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 |
|---|---|---|---|---|
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $3,632.98 – $6,375.18 | 5 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,734.37 – $3,329.65 | 5 |
| Largsc w/removal lesion CPT 31578 | $3,864.84 | $9,202.00 | $2,150.00 – $3,951.33 | 6 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $437.22 | $1,041.00 | $381.11 – $2,150.00 | 6 |
| Largsc w/ther injection CPT 31573 | not published | not published | $367.77 – $3,329.65 | 5 |
| Laronidase injection HCPCS J1931 | not published | not published | $38.76 – $42.15 | 4 |
| Laryngeal function studies CPT 92520 | not published | not published | $113.54 – $141.01 | 5 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $2,700.83 – $6,273.88 | 5 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $4,068.16 – $6,273.88 | 5 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $5,768.40 – $10,832.19 | 5 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $5,768.40 – $10,832.19 | 5 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $5,768.40 – $10,832.19 | 5 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $5,768.40 – $10,832.19 | 5 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $5,768.40 – $10,832.19 | 5 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $2,150.00 – $3,951.33 | 6 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $71.49 – $73.78 | 2 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $52.40 – $148.34 | 5 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $2,750.00 – $8,055.57 | 6 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $2,150.00 – $5,273.55 | 6 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $2,150.00 – $5,273.55 | 6 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $2,150.00 – $5,273.55 | 6 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,853.46 | $4,413.00 | $1,000.00 – $3,304.20 | 6 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,000.00 – $5,273.55 | 6 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $240.84 – $414.51 | 5 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $2,150.00 – $5,273.55 | 6 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $2,300.00 – $5,273.55 | 6 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $2,300.00 – $5,273.55 | 6 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $2,300.00 – $3,951.33 | 6 |
| Laryngoscopy w/fb removal CPT 31530 | $1,853.46 | $4,413.00 | $1,734.37 – $3,304.20 | 6 |
| Laryngoscopy with biopsy CPT 31576 | $1,853.46 | $4,413.00 | $1,734.37 – $3,304.20 | 6 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $2,150.00 – $3,951.33 | 6 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $437.22 | $1,041.00 | $381.11 – $3,304.20 | 6 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $2,750.00 – $7,479.55 | 6 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $2,600.00 – $5,273.55 | 6 |
| Laser surgery eye strands CPT 67031 | not published | not published | $535.93 – $2,150.00 | 6 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $2,150.00 – $4,843.16 | 6 |
| Laser surgery of prostate CPT 52647 | not published | not published | $6,200.00 – $8,505.56 | 4 |
| Laser surgery of prostate CPT 52648 | not published | not published | $5,224.64 – $8,168.38 | 6 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,000.00 – $3,378.09 | 6 |
| Laser treatment of retina CPT 67039 | not published | not published | $3,300.00 – $8,191.47 | 6 |
| Laser treatment of retina CPT 67040 | not published | not published | $3,300.00 – $8,191.47 | 6 |
| Lateral canthopexy CPT 21282 | $4,134.48 | $9,844.00 | $2,750.00 – $3,513.75 | 6 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,188.30 – $6,826.20 | 6 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $206.81 – $362.99 | 5 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $8,624.00 – $11,265.58 | 5 |
| Lb with mastopexy 15839 CPT 15839 | $3,754.38 | $8,939.00 | $2,300.00 – $3,518.94 | 6 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,934.60 | $9,368.10 | not published | 0 |
| Lead capillary CPT 83655 | $26.46 | $63.00 | $11.75 – $12.78 | 4 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,851.42 | $11,551.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,601.96 | $13,338.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,858.42 – $6,273.88 | 5 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,938.12 – $6,273.88 | 5 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $3,682.78 – $6,273.88 | 5 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $3,065.59 – $6,273.88 | 5 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.24 – $2.24 | 1 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.47 – $1.47 | 1 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.24 – $2.24 | 1 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.45 – $21.15 | 4 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $40.51 – $44.06 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,076.71 – $8,449.33 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $792.54 | $1,887.00 | $232.50 – $356.49 | 5 |
| Leishmania antibody CPT 86717 | not published | not published | $11.88 – $12.92 | 4 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,000.00 – $3,467.69 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,465.81 – $7,690.19 | 5 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,236.91 – $13,606.53 | 5 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,600.00 – $13,606.53 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,600.00 – $9,871.54 | 6 |
| Lens, intraocular (new tech) HCPCS C1780 | $1,366.60 | $3,253.80 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,716.35 | $6,467.50 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,716.35 | $6,467.50 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $377.71 | $899.30 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $1,988.89 – $1,988.89 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $9.53 – $9.53 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $166.01 – $180.56 | 4 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.08 – $10.96 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,256.78 | $5,373.29 | $170.91 – $185.89 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $235.20 | $560.00 | $1,712.61 – $1,862.68 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $135.93 – $135.93 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $672.75 – $731.70 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $38.75 – $42.14 | 4 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $72.43 – $135.98 | 5 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $90.51 – $150.70 | 5 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $167.49 – $244.92 | 5 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $257.54 – $431.39 | 5 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $400.22 – $659.90 | 5 |
| Levalbuterol non-comp con HCPCS J7612 | $2.31 | $5.50 | $5.71 – $5.71 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | $11.91 | $28.36 | $4.30 – $4.30 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $128.99 | $307.12 | $0.41 – $0.41 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $12.85 – $13.98 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $69.30 | $165.00 | $5.34 – $5.34 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $616.56 | $1,467.99 | not published | 0 |
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.