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 |
|---|---|---|---|---|
| Hydromorphone injection HCPCS J1170 | not published | not published | $1.48 – $1.48 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.04 – $0.04 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $2.75 – $2.75 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $176.50 | $420.24 | $2.52 – $2.52 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.15 – $0.15 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.36 – $18.88 | 4 |
| Hymenotomy CPT 56442 | $4,109.28 | $9,784.00 | $1,000.00 – $4,843.16 | 6 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.59 – $19.13 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $4,837.00 – $6,273.88 | 5 |
| Hyoscyamine sulfate inj HCPCS J1980 | $215.75 | $513.70 | $110.60 – $110.60 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $236.94 – $242.78 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $9.87 – $10.74 | 4 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $678.66 – $738.13 | 4 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $375.83 – $408.76 | 4 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $538.41 – $585.59 | 4 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $538.41 – $585.59 | 4 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $538.41 – $585.59 | 4 |
| Hypnotherapy CPT 90880 | not published | not published | $98.99 – $107.67 | 4 |
| Hypothermia ill neonate CPT 99184 | $333.48 | $794.00 | $481.35 – $514.15 | 2 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.24 – $19.84 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $2,139.10 – $3,036.30 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $2,022.48 – $2,638.80 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $2,153.59 – $2,806.08 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,862.41 – $8,624.00 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $585.31 – $770.60 | 2 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $232.50 – $252.87 | 4 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $4,874.49 – $10,438.65 | 6 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $2,300.00 – $4,843.16 | 6 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,000.00 – $4,843.16 | 6 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $2,150.00 – $10,438.65 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,300.00 – $4,843.16 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $2,300.00 – $10,438.65 | 6 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $2,300.00 – $10,438.65 | 6 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $2,653.82 – $5,301.63 | 5 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $4.20 | $10.00 | $625.91 – $625.91 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,247.98 – $2,444.96 | 4 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,346.11 – $1,464.07 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $668.28 – $668.28 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $129.33 – $685.37 | 4 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $454.99 – $494.86 | 4 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $924.42 – $1,005.43 | 4 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.35 – $25.39 | 4 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.15 – $21.91 | 4 |
| I131 max 100uci HCPCS A9531 | not published | not published | $35.58 – $35.58 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $292.53 – $292.53 | 1 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $404.39 – $404.39 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.02 – $14.16 | 4 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $34.04 – $37.02 | 4 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.55 – $19.08 | 4 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.92 – $47.77 | 4 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $569.11 | $1,355.02 | $44.45 – $44.45 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,375.10 – $2,583.23 | 4 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $7.46 – $7.46 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $212.64 – $231.27 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $678.93 – $678.93 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $35,816.55 | $85,277.50 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,909.00 | $66,450.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $11,566.80 | $27,540.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,356.07 | $15,133.50 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $210.40 – $417.06 | 5 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $36.40 – $113.54 | 5 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $57.48 – $113.54 | 5 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $28.18 – $63.39 | 5 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,984.81 – $7,690.19 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,793.02 | $9,031.00 | $1,000.00 – $3,513.75 | 6 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $147.25 – $147.25 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $363.43 – $1,750.38 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $542,987.65 – $590,569.04 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $50.78 – $55.23 | 4 |
| Idet 1 or more levels CPT 22527 | not published | not published | $333.94 – $5,619.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $707.00 – $5,619.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $3,969.00 | $9,450.00 | $1,000.00 – $4,356.88 | 6 |
| Idh1 common variants CPT 81120 | not published | not published | $187.45 – $203.88 | 4 |
| Idh2 common variants CPT 81121 | not published | not published | $286.92 – $312.06 | 4 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $3,425.94 | $8,157.00 | $2,150.00 – $5,092.98 | 6 |
| I&d lacrimal gland CPT 68400 | $1,268.40 | $3,020.00 | $466.44 – $1,056.50 | 5 |
| I&d lacrimal sac CPT 68420 | not published | not published | $494.00 – $2,519.68 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,444.42 | $8,201.00 | $1,000.00 – $4,291.14 | 6 |
| Idursulfase injection HCPCS J1743 | not published | not published | $541.47 – $588.92 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,444.42 | $8,201.00 | $1,000.00 – $4,291.14 | 6 |
| I&d vag hemtma obst/postpart CPT 57022 | $3,444.42 | $8,201.00 | $1,244.79 – $3,078.44 | 5 |
| Ifnl3 gene CPT 81283 | not published | not published | $71.17 – $77.41 | 4 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $91.93 – $91.93 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $201.09 – $218.71 | 4 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $66.49 – $72.32 | 4 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $192.05 – $208.88 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $285.68 – $310.72 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $167.55 – $182.23 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $191.52 | $456.00 | $238.69 – $238.69 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $1,029.42 | $2,451.00 | $349.28 – $379.88 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $527.10 | $1,255.00 | $166.01 – $180.56 | 4 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $58.84 – $58.84 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $38.13 – $41.47 | 4 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $2,190.54 – $2,838.98 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $5,514.03 – $7,690.19 | 5 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $499.74 – $499.74 | 1 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $48.68 – $48.68 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,862.41 – $2,434.88 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $57.48 – $113.54 | 5 |
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.