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 |
|---|---|---|---|---|
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,010.50 – $2,186.68 | 4 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,453.08 – $3,755.67 | 4 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,453.08 – $3,755.67 | 4 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $36.51 – $39.71 | 4 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $11.97 – $33.39 | 5 |
| Group train without patient HCPCS G0543 | not published | not published | $28.18 – $30.65 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.27 – $16.61 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $64.70 – $70.37 | 4 |
| Growth hormone panel CPT 80430 | not published | not published | $125.45 – $136.44 | 4 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $73.33 – $79.76 | 4 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $36.51 – $39.71 | 4 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $36.51 – $39.71 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $4,042.79 – $5,225.94 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $2,651.25 – $3,486.46 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,405.34 – $4,386.74 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $3,774.06 – $4,909.22 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $2,505.65 – $3,103.99 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,869.82 – $5,024.04 | 5 |
| G-tube reposition CPT 43761 | $286.44 | $682.00 | $243.46 – $1,955.94 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,823.26 | $9,103.00 | $2,036.91 – $2,215.40 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | $831.60 | $1,980.00 | $690.02 – $1,244.79 | 5 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,568.87 | $20,402.08 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,492.08 | $13,076.37 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $14,777.70 | $35,185.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $328.80 – $328.80 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,511.89 – $9,785.04 | 5 |
| Gw stiffened micro access kit HCPCS C1894 | $17,065.86 | $40,633.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,600.00 – $5,686.41 | 6 |
| Hair analysis HCPCS P2031 | not published | not published | $18.32 – $18.32 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $407.00 – $783.27 | 5 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $396.12 – $2,300.00 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $396.12 – $2,300.00 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $44.67 – $44.67 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $56.70 | $135.00 | $14.73 – $14.73 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $30.39 – $30.39 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $45.33 – $45.33 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,661.20 | $15,860.00 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,300.00 – $5,797.82 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Hand tendon reconstruction CPT 26502 | $3,969.00 | $9,450.00 | $2,600.00 – $5,797.82 | 6 |
| Hand X-ray CPT 73130 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| Haptoglobin quantitative CPT 83010 | $74.34 | $177.00 | $12.20 – $13.27 | 4 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $172.40 – $221.78 | 2 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,517.59 – $2,768.65 | 5 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,128.34 – $2,186.68 | 6 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,150.00 – $4,025.92 | 6 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $429.89 – $1,647.94 | 5 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $129.64 – $349.66 | 5 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $129.64 – $349.66 | 5 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $582.00 – $633.00 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $196.33 – $213.53 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $363.99 – $395.89 | 4 |
| Hbb full gene sequence CPT 81364 | not published | not published | $314.84 – $342.43 | 4 |
| Hbb gene com variants CPT 81361 | not published | not published | $169.57 – $184.42 | 4 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $196.33 – $213.53 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $363.99 – $395.89 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.42 – $10.24 | 4 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $134.09 – $236.94 | 5 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $36.50 – $37.27 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $170.91 – $185.89 | 4 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.83 – $16.13 | 4 |
| Hcg qualitative CPT 84703 | $44.52 | $106.00 | $7.29 – $7.93 | 4 |
| Hcg quantitative CPT 84702 | $89.04 | $212.00 | $14.60 – $15.88 | 4 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $53.24 – $54.37 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $36.50 – $37.27 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $148.29 – $151.44 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $98.85 – $100.97 | 2 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $173.59 – $173.59 | 1 |
| Hc metata joint dislocation anes CPT 28635 | $1,912.68 | $4,554.00 | $1,000.00 – $3,442.27 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $504.79 – $783.27 | 5 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $504.79 – $783.27 | 5 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $288.13 – $575.44 | 5 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $389.55 – $423.68 | 4 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $389.55 – $423.68 | 4 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $412.40 – $575.44 | 5 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $159.98 – $1,372.08 | 5 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $649.54 – $738.13 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $678.66 – $738.13 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $678.66 – $738.13 | 4 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $375.83 – $408.76 | 4 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $375.83 – $408.76 | 4 |
| Head CT scan (with and without contrast) CPT 70470 | $1,627.92 | $3,876.00 | $170.91 – $584.74 | 5 |
| Head CT scan (with contrast) CPT 70460 | $1,572.48 | $3,744.00 | $170.91 – $522.32 | 5 |
| Head CT scan (without contrast) CPT 70450 | $959.28 | $2,284.00 | $101.87 – $260.21 | 5 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $659.18 – $716.95 | 4 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,576.25 – $1,714.38 | 4 |
| Heart first pass add-on CPT 78496 | not published | not published | $45.83 – $67.80 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $378.23 – $575.44 | 5 |
| Heart image spect CPT 78494 | not published | not published | $376.67 – $423.68 | 5 |
| Heart infarct image CPT 78466 | $841.26 | $2,003.00 | $361.91 – $423.68 | 5 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $349.49 – $575.44 | 5 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $3,272.06 – $4,335.97 | 2 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $275.27 – $358.97 | 2 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.31 – $22.09 | 4 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.07 – $4.43 | 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.