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 |
|---|---|---|---|---|
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,735.29 – $3,571.96 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $3,098.19 – $4,017.40 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $3,212.64 – $4,153.68 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $6,372.42 – $8,281.05 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $3,493.00 – $4,538.97 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $2,742.52 – $3,568.21 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $2,287.60 – $2,974.29 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,850.46 – $3,684.74 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,600.00 – $5,797.82 | 6 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $2,600.00 – $16,586.67 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $2,600.00 – $13,691.48 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $2,665.02 – $3,117.13 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Fusion of finger joint CPT 26860 | $3,969.00 | $9,450.00 | $2,300.00 – $5,797.82 | 6 |
| Fusion of finger tendons CPT 26471 | not published | not published | $2,150.00 – $3,467.69 | 6 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,566.86 – $3,222.30 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $2,600.00 – $13,691.48 | 6 |
| Fusion of foot bones CPT 28735 | not published | not published | $2,600.00 – $13,691.48 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $2,600.00 – $13,691.48 | 6 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Fusion of knee CPT 27580 | not published | not published | $3,012.01 – $13,606.53 | 5 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,000.00 – $5,797.82 | 6 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $2,300.00 – $5,797.82 | 6 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Fusion of skull arteries CPT 61711 | not published | not published | $5,491.56 – $7,220.07 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,036.91 – $4,753.93 | 6 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $2,600.00 – $4,753.93 | 6 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Fusion of thumb CPT 26841 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $2,600.00 – $16,586.67 | 6 |
| Fusion of toes CPT 28280 | not published | not published | $2,150.00 – $4,573.81 | 6 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $2,938.84 – $3,797.51 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $2,570.13 – $3,325.76 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $2,418.73 – $3,111.49 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $266.59 – $289.95 | 4 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $132.89 – $144.54 | 4 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $266.59 – $289.95 | 4 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $179.64 – $195.39 | 4 |
| G0180 home health certification HCPCS G0180 | not published | not published | $114.07 – $117.27 | 2 |
| G6pc gene CPT 81250 | not published | not published | $56.74 – $61.71 | 4 |
| G6pd full gene sequence CPT 81249 | not published | not published | $582.00 – $633.00 | 4 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $169.57 – $184.42 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $363.99 – $395.89 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $444.05 – $444.05 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $48.14 – $52.36 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $1.45 – $1.45 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $37.80 | $90.00 | $6.57 – $6.57 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.74 – $0.74 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $61.03 – $61.03 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $20.44 – $22.23 | 4 |
| Galactokinase - sendout CPT 82759 | not published | not published | $20.84 – $22.66 | 4 |
| Galactose transferase test CPT 82776 | not published | not published | $11.39 – $12.39 | 4 |
| Galectin-3 CPT 82777 | not published | not published | $42.92 – $46.68 | 4 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $5,890.88 – $9,914.56 | 5 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.50 – $3.81 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $239.52 – $383.49 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $239.52 – $580.39 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $464.16 – $504.84 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $351.62 – $382.44 | 4 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $7.38 – $7.38 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $498.19 – $541.84 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $155.48 – $169.10 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | $3,547.91 | $8,447.40 | $47.48 – $51.65 | 4 |
| Gammaglobulin iga CPT 82784 | $55.02 | $131.00 | $9.02 – $9.81 | 4 |
| Gammaglobulin ige CPT 82785 | $97.44 | $232.00 | $15.97 – $17.37 | 4 |
| Gamma glutamyltransferase CPT 82977 | $42.42 | $101.00 | $6.98 – $7.60 | 4 |
| Gammagraft HCPCS Q4111 | not published | not published | $28.75 – $131.89 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $62.71 – $68.21 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $8,584.07 | $20,438.26 | $48.23 – $52.46 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $153.85 – $153.85 | 1 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $59,122.56 – $59,122.56 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $34.04 – $37.02 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $40.51 – $44.06 | 4 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.51 – $7.08 | 4 |
| Gastric emptying imag study CPT 78265 | not published | not published | $389.55 – $423.68 | 4 |
| Gastric emptying imag study CPT 78266 | not published | not published | $529.08 – $575.44 | 4 |
| Gastric motility studies CPT 91020 | not published | not published | $348.71 – $395.48 | 5 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $389.55 – $423.68 | 4 |
| Gastrin test CPT 82938 | not published | not published | $17.16 – $18.66 | 4 |
| Gastroduodenostomy CPT 43810 | not published | not published | $2,130.42 – $2,772.24 | 2 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $389.55 – $423.68 | 4 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $299.60 – $395.48 | 5 |
| Gastrointestinal repair CPT 43360 | not published | not published | $4,725.17 – $6,493.65 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $5,674.11 – $7,005.80 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $2,822.92 – $3,646.20 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,743.97 – $3,563.51 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | $1,235.37 | $2,941.35 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $4,092.78 – $5,342.46 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $883.78 – $1,955.94 | 5 |
| Gated heart multiple CPT 78473 | not published | not published | $389.55 – $493.94 | 5 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $3.10 – $3.10 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.31 – $3.31 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.73 – $2.73 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.22 – $1.22 | 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.