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 |
|---|---|---|---|---|
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $30.32 – $32.98 | 4 |
| Fancc gene CPT 81242 | not published | not published | $35.52 – $38.63 | 4 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,910.20 – $3,467.69 | 5 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $4.95 – $5.38 | 4 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.21 – $19.80 | 4 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,143.98 | $2,723.76 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.42 – $4.81 | 4 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.39 – $67.86 | 4 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $345.63 – $985.58 | 5 |
| #fecal-sodium CPT 84302 | not published | not published | $4.71 – $5.13 | 4 |
| Feeding tube reposition CPT 74355 | not published | not published | $130.77 – $130.77 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $89.74 – $91.64 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $76.41 – $222.11 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.08 – $19.67 | 4 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $496.21 – $658.77 | 2 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $6,794.00 – $25,256.92 | 3 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $11.34 – $11.34 | 1 |
| Feno poc CPT 95012 | not published | not published | $36.40 – $113.54 | 5 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $601.65 | $1,432.50 | $1.45 – $1.45 | 1 |
| Fern test HCPCS Q0114 | not published | not published | $9.45 – $10.28 | 4 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,728.35 | $16,019.88 | $1.07 – $1.16 | 4 |
| Ferritin CPT 82728 | $80.64 | $192.00 | $13.22 – $14.38 | 4 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.22 – $0.24 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.22 – $0.24 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $771.15 – $838.72 | 4 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $736.28 – $800.80 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $736.28 – $800.80 | 4 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $237.72 | $566.00 | $74.56 – $214.26 | 5 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $296.93 – $593.29 | 5 |
| Fetal fibronectin CPT 82731 | $380.10 | $905.00 | $62.48 – $67.95 | 4 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $296.93 – $593.29 | 5 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $74.34 | $177.00 | $7.50 – $8.16 | 4 |
| Fetal hemoglobin rosette CPT 85461 | $74.34 | $177.00 | $9.08 – $9.87 | 4 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $18.74 – $20.38 | 4 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $87.66 – $114.63 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $105.77 – $139.09 | 2 |
| Fetal non stress test CPT 59025 | $237.72 | $566.00 | $40.39 – $214.26 | 5 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $296.93 – $593.29 | 5 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $296.93 – $593.29 | 5 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $29.72 – $29.72 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $97.44 | $232.00 | $9.87 – $10.74 | 4 |
| Fibrin degradation products CPT 85362 | $65.94 | $157.00 | $6.68 – $7.27 | 4 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.43 – $10.25 | 4 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $9.87 – $10.74 | 4 |
| Fibrinogen activity CPT 85384 | $92.82 | $221.00 | $9.43 – $10.25 | 4 |
| Fibrinogen test CPT 85370 | not published | not published | $12.06 – $13.11 | 4 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $15.02 – $16.33 | 4 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.48 – $8.13 | 4 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.48 – $8.13 | 4 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $16.67 – $18.14 | 4 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $9.87 – $10.74 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.33 – $6.89 | 4 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $5,193.12 – $7,690.19 | 5 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,003.56 | $2,389.44 | $0.28 – $0.30 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $3,665.46 | $8,727.29 | $0.99 – $1.07 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.34 – $0.37 | 4 |
| Filleted finger/toe flap CPT 14350 | $2,301.18 | $5,479.00 | $2,010.50 – $3,692.11 | 6 |
| Filtered speech hearing test CPT 92571 | not published | not published | $36.40 – $93.92 | 5 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,130.56 | $16,977.52 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,073.27 | $9,698.25 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,661.75 – $7,187.00 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.52 – $0.52 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $467.16 – $750.48 | 4 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $249.06 | $593.00 | $2,613.00 – $2,613.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $898.38 | $2,139.00 | $2,613.00 – $2,613.00 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $432.60 | $1,030.00 | $118.97 – $430.83 | 5 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,300.00 – $5,797.82 | 6 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,600.00 – $5,797.82 | 6 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $2,157.94 – $2,909.44 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,374.88 – $1,705.63 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $57.48 – $218.65 | 5 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $57.48 – $218.65 | 5 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $215.96 – $225.24 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $36.40 – $112.87 | 5 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $36.40 – $112.87 | 5 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $51.72 – $52.81 | 2 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $40.30 – $41.17 | 2 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $58.55 – $59.04 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $65.66 – $214.26 | 5 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,000.00 – $3,467.69 | 6 |
| Fixation of knee joint CPT 27570 | $1,663.20 | $3,960.00 | $1,000.00 – $3,018.60 | 6 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,300.00 – $7,690.19 | 6 |
| Fix g/colon tube w/device CPT 49460 | $1,199.94 | $2,857.00 | $883.78 – $1,280.34 | 5 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $3,969.00 | $9,450.00 | $2,300.00 – $5,358.51 | 6 |
| Flebogamma injection HCPCS J1572 | not published | not published | $88.02 – $95.73 | 4 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.08 – $19.67 | 4 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $232.50 – $396.10 | 5 |
| Flexible Sigmoidoscopy CPT 45330 | $963.48 | $2,294.00 | $262.62 – $1,000.00 | 6 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,300.00 – $16,586.67 | 6 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Floor of mouth biopsy 41108 CPT 41108 | $1,999.20 | $4,760.00 | $232.13 – $1,750.38 | 5 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,537.13 – $1,671.83 | 4 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $359.87 – $391.40 | 4 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $651.08 – $708.14 | 4 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $326.71 – $326.71 | 1 |
| Flow cytometry marker each additional CPT 88185 | $97.44 | $232.00 | $92.02 – $92.02 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $1,029.42 | $2,451.00 | $349.28 – $379.88 | 4 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $667.80 – $667.80 | 1 |
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.