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 |
|---|---|---|---|---|
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $75.34 – $81.95 | 4 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $7.90 – $7.90 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $77.06 – $83.81 | 4 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $480.68 – $522.80 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $861.85 – $3,856.35 | 6 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $140.42 – $140.42 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $5.34 – $5.34 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $240.66 | $573.00 | $195.50 – $258.37 | 5 |
| Inj intralesional > 7 lsns CPT 11901 | $36.96 | $88.00 | $195.50 – $258.37 | 5 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.56 – $13.66 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $48.05 – $52.26 | 4 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $2.08 | 4 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.58 – $2.80 | 4 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $27,866.44 | $66,348.67 | $1.52 – $1.65 | 4 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $5.12 – $5.12 | 1 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $84.24 – $91.62 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $31.22 – $33.96 | 4 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.30 – $1.41 | 4 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $2.97 – $2.97 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.63 – $23.52 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $122.88 – $122.88 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.89 – $0.89 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $616.56 | $1,467.99 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $56.70 | $135.00 | not published | 0 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $67.86 – $67.86 | 1 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $317.88 – $345.74 | 4 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.69 – $24.68 | 4 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $2,977.99 – $3,238.94 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj. meloxicam 1 mg HCPCS J1738 | $680.96 | $1,621.34 | $11.58 – $11.58 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $117.05 – $127.30 | 4 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $2,064.43 – $2,064.43 | 1 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $733.28 – $733.28 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $4.90 – $4.90 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $8.79 – $8.79 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.11 – $2.29 | 4 |
| Inj meropenem (wg crit care) HCPCS J2183 | $239.04 | $569.15 | not published | 0 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $1.00 – $1.00 | 1 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $245.86 – $267.41 | 4 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $40.88 – $40.88 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $40.18 – $40.18 | 1 |
| Inj multihance HCPCS A9577 | not published | not published | $8.01 – $8.01 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $8.01 – $8.01 | 1 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $61.22 – $61.22 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $665.51 – $723.83 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $679.46 – $1,375.88 | 5 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,648.10 – $4,114.19 | 5 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,648.10 – $4,114.19 | 5 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $3,664.26 – $3,664.26 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $37.80 | $90.00 | $173.63 – $173.63 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $34.71 – $37.75 | 4 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $183.68 – $183.68 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.45 – $1.45 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $383.73 – $417.36 | 4 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $11.58 – $11.58 | 1 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.01 – $4.36 | 4 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $28.91 – $31.45 | 4 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $56.70 | $135.00 | not published | 0 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $71.62 – $77.89 | 4 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $578.41 – $629.10 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $97.87 – $106.45 | 4 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $92.59 – $100.70 | 4 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $116.05 – $126.22 | 4 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.75 – $8.43 | 4 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.37 – $10.19 | 4 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $40.66 – $40.66 | 1 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $5.04 – $5.48 | 4 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $37.84 – $37.84 | 1 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $10.66 – $11.59 | 4 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $43.59 – $74.35 | 4 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.81 – $12.84 | 4 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $37.24 – $40.51 | 4 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.40 – $3.70 | 4 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj proc elbow arthro CPT 24220 | $126.00 | $300.00 | $2,613.00 – $2,613.00 | 1 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj proc sialogram CPT 42550 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | $1.26 | $3.00 | $8.72 – $8.72 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $5.86 – $5.86 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.16 – $2.35 | 4 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.31 – $0.34 | 4 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $3.97 – $3.97 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.88 – $14.01 | 4 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,177.10 – $13,244.17 | 4 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $3.30 – $3.30 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $27.66 – $30.09 | 4 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $210.07 – $1,000.00 | 6 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $161.04 – $430.83 | 5 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $2.10 – $2.28 | 4 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $523.97 – $569.88 | 4 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $39.02 – $42.44 | 4 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.10 – $1.20 | 4 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $63.76 – $69.34 | 4 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $210.07 – $430.83 | 5 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $107.59 – $107.59 | 1 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $73.91 – $80.39 | 4 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $19.05 – $20.72 | 4 |
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.