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 |
|---|---|---|---|---|
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,159.00 – $3,435.82 | 4 |
| Liberta rc ipg HCPCS C1820 | $41,854.20 | $99,652.85 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.07 – $0.07 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $58.51 | $139.31 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $49.16 | $117.04 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $14.25 – $15.50 | 4 |
| Ligate esophagus veins CPT 43400 | not published | not published | $3,204.68 – $4,144.29 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,165.62 – $3,346.32 | 5 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $157.18 – $2,613.00 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $3,041.69 – $4,197.83 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,300.00 – $4,843.16 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,999.20 | $4,760.00 | $1,609.35 – $3,518.94 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,757.74 – $3,579.49 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,150.00 – $5,697.11 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,076.71 – $6,561.36 | 5 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,076.71 – $5,697.11 | 5 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,076.71 – $6,561.36 | 5 |
| Ligation major artery chest CPT 37616 | not published | not published | $2,321.65 – $3,034.44 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $124.32 | $296.00 | $804.78 – $1,049.69 | 2 |
| Ligation major artery neck CPT 37615 | $4,080.72 | $9,716.00 | $3,076.71 – $5,697.11 | 5 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,150.00 – $5,697.11 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,813.52 – $5,897.28 | 5 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,150.00 – $5,697.11 | 6 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,422.15 – $5,897.28 | 5 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,076.71 – $5,697.11 | 5 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,230.65 – $9,785.04 | 6 |
| Ligation of shunt CPT 49428 | not published | not published | $906.21 – $1,451.90 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,300.00 – $5,697.11 | 6 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $2,780.27 – $2,780.27 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $125.38 – $136.69 | 5 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,150.00 – $4,837.00 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $1,720.13 – $1,720.13 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $1,397.45 – $1,397.45 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $57.48 – $112.87 | 5 |
| Lincomycin injection HCPCS J2010 | $6.30 | $15.00 | $28.31 – $28.31 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $233.42 | $555.75 | $53.42 – $53.42 | 1 |
| Lipase CPT 83690 | $40.74 | $97.00 | $6.68 – $7.27 | 4 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $32.84 – $35.72 | 4 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $33.16 – $36.07 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.30 | $115.00 | $7.94 – $8.64 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $62.16 | $148.00 | $10.18 – $11.08 | 4 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $33.16 – $36.07 | 4 |
| Lip surgery procedure CPT 40799 | not published | not published | $230.79 – $340.29 | 5 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $545,393.01 – $593,185.18 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.79 – $13.92 | 4 |
| Lithium therapeutic drug level CPT 80178 | $15.12 | $36.00 | $6.41 – $6.97 | 4 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,935.55 – $1,935.55 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $2,305.71 – $2,305.71 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $2,547.68 – $3,272.20 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $170.90 – $185.88 | 4 |
| Liver elastography 91200 CPT 91200 | not published | not published | $46.59 – $136.37 | 5 |
| Liver Function Test CPT 80076 | $103.32 | $246.00 | $7.92 – $8.62 | 4 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $3,051.12 – $3,945.99 | 2 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $1,056.35 – $1,056.35 | 1 |
| Liver imaging CPT 78201 | not published | not published | $529.08 – $575.44 | 4 |
| Liver imaging (3d) CPT 78205 | not published | not published | $630.67 – $630.67 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $529.08 – $575.44 | 4 |
| Liver/spleen imag static only CPT 78215 | $841.26 | $2,003.00 | $389.55 – $423.68 | 4 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $351.15 – $423.68 | 4 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,316.67 – $4,025.92 | 5 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $2.49 – $2.49 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $320.99 – $320.99 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $214.85 – $233.68 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $57.96 | $138.00 | $1.37 – $1.37 | 1 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $555.45 | $1,322.50 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $210.40 – $255.72 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $7,070.60 – $10,790.14 | 5 |
| Low cost skin substitute app HCPCS C5271 | $774.90 | $1,845.00 | $999.01 – $4,837.00 | 3 |
| Low cost skin substitute app HCPCS C5273 | $2,301.18 | $5,479.00 | $3,261.71 – $4,837.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | $774.90 | $1,845.00 | $999.01 – $4,837.00 | 3 |
| Low cost skin substitute app HCPCS C5277 | $774.90 | $1,845.00 | $999.01 – $4,837.00 | 3 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,596.02 | $6,181.00 | $170.91 – $584.74 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,539.74 | $6,047.00 | $339.95 – $522.32 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $751.80 | $1,790.00 | $101.87 – $260.21 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,559.48 | $6,094.00 | $339.95 – $1,047.33 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,168.46 | $5,163.00 | $339.95 – $925.84 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $241.92 | $576.00 | $101.87 – $110.80 | 4 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $39.61 – $212.63 | 5 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $55.65 – $55.65 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $7,187.00 – $14,373.48 | 5 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $7,187.00 – $14,373.48 | 5 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $7,187.00 – $14,373.48 | 5 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $7,187.00 – $14,373.48 | 5 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,658.09 | $6,328.79 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.33 – $23.20 | 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.