
| Excise sublingual gland CPT 42450 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Excise submaxillary gland CPT 42440 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $1,609.35 – $3,518.94 | 5 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $3,188.30 – $4,356.88 | 5 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $1,566.86 – $6,826.20 | 6 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $319.17 – $1,644.38 | 5 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $865.20 | $2,060.00 | $229.22 – $750.48 | 5 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,999.20 | $4,760.00 | $232.13 – $1,750.38 | 6 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $865.20 | $2,060.00 | $231.41 – $1,000.00 | 6 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,999.20 | $4,760.00 | $1,609.35 – $3,518.94 | 6 |
| Excision breast lesion CPT 19125 | not published | not published | $2,300.00 – $5,686.41 | 6 |
| Excision coa w/graft CPT 33845 | not published | not published | $2,746.14 – $3,638.70 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $1,000.00 – $5,105.49 | 6 |
| Excision graft abdomen CPT 35907 | not published | not published | $4,002.23 – $5,322.71 | 2 |
| Excision graft extremity CPT 35903 | not published | not published | $3,076.71 – $6,561.36 | 5 |
| Excision graft neck CPT 35901 | not published | not published | $981.54 – $1,369.21 | 2 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $3,498.06 – $4,894.19 | 2 |
| Excision gum each quadrant CPT 41820 | not published | not published | $2,120.67 – $3,513.75 | 5 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $2,600.00 – $5,797.82 | 6 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $380.11 – $3,513.75 | 5 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $355.45 – $1,644.38 | 5 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $1,000.00 – $5,092.98 | 6 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $2,785.98 – $3,618.97 | 2 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $3,269.14 – $4,220.40 | 2 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $4,192.74 – $5,443.01 | 2 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $2,065.21 – $2,673.58 | 2 |
| Excision of brain tumor CPT 61545 | not published | not published | $6,738.24 – $8,905.97 | 2 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $1,301.72 – $1,707.52 | 2 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $2,104.35 – $2,899.10 | 2 |
| Excision of gum flap CPT 41821 | not published | not published | $1,511.89 – $1,696.40 | 5 |
| Excision of gum lesion CPT 41822 | not published | not published | $510.68 – $1,644.38 | 5 |
| Excision of gum lesion CPT 41823 | not published | not published | $734.84 – $6,273.88 | 5 |
| Excision of gum lesion CPT 41826 | not published | not published | $456.99 – $3,513.75 | 6 |
| Excision of gum lesion CPT 41827 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Excision of gum lesion CPT 41828 | not published | not published | $454.82 – $1,644.38 | 5 |
| Excision of gum lesion 41825 CPT 41825 | $3,793.02 | $9,031.00 | $337.32 – $3,513.75 | 5 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,758.09 – $2,307.08 | 2 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $2,300.00 – $6,273.88 | 6 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,610.31 – $2,080.60 | 2 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Excision of neck cyst CPT 42815 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $2,300.00 – $5,105.49 | 6 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $1,000.00 – $3,378.09 | 6 |
| Excision of rectal lesion CPT 45160 | not published | not published | $2,150.00 – $5,092.98 | 6 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $2,730.20 – $3,747.70 | 2 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,166.03 – $5,092.98 | 6 |
| Excision of salivary cyst CPT 42408 | not published | not published | $2,300.00 – $5,105.49 | 6 |
| Excision of skull/sutures CPT 61558 | not published | not published | $4,004.40 – $4,648.91 | 2 |
| Excision of skull/sutures CPT 61559 | not published | not published | $4,818.61 – $6,680.64 | 2 |
| Excision of skull tumor CPT 61563 | not published | not published | $4,167.39 – $5,534.15 | 2 |
| Excision of skull tumor CPT 61564 | not published | not published | $5,139.51 – $6,727.62 | 2 |
| Excision of stomach lesion CPT 43610 | not published | not published | $2,065.21 – $2,668.89 | 2 |
| Excision of stomach lesion CPT 43611 | not published | not published | $2,576.64 – $3,320.12 | 2 |
| Excision of tongue lesion CPT 41112 | not published | not published | $2,150.00 – $3,513.75 | 6 |
| Excision of tongue lesion CPT 41114 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $2,150.00 – $3,513.75 | 6 |
| Excision of tonsil tags CPT 42860 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $2,600.00 – $5,996.66 | 6 |
| Excision of uvula CPT 42140 | not published | not published | $2,150.00 – $3,513.75 | 6 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $2,150.00 – $4,843.16 | 6 |
| Excision olecranon bursa CPT 24105 | not published | not published | $2,300.00 – $4,356.88 | 6 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,882.69 – $2,421.71 | 2 |
| Excision radial head CPT 24130 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $327.87 – $3,513.75 | 5 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $115.50 | $275.00 | $1,609.35 – $4,785.74 | 5 |
| Excis partial tal calc CPT 28120 | not published | not published | $3,188.30 – $4,573.81 | 6 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,837.00 – $9,785.04 | 5 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $2,300.00 – $3,518.94 | 6 |
| Exc les conjunctiva <1 cm CPT 68110 | $268.38 | $639.00 | $339.49 – $2,519.68 | 5 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $2,150.00 – $4,025.92 | 6 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $2,150.00 – $4,025.92 | 6 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $210.00 | $500.00 | $325.70 – $3,513.75 | 5 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $2,228.93 – $2,228.93 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $278.16 – $278.16 | 1 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,763.15 – $1,763.15 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $165.06 | $393.00 | $282.18 – $1,000.00 | 6 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $294.00 | $700.00 | $344.57 – $1,000.00 | 6 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $420.00 | $1,000.00 | $1,609.35 – $3,518.94 | 6 |
| Exc malig feenl >4cm 11646 CPT 11646 | $504.00 | $1,200.00 | $2,150.00 – $4,785.74 | 6 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $147.00 | $350.00 | $274.20 – $1,750.38 | 6 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $865.20 | $2,060.00 | $305.40 – $1,000.00 | 6 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $287.70 | $685.00 | $364.15 – $1,750.38 | 6 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $119.70 | $285.00 | $273.48 – $1,000.00 | 6 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $147.00 | $350.00 | $304.68 – $1,000.00 | 6 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $324.51 – $1,000.00 | 6 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $231.00 | $550.00 | $352.55 – $1,000.00 | 6 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $690.02 – $2,168.38 | 6 |
| Exc mandible 21025 CPT 21025 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $2,150.00 – $4,785.74 | 6 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $2,150.00 – $6,273.88 | 6 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $2,278.92 – $2,959.26 | 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.