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 |
|---|---|---|---|---|
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.05 – $2.05 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,902.77 – $2,069.51 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,837.00 – $26,820.78 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.29 – $218.93 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $57.48 – $285.64 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $144.90 | $345.00 | $210.40 – $349.66 | 5 |
| Lung perfusion imaging CPT 78580 | $715.26 | $1,703.00 | $389.55 – $423.68 | 4 |
| Lung transplant double CPT 32853 | not published | not published | $9,672.00 – $12,588.82 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $6,907.02 – $9,005.58 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $7,508.98 – $9,871.09 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $10,265.27 – $13,362.23 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,077.91 – $4,037.15 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $205.74 – $223.76 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.47 – $45.10 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $310.35 – $337.54 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $251.81 – $273.87 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,583.97 | $3,771.36 | not published | 0 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $28.18 – $137.39 | 5 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.45 – $21.15 | 4 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,484.26 – $8,662.22 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $1,092.00 | $2,600.00 | $529.08 – $575.44 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $35.46 – $38.57 | 4 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $47.56 – $51.73 | 4 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $183.82 – $199.93 | 4 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $46.16 – $50.21 | 4 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $611.26 – $664.82 | 4 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,533.89 – $1,668.30 | 4 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,076.71 – $3,346.32 | 4 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,076.71 – $3,346.32 | 4 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $525.53 – $2,150.00 | 6 |
| Lysis of labial adhesions CPT 56441 | $1,880.76 | $4,478.00 | $1,000.00 – $4,843.16 | 6 |
| Lysis penil circumic lesion CPT 54162 | $147.00 | $350.00 | $2,036.91 – $4,753.93 | 6 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $64.96 – $64.96 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $25.35 – $25.35 | 1 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.14 – $4.50 | 4 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.18 – $4.55 | 4 |
| Magnesium CPT 83735 | $39.48 | $94.00 | $6.50 – $7.07 | 4 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $69.30 | $165.00 | $0.26 – $0.26 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $232.50 – $672.59 | 5 |
| Makena, 10 mg HCPCS J1726 | $1,011.78 | $2,409.00 | $61.70 – $61.70 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $12.79 – $13.92 | 4 |
| Male sling procedure CPT 53440 | not published | not published | $2,150.00 – $17,904.15 | 6 |
| Mammosite ced HCPCS C1728 | $5,386.50 | $12,825.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $6,374.59 – $8,248.15 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $560.95 – $1,704.16 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | $1,912.68 | $4,554.00 | $1,566.86 – $3,442.27 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $155.82 | $371.00 | $113.54 – $141.01 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $323.40 | $770.00 | $129.64 – $356.92 | 5 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,566.86 – $3,018.60 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $1,566.86 – $3,018.60 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $143.63 – $261.42 | 5 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $11.39 – $11.39 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $24.41 – $24.41 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.92 – $5.35 | 4 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $190.87 – $191.05 | 2 |
| Mapping io sentinel lymph node CPT 38900 | $135.24 | $322.00 | $2,613.00 – $2,613.00 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $615.95 – $8,624.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $51.67 – $56.20 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,682.67 | $13,530.16 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $2,533.17 | $6,031.35 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $2,375.98 – $3,084.23 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $158.00 – $158.00 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $2,300.00 – $5,686.41 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $6,470.31 – $10,887.94 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Mastoids complete CPT 70130 | $241.92 | $576.00 | $101.87 – $110.80 | 4 |
| Mastoid surgery revision CPT 69603 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Mastopexy CPT 19316 | not published | not published | $2,600.00 – $7,903.44 | 6 |
| Mast radical CPT 19305 | not published | not published | $2,370.92 – $3,042.88 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $2,512.18 – $3,235.55 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $2,600.00 – $7,903.44 | 6 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $7.88 – $131.89 | 4 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $8,953.23 | $21,317.22 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $34.04 – $37.02 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $26.47 – $28.79 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $41.55 – $45.20 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $14.03 – $15.26 | 4 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $14.86 – $16.16 | 4 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $14.86 – $16.16 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $37.41 – $40.69 | 4 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $14.34 – $15.59 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $13.04 – $14.18 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $14.63 – $15.91 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $117.98 – $128.32 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $88.91 – $96.70 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $132.89 – $144.54 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,125.20 – $1,223.80 | 4 |
| Mayo androstenedione CPT 82157 | not published | not published | $28.40 – $30.89 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $14.16 – $15.40 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.49 – $11.40 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $14.60 – $15.88 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $29.93 – $32.56 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $9.87 – $10.74 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $140.49 – $152.81 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $208.18 – $226.42 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.51 – $13.61 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $12.79 – $13.92 | 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.