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 |
|---|---|---|---|---|
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $36.40 – $285.64 | 5 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $57.48 – $62.52 | 4 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $429.25 | $1,022.02 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $265.36 | $631.80 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $209.99 | $499.98 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $2,150.00 – $10,887.94 | 6 |
| Immune complex assay CPT 86332 | not published | not published | $23.64 – $25.71 | 4 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $9,449.20 | $22,498.10 | $47.61 – $51.78 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $77.98 – $84.82 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $45.62 – $49.62 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $220.63 – $220.63 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $178.92 | $426.00 | $20.19 – $21.95 | 4 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $20.19 – $21.95 | 4 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $24.80 – $26.98 | 4 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.62 – $12.64 | 4 |
| Immunodiffusion nes CPT 86329 | not published | not published | $13.63 – $14.82 | 4 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $110.70 – $110.70 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $21.67 – $23.57 | 4 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $180.01 – $180.01 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $166.01 – $180.56 | 4 |
| Immunoglobulin assay CPT 86023 | not published | not published | $12.09 – $13.15 | 4 |
| Impedence cardiogram CPT 93701 | not published | not published | $129.64 – $170.13 | 5 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $6,794.00 – $18,582.47 | 4 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $828.70 – $5,619.00 | 2 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,498.54 | $13,091.76 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,856.93 | $4,421.25 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $7,187.00 – $17,445.31 | 4 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $3,351.74 – $4,382.99 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $2,554.91 – $3,406.58 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $3,220.62 – $4,243.90 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,335.80 – $4,416.80 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $6,967.80 | $16,590.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $3,300.00 – $77,960.94 | 6 |
| Implant cochlear osia osi300 HCPCS L8690 | $19,965.32 | $47,536.47 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $2,600.00 – $14,787.45 | 6 |
| Implant hormone pellet(s) 11980 CPT 11980 | $42.00 | $100.00 | $345.63 – $473.44 | 5 |
| Implant nerve end CPT 64787 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $605.59 – $800.66 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,067.03 – $1,399.28 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $3,185.85 – $4,188.44 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $4,844.70 – $6,344.23 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $7,837.00 – $44,874.55 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,000.00 – $13,879.04 | 6 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,613.00 – $13,879.04 | 5 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,300.00 – $13,879.04 | 6 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $2,041.32 – $2,738.43 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $3,316.24 – $4,373.57 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,300.00 – $68,632.21 | 6 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $3,300.00 – $3,300.00 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $1,020.66 – $5,619.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,749.04 – $3,596.40 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $4,837.00 – $10,790.14 | 5 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,150.00 – $40,851.41 | 6 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,150.00 – $40,851.41 | 6 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $2,877.25 – $3,525.79 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,945.70 – $2,499.73 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $2,716.56 | $6,468.00 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,820.81 – $1,980.36 | 4 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $2,150.00 – $13,879.04 | 6 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $2,150.00 – $9,608.00 | 6 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $12,510.27 – $13,606.53 | 4 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $12,510.27 – $13,606.53 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $6,200.00 – $26,820.78 | 6 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $3,502.40 – $4,543.66 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $187.61 – $246.22 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,690.04 – $4,705.97 | 5 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $5,380.01 – $6,950.90 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $289.78 – $315.17 | 4 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $2.45 – $2.45 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,497.23 – $3,513.75 | 5 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,640.14 – $3,513.75 | 5 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,120.67 – $5,361.77 | 5 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,405.11 – $3,513.75 | 5 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,520.44 – $6,273.88 | 5 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,497.23 – $6,273.88 | 5 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $206.81 – $929.54 | 5 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,991.23 – $6,273.88 | 5 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,435.56 – $3,513.75 | 5 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,415.26 – $3,513.75 | 5 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,587.18 – $3,513.75 | 5 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $820.42 – $1,644.38 | 5 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $41.54 – $45.18 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $13,214.83 – $13,214.83 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,070.09 – $1,163.87 | 4 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,678.38 – $1,825.46 | 4 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $12,933.06 – $12,933.06 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $806.52 – $877.19 | 4 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $723.25 – $786.63 | 4 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,940.91 – $2,110.99 | 4 |
| Inactivated je vacc im CPT 90738 | not published | not published | $922.12 – $922.12 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $922.87 – $3,467.69 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $2,150.00 – $4,356.88 | 6 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $3,771.16 – $7,690.19 | 5 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $3,143.84 – $7,690.19 | 5 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $3,130.80 – $7,690.19 | 5 |
| Incis addl spine segment CPT 22216 | not published | not published | $768.56 – $2,613.00 | 3 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $2,659.23 – $3,449.79 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,902.77 – $3,630.85 | 6 |
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.