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 |
|---|---|---|---|---|
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $213.25 – $213.25 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $6,423.64 – $6,423.64 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $1,647.94 – $1,647.94 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $24,992.16 – $24,992.16 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | $4,640.49 | $11,048.78 | not published | 0 |
| Intermediate visual field xm CPT 92082 | $49.98 | $119.00 | $57.48 – $112.87 | 5 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,000.00 – $2,613.00 | 2 |
| Interrogate subq defib CPT 93261 | not published | not published | $36.37 – $76.21 | 5 |
| Interrogation vad in person CPT 93750 | not published | not published | $92.64 – $102.53 | 5 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $36.37 – $76.21 | 5 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $28.18 – $63.39 | 5 |
| Interrog device eval heart CPT 93289 | not published | not published | $36.37 – $76.21 | 5 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $36.37 – $76.21 | 5 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $92.64 – $100.76 | 4 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $299.28 – $325.51 | 4 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $92.64 – $100.76 | 4 |
| Interstitial brachy inter CPT 77799 | not published | not published | $99.42 – $108.13 | 4 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,895.36 – $13,606.53 | 5 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $2,255.74 – $2,915.08 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $6,424.58 – $8,334.59 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | $3,425.94 | $8,157.00 | $583.40 – $2,941.67 | 5 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,000.00 – $5,092.98 | 6 |
| Intra-atrial pacing CPT 93610 | not published | not published | $375.11 – $8,266.14 | 5 |
| Intra-atrial recording CPT 93602 | not published | not published | $264.85 – $8,266.14 | 5 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $309.49 – $321.54 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $3,086.62 – $3,822.88 | 2 |
| Intracranial angioplasty CPT 61630 | not published | not published | $2,943.91 – $3,619.88 | 2 |
| Intracranial complete study CPT 93886 | not published | not published | $232.50 – $528.13 | 5 |
| Intracranial limited study CPT 93888 | not published | not published | $101.87 – $271.83 | 5 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $4,788.18 – $6,255.87 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $8,946.17 – $11,645.32 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $6,023.27 – $7,958.70 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $9,882.79 – $12,609.49 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $4,612.17 – $6,111.18 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $7,882.03 – $10,253.57 | 2 |
| Intranasal biopsy 30100 CPT 30100 | $1,850.94 | $4,407.00 | $215.45 – $1,644.38 | 5 |
| Intranasal reconstruction CPT 30620 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $873.73 – $911.79 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $60.07 – $60.07 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $609.42 | $1,451.00 | $220.52 – $571.58 | 5 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $84.80 – $92.23 | 4 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $213.38 – $356.92 | 5 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $429.89 – $779.92 | 5 |
| Intraventricular pacing CPT 93612 | not published | not published | $372.79 – $8,266.14 | 5 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $14.63 – $15.91 | 4 |
| Intrm oph exam est patient CPT 92012 | $61.32 | $146.00 | $129.73 – $230.40 | 5 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $968.95 – $1,668.30 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,138.76 | $19,378.00 | $5,545.97 – $12,652.68 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $8,624.00 – $25,572.90 | 5 |
| Intro catheter aorta CPT 36200 | $2,411.22 | $5,741.00 | $4,837.00 – $4,837.00 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Intro long gi tube CPT 44500 | $957.18 | $2,279.00 | $883.78 – $1,280.34 | 5 |
| Intro long gi tube w/mult fluo CPT 74340 | $345.24 | $822.00 | $93.24 – $93.24 | 1 |
| Intro windpipe wire/tube CPT 31730 | $2,323.44 | $5,532.00 | $1,000.00 – $1,886.35 | 6 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $552.72 | $1,316.00 | $230.79 – $340.29 | 5 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $57.48 – $249.14 | 5 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $6,682.71 – $6,682.71 | 1 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $1,115.93 – $1,115.93 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $36.37 – $92.21 | 5 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $70.73 – $72.24 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $390.86 – $399.20 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $1.04 – $1.04 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $37.80 | $90.00 | $1.19 – $1.19 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $904.94 – $904.94 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $729.98 – $7,805.79 | 4 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $673.67 – $7,805.79 | 4 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $1.19 – $1.19 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $181.55 – $197.46 | 4 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $247.14 – $252.40 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $358.91 – $364.25 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $431.92 – $440.37 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $160.44 – $165.42 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | $4.62 | $11.00 | $1.89 – $1.89 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $10.61 – $10.61 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.38 – $70.02 | 4 |
| Iron CPT 83540 | $38.22 | $91.00 | $6.28 – $6.83 | 4 |
| Iron binding capacity CPT 83550 | $51.66 | $123.00 | $8.48 – $9.22 | 4 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $75.16 | $178.95 | $17.56 – $19.10 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.67 – $7.26 | 4 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $130.53 | $310.79 | $1.30 – $1.30 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $36.40 – $39.58 | 4 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $66.78 | $159.00 | $57.48 – $170.88 | 5 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $929.54 – $1,644.38 | 5 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.60 – $3.60 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.81 – $5.81 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $57.48 – $62.85 | 5 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $81.07 – $88.17 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,010.50 – $3,692.11 | 6 |
| Ivc venogram s&i CPT 75825 | $6,708.66 | $15,973.00 | $3,076.71 – $3,346.32 | 4 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $306.71 – $306.71 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $225.12 | $536.00 | $66.02 – $76.31 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $225.12 | $536.00 | $44.86 – $45.05 | 2 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $225.12 | $536.00 | $41.17 – $49.63 | 5 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $386.82 | $921.00 | $152.22 – $225.42 | 5 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $389.55 – $423.68 | 4 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $345.63 – $473.44 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $170.91 – $185.89 | 4 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $380.94 | $907.00 | $170.91 – $185.89 | 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.