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 |
|---|---|---|---|---|
| Ghs init tx 1st degree burn CPT 16000 | $152.46 | $363.00 | $195.50 – $258.37 | 5 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $861.85 – $3,856.35 | 6 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $230.74 – $937.37 | 5 |
| Ghs inj tendon origin/insertion CPT 20551 | $362.88 | $864.00 | $55.13 – $325.31 | 5 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $1,000.00 – $2,613.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $861.85 – $1,763.03 | 6 |
| Ghs insertion of needle - bone CPT 36680 | $1,000.86 | $2,383.00 | $345.63 – $473.44 | 5 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,021.86 | $2,433.00 | $396.12 – $2,150.00 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,135.68 | $2,704.00 | $720.17 – $2,150.00 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,301.18 | $5,479.00 | $1,128.34 – $2,186.68 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $36.12 | $86.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,576.68 | $3,754.00 | $243.46 – $1,000.00 | 6 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $45.63 – $55.05 | 5 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $653.26 – $653.26 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $653.26 – $653.26 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $468.00 – $468.00 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $389.76 | $928.00 | $321.86 – $512.07 | 5 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $311.64 | $742.00 | $219.15 – $2,150.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $602.70 | $1,435.00 | $316.13 – $430.83 | 5 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $538.86 | $1,283.00 | $316.13 – $430.83 | 5 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $568.68 | $1,354.00 | $316.13 – $430.83 | 5 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $614.88 | $1,464.00 | $316.13 – $430.83 | 5 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $836.22 | $1,991.00 | $316.13 – $430.83 | 5 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $674.94 | $1,607.00 | $316.13 – $430.83 | 5 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $851.76 | $2,028.00 | $396.12 – $2,150.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $963.48 | $2,294.00 | $576.95 – $2,150.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $782.46 | $1,863.00 | $396.12 – $2,150.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,023.96 | $2,438.00 | $576.95 – $2,150.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $782.46 | $1,863.00 | $396.12 – $2,150.00 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,023.96 | $2,438.00 | $576.95 – $2,150.00 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $782.46 | $1,863.00 | $396.12 – $2,150.00 | 6 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,301.18 | $5,479.00 | $1,128.34 – $2,186.68 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $782.46 | $1,863.00 | $396.12 – $2,150.00 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.34 – $9.07 | 4 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $23.57 – $24.09 | 2 |
| Ghs mbp CPT 83873 | not published | not published | $16.68 – $18.15 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $175.14 | $417.00 | $51.95 – $54.75 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $175.14 | $417.00 | $193.15 – $203.86 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $138.18 | $329.00 | $166.66 – $170.34 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $87.78 | $209.00 | $22.81 – $24.02 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $87.78 | $209.00 | $126.35 – $138.39 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $98.62 – $103.41 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $86.98 – $90.50 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $94.74 – $95.06 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $369.18 | $879.00 | $41.16 – $41.16 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $832.86 | $1,983.00 | $576.95 – $783.27 | 5 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,505.70 | $3,585.00 | $861.85 – $1,763.03 | 6 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,159.20 | $2,760.00 | $687.82 – $1,000.00 | 6 |
| Ghs nerve block axillary nerve CPT 64417 | $1,136.10 | $2,705.00 | $861.85 – $1,000.00 | 6 |
| Ghs nerve block brachial plexus CPT 64415 | $843.78 | $2,009.00 | $861.85 – $1,000.00 | 6 |
| Ghs nerve block celiac plexus CPT 64530 | $987.84 | $2,352.00 | $861.85 – $1,763.03 | 6 |
| Ghs nerve block interscaline CPT 64510 | $1,136.10 | $2,705.00 | $861.85 – $1,763.03 | 6 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $861.85 – $1,763.03 | 6 |
| Ghs nerve block sciatic nerve CPT 64445 | $747.18 | $1,779.00 | $179.90 – $748.10 | 5 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $87.05 – $748.10 | 5 |
| Ghs ng placement w fluoro guidance CPT 43752 | $156.24 | $372.00 | $396.10 – $473.44 | 5 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.48 – $10.31 | 4 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $125.38 – $349.66 | 5 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $57.48 – $113.54 | 5 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $49.14 | $117.00 | $45.63 – $70.63 | 5 |
| Ghs opcc repair cvp without subq port CPT 36575 | $771.54 | $1,837.00 | $611.26 – $2,150.00 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,533.89 – $2,212.77 | 6 |
| Ghs optokenetic CPT 92544 | not published | not published | $3.10 – $136.37 | 5 |
| Ghs oscillating trac CPT 92545 | not published | not published | $3.10 – $228.84 | 5 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $13.02 | $31.00 | $21.04 – $42.99 | 5 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $21.04 – $42.99 | 5 |
| Ghs ot dds rom CPT 95851 | $79.38 | $189.00 | $6.48 – $17.08 | 5 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.05 – $9.84 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $39.21 – $72.24 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $58.73 – $63.88 | 5 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $99.61 – $101.75 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $1,144.08 | $2,724.00 | $644.04 – $1,020.06 | 5 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $120.03 – $120.03 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $156.24 | $372.00 | $230.79 – $1,000.00 | 6 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.34 – $5.80 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $1,724.94 | $4,107.00 | $1,000.00 – $2,212.77 | 6 |
| Ghs plngl fx pm cl CPT 26725 | $777.84 | $1,852.00 | $219.01 – $307.37 | 5 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.18 – $4.55 | 4 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $836.77 – $1,729.59 | 5 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $113.54 – $141.01 | 5 |
| Ghs ppd (tb intradermal) CPT 86580 | $5.25 | $12.50 | $28.18 – $30.65 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.37 – $10.19 | 4 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.44 – $5.92 | 4 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $13.92 – $15.14 | 4 |
| Ghs pr without cont pulse ox CPT 94625 | $86.52 | $206.00 | $41.82 – $62.52 | 4 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.88 – $12.92 | 4 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $284.34 | $677.00 | $197.71 – $201.93 | 2 |
| Ghs quinidine CPT 80194 | not published | not published | $14.16 – $15.40 | 4 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $197.27 – $350.06 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $366.24 | $872.00 | $129.64 – $345.63 | 5 |
| Ghs removal pharyngeal foreign body CPT 42809 | $775.32 | $1,846.00 | $345.63 – $473.44 | 5 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,912.68 | $4,554.00 | $1,566.86 – $3,222.30 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,969.00 | $9,450.00 | $2,600.00 – $6,826.20 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.41 – $16.76 | 4 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.18 – $4.55 | 4 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $31.50 | $75.00 | $13.49 – $14.68 | 4 |
| Ghs sedimentation rate CPT 85651 | $41.16 | $98.00 | $4.14 – $4.50 | 4 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $11.94 – $12.99 | 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.