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 |
|---|---|---|---|---|
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.61 – $4.61 | 1 |
| Gba gene CPT 81251 | not published | not published | $45.83 – $49.85 | 4 |
| Gefitinib oral HCPCS J8565 | not published | not published | $992.13 – $992.13 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $510.98 – $555.76 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.66 – $0.72 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $18.92 – $18.92 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $232.96 – $253.37 | 4 |
| General health panel CPT 80050 | $244.02 | $581.00 | $130.68 – $130.68 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $62,253.40 | $148,222.38 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $36,467.76 | $86,828.00 | not published | 0 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $98.85 – $103.28 | 2 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,375.10 – $2,583.23 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,230.65 – $5,105.49 | 6 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,230.65 – $5,105.49 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $3,300.00 – $6,273.88 | 6 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $6,805.84 – $6,805.84 | 1 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,267.52 – $2,466.22 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,880.26 – $5,307.92 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,628.65 – $2,859.00 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $182.90 | $435.48 | $6.12 – $6.12 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $36.54 | $87.00 | $15.89 – $17.28 | 4 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.57 – $3.88 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,243.22 | $5,341.00 | $836.77 – $910.10 | 5 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $464.94 | $1,107.00 | $906.17 – $1,160.84 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,444.42 | $8,201.00 | $2,150.00 – $4,291.14 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.52 – $10.35 | 4 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $16.60 – $18.05 | 4 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $99.19 – $107.88 | 4 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $129.64 – $205.90 | 5 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $13.96 – $15.18 | 4 |
| Ghs aspiration bladder - needle CPT 51100 | $286.44 | $682.00 | $78.35 – $264.79 | 5 |
| Ghs bladder cath - complex-foley CPT 51703 | $218.82 | $521.00 | $125.38 – $162.78 | 5 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.68 – $5.09 | 4 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $859.32 | $2,046.00 | $150.89 – $748.10 | 5 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,453.66 | $8,223.00 | $1,000.00 – $3,346.32 | 6 |
| Ghs change cysto/gastrost CPT 43762 | $228.06 | $543.00 | $243.46 – $264.79 | 4 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $302.66 – $350.06 | 5 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $321.86 – $393.76 | 5 |
| Ghs chemo IV push, ea addtl CPT 96411 | $115.92 | $276.00 | $70.16 – $135.13 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $34.04 – $37.02 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $320.04 | $762.00 | $240.36 – $443.58 | 5 |
| Ghs closed reduction ankle dislocation CPT 27840 | $606.90 | $1,445.00 | $240.36 – $1,000.00 | 6 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,296.54 | $3,087.00 | $1,000.00 – $1,871.09 | 6 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $275.94 | $657.00 | $240.36 – $1,000.00 | 6 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,889.18 | $6,879.00 | $1,000.00 – $3,442.27 | 6 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,301.18 | $5,479.00 | $2,150.00 – $3,755.67 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $275.94 | $657.00 | $240.36 – $1,000.00 | 6 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,457.42 | $5,851.00 | $1,000.00 – $3,442.27 | 6 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,011.80 | $4,790.00 | $1,566.86 – $3,442.27 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $460.32 | $1,096.00 | $240.36 – $1,000.00 | 6 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $459.90 | $1,095.00 | $219.01 – $307.37 | 5 |
| Ghs community re-entry 15 minutes CPT 97537 | $57.12 | $136.00 | $31.14 – $66.02 | 5 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $868.56 | $2,068.00 | $264.56 – $473.44 | 5 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $343.98 | $819.00 | $129.64 – $264.56 | 5 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $457.80 | $1,090.00 | $264.56 – $473.44 | 5 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $511.56 | $1,218.00 | $129.64 – $264.56 | 5 |
| Ghs cricothyroidotomy CPT 31605 | $423.36 | $1,008.00 | $230.79 – $1,696.40 | 5 |
| Ghs cutdown placement age 1 and over CPT 36425 | $503.58 | $1,199.00 | $345.63 – $473.44 | 5 |
| Ghs cutdown placement under 1 yr CPT 36420 | $155.40 | $370.00 | $110.57 – $345.63 | 5 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $14.75 – $16.05 | 4 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,866.90 | $4,445.00 | $240.36 – $1,000.00 | 6 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,199.94 | $2,857.00 | $883.78 – $1,283.72 | 5 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $320.04 | $762.00 | $81.24 – $296.42 | 5 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $747.18 | $1,779.00 | $687.82 – $748.10 | 4 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $210.40 – $228.84 | 4 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $18.60 – $136.37 | 5 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $125.38 – $192.61 | 5 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $13.98 – $15.97 | 2 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $120.12 | $286.00 | $210.07 – $430.83 | 5 |
| Ghs excision ingrown nail CPT 11765 | $204.54 | $487.00 | $210.07 – $430.83 | 5 |
| Ghs eye exam CPT 92002 | $152.88 | $364.00 | $129.73 – $230.40 | 5 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $385.14 | $917.00 | $274.73 – $428.89 | 5 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.70 – $5.12 | 4 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,999.20 | $4,760.00 | $1,609.35 – $3,518.94 | 6 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,444.42 | $8,201.00 | $2,300.00 – $4,785.74 | 6 |
| Ghs fb removal - incisional CPT 10121 | $1,999.20 | $4,760.00 | $1,609.35 – $3,518.94 | 6 |
| Ghs fb removal - non-incisional CPT 20520 | $1,999.20 | $4,760.00 | $279.27 – $1,750.38 | 5 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.77 – $7.36 | 4 |
| Ghs fish cytogen CPT 88271 | not published | not published | $20.78 – $22.60 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $49.65 – $54.01 | 4 |
| Ghs flow volume loop CPT 94375 | not published | not published | $210.40 – $349.66 | 5 |
| Ghs gastric intub aspiration lavage CPT 43753 | $311.64 | $742.00 | $210.40 – $345.63 | 5 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $34.04 – $37.02 | 4 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.28 – $24.23 | 4 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.03 – $16.34 | 4 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.19 – $9.99 | 4 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $12.85 – $13.98 | 4 |
| Ghs HIV antibody CPT 86703 | $117.60 | $280.00 | $13.30 – $14.46 | 4 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $102.96 – $111.98 | 4 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,472.96 | $5,888.00 | $2,036.91 – $4,753.93 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,660.28 | $6,334.00 | $1,166.03 – $3,817.35 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $865.20 | $2,060.00 | $419.29 – $750.48 | 5 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $299.04 | $712.00 | $232.82 – $750.48 | 5 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.02 – $31.57 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $742.14 | $1,767.00 | $238.57 – $307.30 | 5 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $207.06 | $493.00 | $194.50 – $2,150.00 | 6 |
| Ghs inf midline insertion CPT 36140 | $807.66 | $1,923.00 | $2,613.00 – $2,613.00 | 1 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $12.48 – $13.58 | 4 |
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.