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 |
|---|---|---|---|---|
| Infratemporal approach/skull CPT 61590 | not published | not published | $6,387.64 – $8,287.61 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $335.83 – $408.76 | 4 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $146.80 – $149.81 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $159.98 – $395.48 | 5 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $225.12 | $536.00 | $213.38 – $356.92 | 5 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $38.72 – $42.12 | 4 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $129.73 – $230.40 | 5 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $749.03 – $789.86 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $63.00 | $150.00 | not published | 0 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $74.76 | $178.00 | not published | 0 |
| Initial observation care CPT 99218 | not published | not published | $213.68 – $219.79 | 2 |
| Initial observation care CPT 99219 | not published | not published | $291.24 – $297.45 | 2 |
| Initial observation care CPT 99220 | not published | not published | $397.69 – $407.74 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $386.82 | $921.00 | $213.38 – $356.92 | 5 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $135.36 – $137.47 | 2 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $131.88 | $314.00 | $274.51 – $281.93 | 2 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $85.16 – $107.67 | 4 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.84 – $6.35 | 4 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $1,397.34 | $3,326.99 | $7.05 – $7.67 | 4 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.22 – $0.22 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | $56.70 | $135.00 | $0.56 – $0.56 | 1 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.30 – $0.30 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $62,353.83 – $67,817.83 | 4 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $49.05 – $49.05 | 1 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.52 – $1.66 | 4 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $57.96 | $138.00 | $10.61 – $10.61 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.69 – $4.02 | 4 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.27 – $10.08 | 4 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $127.23 – $138.38 | 4 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.76 – $19.31 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $6.94 – $6.94 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.15 – $3.43 | 4 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $50.27 – $54.68 | 4 |
| Inj. asceniv HCPCS J1554 | not published | not published | $485.90 – $528.48 | 4 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $54.60 – $59.38 | 4 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $78.77 – $85.67 | 4 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $177.49 – $177.49 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $158.46 – $172.34 | 4 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $56.21 – $56.21 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $38.63 – $42.02 | 4 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $207.60 – $225.79 | 4 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.78 – $0.78 | 1 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.36 – $3.65 | 4 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.76 – $7.35 | 4 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $29.46 – $29.46 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $275.28 – $275.28 | 1 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $342.48 – $372.49 | 4 |
| Inj, bupivacaine liposome HCPCS J0666 | $151.51 | $360.74 | $1.37 – $1.49 | 4 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $3.64 – $3.64 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $68.78 – $74.80 | 4 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $2.78 – $2.78 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $75.98 – $75.98 | 1 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $4.82 – $4.82 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $56.70 | $135.00 | $4.30 – $4.30 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $22.41 – $22.41 | 1 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $20.92 – $20.92 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.35 – $2.55 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | $1,091.08 | $2,597.82 | $8.57 – $9.32 | 4 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $117.54 – $127.84 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.41 – $17.85 | 4 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $80.97 – $88.07 | 4 |
| Inj, clindamycin (baxter) HCPCS J0737 | $69.30 | $165.00 | $16.06 – $16.06 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $297.73 – $297.73 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $7,670.60 | $18,263.33 | $4,526.20 – $4,526.20 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.51 – $14.69 | 4 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.05 – $18.55 | 4 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.83 – $9.60 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.50 – $0.55 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.26 – $0.26 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.22 – $0.22 | 1 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $6.53 – $6.53 | 1 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.04 – $3,504,052.08 | 4 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.78 – $0.78 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $90.67 – $325.31 | 5 |
| Inj, durolane 1 mg HCPCS J7318 | $1,169.28 | $2,784.00 | $6.53 – $7.10 | 4 |
| Inj dx for sinogram CPT 20501 | $141.54 | $337.00 | $2,613.00 – $2,613.00 | 1 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $859.32 | $2,046.00 | $317.72 – $748.10 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $116.34 | $277.00 | $2,613.00 – $2,613.00 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $51.52 – $56.03 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $483.75 – $526.15 | 4 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $777.23 – $845.33 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $362.88 | $864.00 | $83.42 – $325.31 | 5 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $161.21 – $175.34 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $8.83 – $8.83 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $68.65 – $74.67 | 4 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $1.82 – $1.82 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $2.56 – $2.56 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $14.72 – $16.01 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,829.10 | $4,355.00 | $687.82 – $1,763.03 | 6 |
| Injection eye drug CPT 67028 | $739.20 | $1,760.00 | $95.03 – $350.06 | 5 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $2.15 – $2.15 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $126.00 | $300.00 | $2,613.00 – $2,613.00 | 1 |
| Injection for bladder x-ray CPT 51600 | $112.14 | $267.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $102.48 | $244.00 | $2,613.00 – $2,613.00 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $97.86 | $233.00 | $2,613.00 – $2,613.00 | 1 |
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.