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 |
|---|---|---|---|---|
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $244.02 – $244.02 | 1 |
| Floxuridine injection HCPCS J9200 | not published | not published | $305.15 – $4,484.77 | 4 |
| Flt3 gene CPT 81245 | not published | not published | $160.54 – $174.61 | 4 |
| Flt3 gene analysis CPT 81246 | not published | not published | $80.51 – $87.56 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $134.89 | $321.16 | $23.41 – $23.41 | 1 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $242.34 – $242.34 | 1 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $15.74 – $51.25 | 5 |
| Fluid pressure muscle 20950 CPT 20950 | $865.20 | $2,060.00 | $424.87 – $750.48 | 5 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $27.79 – $27.79 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $494.52 – $537.85 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $328.63 – $357.43 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $218.65 – $395.48 | 5 |
| Fluorescein angrph mltiframe CPT 92235 | $127.68 | $304.00 | $103.41 – $228.84 | 5 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $210.40 – $228.84 | 4 |
| Fluorescent antibody titer dna CPT 86256 | not published | not published | $11.69 – $12.71 | 4 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $829.88 – $902.61 | 4 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $2.78 – $485.74 | 4 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $412.86 | $983.00 | $231.27 – $231.27 | 1 |
| Fluoroguide needle placement CPT 77002 | $412.86 | $983.00 | $250.66 – $250.66 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.34 – $19.95 | 4 |
| Fluoroscopy up to 1 hour CPT 76000 | $539.70 | $1,285.00 | $107.76 – $252.87 | 4 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $8.01 – $8.01 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $73.01 – $73.01 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $4.49 – $4.49 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,885.69 – $2,050.93 | 4 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $58.02 – $58.02 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $39.03 – $39.03 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $232.50 – $288.91 | 5 |
| Fmri brain by tech CPT 70554 | not published | not published | $232.50 – $620.95 | 5 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,446.92 | $5,826.00 | $619.54 – $750.48 | 4 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $619.54 – $750.48 | 4 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $65.30 | $155.48 | $25.47 – $25.47 | 1 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $27.19 | $64.74 | $12.41 – $12.41 | 1 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $13.16 – $13.16 | 1 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $37.53 – $37.53 | 1 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $9.55 – $9.55 | 1 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $11.44 – $11.44 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.34 – $19.95 | 4 |
| Folic acid CPT 82746 | $86.94 | $207.00 | $14.26 – $15.51 | 4 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $56.70 | $135.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $6,708.66 | $15,973.00 | $3,076.71 – $3,346.32 | 4 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $129.73 – $230.40 | 5 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,150.00 – $4,597.68 | 6 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.34 – $6.90 | 4 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $8.64 – $8.64 | 1 |
| Foot X-ray CPT 73630 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $4,727.52 | $11,256.00 | $2,300.00 – $6,037.67 | 6 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $5,196.43 – $5,196.43 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $50.78 – $55.23 | 4 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $501.06 | $1,193.00 | $243.46 – $1,000.00 | 6 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $63.11 – $63.11 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $5.34 – $5.34 | 1 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $287.93 – $287.93 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $296.60 | $706.18 | $1.29 – $1.41 | 4 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.64 – $30.07 | 4 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $84.80 – $92.23 | 4 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $43.54 – $47.36 | 4 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,434.81 – $8,168.38 | 6 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $4,787.46 – $6,215.47 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $2,300.65 – $8,624.00 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $4,567.26 – $5,925.10 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $4,796.16 – $6,285.02 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $3,395.92 – $4,405.52 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $3,341.58 – $4,360.43 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $4,745.45 – $6,229.56 | 3 |
| Frenectomy 41115 CPT 41115 | $42.00 | $100.00 | $377.94 – $1,644.38 | 5 |
| Frenotomy 40806 CPT 40806 | not published | not published | $179.90 – $571.58 | 5 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,036.91 – $4,753.93 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $18.23 | $43.40 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $21.63 | $51.50 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $233.10 | $555.00 | $47.99 – $180.56 | 4 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $36.40 – $39.58 | 4 |
| Frozen blood prep CPT 86930 | not published | not published | $166.01 – $180.56 | 4 |
| Frozen blood thaw CPT 86931 | not published | not published | $166.01 – $180.56 | 4 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.73 – $12.75 | 4 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $54.28 – $59.04 | 4 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $16.26 – $17.68 | 4 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,442.75 – $1,569.18 | 4 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $67.43 – $73.34 | 4 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $148.89 – $161.94 | 4 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $53.87 – $58.59 | 4 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $52.67 – $57.29 | 4 |
| Full field erg w/i&r CPT 92273 | not published | not published | $206.84 – $228.84 | 4 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $232.50 – $252.87 | 4 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,508.24 | $5,972.00 | $2,010.50 – $3,692.11 | 6 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,010.50 – $3,692.11 | 6 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,508.24 | $5,972.00 | $2,010.50 – $3,692.11 | 6 |
| Functional brain mapping CPT 96020 | not published | not published | $355.11 – $355.11 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $52.50 | $125.00 | $129.64 – $218.65 | 5 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $56.70 | $135.00 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $5.38 – $5.38 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $6,841.10 – $8,838.29 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,888.13 – $3,752.39 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,941.01 – $4,036.21 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,930.86 – $3,802.20 | 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.