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 |
|---|---|---|---|---|
| Injection for spleen x-ray CPT 38200 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $182.72 – $182.72 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $305.70 – $305.70 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $346.85 – $346.85 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.23 – $13.30 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $687.82 – $1,763.03 | 6 |
| Injection into brain canal CPT 61055 | not published | not published | $299.10 – $1,763.03 | 6 |
| Injection into hemorrhoid(s) CPT 46500 | $1,108.38 | $2,639.00 | $458.66 – $985.58 | 5 |
| Injection into spinal artery CPT 62294 | not published | not published | $861.85 – $2,300.00 | 6 |
| Injection into vocal cord CPT 31513 | not published | not published | $381.11 – $2,150.00 | 6 |
| Injection intraop add-on CPT 48400 | not published | not published | $222.39 – $293.20 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.98 – $1.06 | 4 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $8.42 – $8.42 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.56 – $6.05 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $70.16 – $76.31 | 4 |
| Injection of sinus tract CPT 20500 | not published | not published | $133.46 – $1,644.38 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4,259.72 | $10,142.20 | $6.32 – $6.87 | 4 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $385.73 – $385.73 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.63 – $1.77 | 4 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $6.42 – $6.42 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $140.72 – $264.79 | 5 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $705.18 | $1,679.00 | $389.55 – $735.23 | 5 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.00 – $28.28 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.57 – $38.69 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $687.82 – $1,763.03 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $884.10 | $2,105.00 | $97.20 – $748.10 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,441.86 | $3,433.00 | $97.20 – $748.10 | 5 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $202.86 | $483.00 | $861.85 – $1,763.03 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $861.85 – $1,763.03 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $861.85 – $1,763.03 | 5 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $859.32 | $2,046.00 | $687.82 – $1,329.97 | 5 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $859.32 | $2,046.00 | $687.82 – $1,329.97 | 5 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $168.85 – $183.65 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $315.42 | $751.00 | $52.22 – $325.31 | 5 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $362.88 | $864.00 | $60.94 – $325.31 | 5 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $362.88 | $864.00 | $71.09 – $325.31 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $104.16 | $248.00 | $35.74 – $49.63 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $104.16 | $248.00 | $49.71 – $50.20 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $116.34 | $277.00 | $83.64 – $225.42 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $128.94 | $307.00 | $55.13 – $76.31 | 5 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $49.27 – $49.27 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $7.64 – $7.64 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,000.00 – $2,445.85 | 6 |
| Injection treatment of eye CPT 66030 | $3,138.66 | $7,473.00 | $1,000.00 – $2,445.85 | 6 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,000.00 – $3,630.85 | 6 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,000.00 – $3,630.85 | 6 |
| Injection treatment of nerve CPT 64681 | not published | not published | $861.85 – $2,150.00 | 6 |
| Injection treatment of nose CPT 30200 | not published | not published | $166.13 – $571.58 | 5 |
| Inject sacroiliac joint CPT 27096 | $244.02 | $581.00 | $172.40 – $2,613.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $309.29 – $782.67 | 5 |
| Inject/treat eye socket CPT 67505 | not published | not published | $78.35 – $336.39 | 5 |
| Inject/treat eye socket CPT 67515 | not published | not published | $72.54 – $336.39 | 5 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.30 – $36.21 | 4 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $37.79 – $41.10 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $372.61 – $405.26 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $53.97 – $58.70 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $859.32 | $2,046.00 | $687.82 – $1,329.97 | 5 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,136.10 | $2,705.00 | $861.85 – $1,329.97 | 5 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.78 – $0.78 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.25 – $1.36 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $2.49 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $162.49 – $176.73 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $191.70 – $208.50 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.85 – $20.50 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.65 – $10.50 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $31.88 – $34.67 | 4 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $5.16 – $23.14 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $136.49 – $148.45 | 4 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.11 – $0.11 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.20 – $1.31 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $31.16 – $31.16 | 1 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $678.56 – $678.56 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $701.19 – $701.19 | 1 |
| Inj for ext venography CPT 36005 | $124.32 | $296.00 | $2,613.00 – $2,613.00 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.03 – $0.04 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $508.45 – $553.01 | 4 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $9.53 – $9.53 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $26.30 – $28.60 | 4 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $40.42 – $43.96 | 4 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $184.76 – $184.76 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $491.58 – $491.58 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $15.88 – $15.88 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.35 – $127.64 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,755.46 – $2,996.91 | 4 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $591.23 – $591.23 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.76 – $4.09 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $65.78 – $71.54 | 4 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $34.39 – $34.39 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $1.22 – $1.22 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $58.11 – $63.20 | 4 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $54.34 – $59.10 | 4 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.48 – $1.61 | 4 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $39.51 – $39.51 | 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.