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 |
|---|---|---|---|---|
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,566.86 – $4,573.81 | 6 |
| Incision of tongue fold CPT 41010 | $1,834.98 | $4,369.00 | $1,000.00 – $1,696.40 | 6 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,902.77 – $3,630.85 | 6 |
| Incision of urethra CPT 53000 | not published | not published | $1,000.00 – $4,272.75 | 6 |
| Incision of urethra CPT 53010 | not published | not published | $1,000.00 – $5,682.47 | 6 |
| Incision of urethra CPT 53020 | $2,472.96 | $5,888.00 | $1,000.00 – $4,272.75 | 6 |
| Incision of urethra CPT 53025 | not published | not published | $1,587.32 – $2,341.29 | 5 |
| Incision of vagus nerve CPT 64760 | not published | not published | $1,070.65 – $1,393.64 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $5,105.49 – $6,273.88 | 5 |
| Incision of windpipe CPT 31610 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Incision of wrist capsule CPT 25085 | not published | not published | $2,300.00 – $4,356.88 | 6 |
| Incision secondary cataract CPT 66820 | not published | not published | $824.79 – $2,445.85 | 5 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,566.86 – $3,222.30 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $250.27 – $2,150.00 | 6 |
| Incisn windpipe CPT 31600 | $4,134.48 | $9,844.00 | $3,230.65 – $5,105.49 | 5 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $1,251.75 – $2,613.00 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $5,062.73 – $7,690.19 | 5 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $5,167.05 – $7,690.19 | 5 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.13 – $5.58 | 4 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $188.34 – $2,613.00 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,021.38 – $4,837.00 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,090.93 – $4,837.00 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $869.26 – $1,128.63 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $795.38 – $4,837.00 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,088.76 – $4,837.00 | 3 |
| Induced abortion d&c CPT 59840 | $3,769.92 | $8,976.00 | $2,750.00 – $4,843.16 | 6 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,750.00 – $4,843.16 | 6 |
| Induction of vomiting CPT 99175 | $726.18 | $1,729.00 | $37.27 – $55.51 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $68.09 – $74.06 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $126.44 – $137.52 | 4 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $14.55 – $15.82 | 4 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $13.71 – $14.91 | 4 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $249.73 – $271.61 | 4 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $249.73 – $271.61 | 4 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $124.87 – $135.81 | 4 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $249.73 – $271.61 | 4 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $31.79 – $34.57 | 4 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $34.23 – $37.23 | 4 |
| Infect ag ia optc obs influenza CPT 87804 | $115.08 | $274.00 | $16.05 – $17.46 | 4 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.62 – $12.64 | 4 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $17.81 – $19.37 | 4 |
| Infect ag if influenza a CPT 87276 | not published | not published | $15.59 – $16.95 | 4 |
| Infect ag if influenza b CPT 87275 | not published | not published | $11.88 – $12.92 | 4 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $15.13 – $16.46 | 4 |
| Infect ag if nos ea CPT 87299 | not published | not published | $15.62 – $16.99 | 4 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.62 – $12.64 | 4 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.02 – $14.16 | 4 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $51.87 – $56.41 | 4 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $34.04 – $37.02 | 4 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $41.55 – $45.20 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $34.04 – $37.02 | 4 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $168.42 | $401.00 | $92.93 – $101.07 | 4 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $49.77 – $54.13 | 4 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $49.77 – $54.13 | 4 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $404.28 – $439.70 | 4 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $474.00 – $515.54 | 4 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $25.29 – $27.50 | 4 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $40.14 – $43.66 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $83.16 | $198.00 | $11.62 – $12.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.02 – $14.16 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $79.38 | $189.00 | $13.41 – $14.58 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $68.88 | $164.00 | $11.62 – $12.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $13.95 – $15.17 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $72.24 | $172.00 | $10.02 – $10.90 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.02 – $10.90 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $167.16 | $398.00 | $23.36 – $25.40 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $11.62 – $12.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $60.06 | $143.00 | $11.62 – $12.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.62 – $12.64 | 4 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $243.60 | $580.00 | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $100.80 | $240.00 | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $259.14 | $617.00 | $36.15 – $39.32 | 4 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $730.80 | $1,740.00 | $404.28 – $439.70 | 4 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $50.82 | $121.00 | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $40.43 – $43.97 | 4 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $100.80 | $240.00 | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $122.22 | $291.00 | $49.77 – $54.13 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $119.70 | $285.00 | $138.35 – $150.47 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $119.70 | $285.00 | $138.35 – $150.47 | 4 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $53.50 | $127.38 | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $243.60 | $580.00 | $34.04 – $37.02 | 4 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $68.07 – $74.04 | 4 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $74.47 – $80.99 | 4 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $659.38 – $717.16 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $404.28 – $439.70 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $124.44 – $135.35 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,826.58 | $4,349.00 | $255.10 – $277.45 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $41.55 – $45.20 | 4 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $41.55 – $45.20 | 4 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $41.55 – $45.20 | 4 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $82.55 – $89.78 | 4 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $138.35 – $150.47 | 4 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.11 – $32.75 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $27.20 – $29.58 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $25.25 – $27.47 | 4 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $28.34 – $30.83 | 4 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $132.63 – $132.63 | 1 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $6,457.91 – $8,511.27 | 2 |
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.