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 |
|---|---|---|---|---|
| Explore/treat eye socket CPT 67430 | not published | not published | $2,750.00 – $6,999.01 | 6 |
| Explore/treat eye socket 67413 CPT 67413 | $420.00 | $1,000.00 | $2,316.67 – $4,025.92 | 6 |
| Explore/treat finger joint CPT 26075 | not published | not published | $2,600.00 – $3,467.69 | 6 |
| Explore/treat finger joint CPT 26080 | $1,912.68 | $4,554.00 | $1,566.86 – $3,222.30 | 6 |
| Explore/treat knee joint CPT 27331 | not published | not published | $2,600.00 – $6,826.20 | 6 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Explore wound abdomen 20102 CPT 20102 | $2,301.18 | $5,479.00 | $2,010.50 – $3,692.11 | 5 |
| Explore woundchest 20101 CPT 20101 | $2,301.18 | $5,479.00 | $2,010.50 – $3,692.11 | 5 |
| Explore wound neck 20100 CPT 20100 | $609.42 | $1,451.00 | $525.53 – $1,696.40 | 5 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $875.05 – $4,837.00 | 2 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $862.03 – $4,837.00 | 2 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $3,830.83 – $6,999.01 | 5 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $2,750.00 – $6,999.01 | 6 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $730.90 – $1,363.57 | 2 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $271.65 – $7,837.00 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $1,912.68 | $4,554.00 | $1,566.86 – $4,356.88 | 6 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $496.89 – $1,750.38 | 5 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,158.54 – $1,750.38 | 5 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $260.26 – $283.07 | 4 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $96.02 – $96.02 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $129.64 – $141.01 | 4 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $399.82 – $399.82 | 1 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $105.34 – $105.34 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $129.64 – $141.01 | 4 |
| Extended culture of oocytes CPT 89272 | not published | not published | $785.07 – $853.87 | 4 |
| Extended visual field xm CPT 92083 | $63.00 | $150.00 | $129.64 – $218.65 | 5 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $4.06 – $4.06 | 1 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $2,300.00 – $6,273.88 | 6 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $3,406.79 – $4,507.02 | 2 |
| Extensive hand surgery CPT 26250 | not published | not published | $2,300.00 – $3,467.69 | 6 |
| Extensive hysterectomy CPT 58285 | not published | not published | $3,032.29 – $3,862.36 | 2 |
| Extensive jaw surgery CPT 21045 | not published | not published | $2,544.04 – $6,273.88 | 5 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Extensive prostate surgery CPT 55810 | not published | not published | $2,754.12 – $3,555.07 | 2 |
| Extensive prostate surgery CPT 55812 | not published | not published | $3,374.19 – $4,341.61 | 2 |
| Extensive prostate surgery CPT 55815 | not published | not published | $3,684.95 – $4,757.94 | 2 |
| Extensive prostate surgery CPT 55840 | not published | not published | $2,456.40 – $3,160.36 | 2 |
| Extensive prostate surgery CPT 55842 | not published | not published | $2,458.57 – $3,157.55 | 2 |
| Extensive prostate surgery CPT 55845 | not published | not published | $2,859.87 – $8,624.00 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $2,299.20 – $2,982.76 | 2 |
| Extensive prostate surgery CPT 55865 | not published | not published | $2,780.19 – $3,600.17 | 2 |
| Extensive removal of liver CPT 47122 | not published | not published | $7,219.96 – $9,339.19 | 2 |
| Extensive sternum surgery CPT 21632 | not published | not published | $2,527.37 – $3,270.30 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Extensive surgery of throat CPT 42845 | not published | not published | $4,659.24 – $6,032.24 | 2 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,434.81 – $5,863.63 | 5 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $3,487.19 – $8,624.00 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,946.80 – $3,725.16 | 2 |
| External cannula declotting CPT 36860 | $2,038.68 | $4,854.00 | $512.07 – $2,150.00 | 6 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $140.27 – $152.56 | 4 |
| External newborn metabolic screening panel HCPCS S3620 | $142.38 | $339.00 | not published | 0 |
| External ocular photography CPT 92285 | not published | not published | $36.40 – $112.87 | 5 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $28.18 – $30.65 | 4 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $139.44 – $151.66 | 4 |
| Extnd color vision xm CPT 92283 | $36.96 | $88.00 | $57.48 – $112.87 | 5 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $154.14 | $367.00 | $17.39 – $18.92 | 4 |
| Extraction of lens CPT 66930 | not published | not published | $2,750.00 – $4,597.68 | 6 |
| Extraction of lens CPT 66940 | not published | not published | $1,973.21 – $2,750.00 | 6 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,248.79 – $4,597.68 | 6 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $129.64 – $285.64 | 5 |
| Eye allergy tests CPT 95060 | not published | not published | $129.64 – $285.64 | 5 |
| Eye implant band 40 HCPCS C1784 | $133.82 | $318.63 | not published | 0 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $2,600.00 – $6,794.00 | 2 |
| Eye suture during surgery CPT 67335 | not published | not published | $2,600.00 – $6,794.00 | 2 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $170.14 – $185.05 | 4 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $274.39 – $298.44 | 4 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $723.45 – $723.45 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,770.87 – $1,926.05 | 4 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $312.60 – $339.99 | 4 |
| F9 full gene sequence CPT 81238 | not published | not published | $582.00 – $633.00 | 4 |
| Face bone graft CPT 21210 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Facial bones <3 CPT 70140 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| Facial nerve function test CPT 92516 | not published | not published | $49.44 – $228.84 | 5 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,230.65 – $3,513.75 | 4 |
| Factor ix CPT 85250 | not published | not published | $18.47 – $20.09 | 4 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.47 – $3.78 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.65 – $1.80 | 4 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.16 – $5.61 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.33 – $1.44 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.36 – $4.74 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.69 – $1.84 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.78 – $1.94 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.13 – $2.32 | 4 |
| Factor viii CPT 85240 | $170.94 | $407.00 | $17.36 – $18.88 | 4 |
| Factor viii HCPCS J7190 | not published | not published | $1.35 – $1.47 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.39 – $2.60 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.15 – $1.25 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.08 – $2.26 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.52 – $1.65 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.37 – $1.49 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.14 – $3.41 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.45 – $11.37 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.78 – $19.34 | 4 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,482.97 – $3,430.73 | 5 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $36.51 – $39.71 | 4 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $56.70 | $135.00 | not published | 0 |
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.