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 |
|---|---|---|---|---|
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.66 – $9.42 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $18.06 | $43.00 | $13.19 – $14.35 | 4 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.36 – $17.80 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $25.98 – $28.25 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $118.55 – $128.94 | 4 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $10.42 – $11.33 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $13.70 – $14.90 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $12.49 – $13.59 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $11.47 – $12.47 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $12.30 – $13.38 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $113.00 – $122.90 | 4 |
| Mayo chromium CPT 82495 | not published | not published | $19.67 – $21.40 | 4 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $11.13 – $12.10 | 4 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $23.37 – $25.41 | 4 |
| Mayo cortisol free CPT 82530 | not published | not published | $16.21 – $17.63 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $63.00 | $150.00 | $40.87 – $44.45 | 4 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $11.76 – $12.79 | 4 |
| Mayo cyanide CPT 82600 | not published | not published | $18.82 – $20.47 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $166.01 – $180.56 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $12.85 – $13.98 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $24.51 – $26.66 | 4 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $28.40 – $30.89 | 4 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.35 – $10.17 | 4 |
| Mayo efpo chloride stool CPT 82438 | $50.40 | $120.00 | $4.85 – $5.28 | 4 |
| Mayo estriol CPT 82677 | not published | not published | $23.45 – $25.51 | 4 |
| Mayo estrone CPT 82679 | not published | not published | $24.20 – $26.32 | 4 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $15.85 – $17.24 | 4 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.32 – $14.49 | 4 |
| Mayo factor ii CPT 85210 | not published | not published | $12.59 – $13.69 | 4 |
| Mayo factor v CPT 85220 | not published | not published | $17.12 – $18.62 | 4 |
| Mayo factor vii CPT 85230 | not published | not published | $17.36 – $18.88 | 4 |
| Mayo factor viii vw factor antigen CPT 85246 | $218.82 | $521.00 | $22.25 – $24.20 | 4 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $22.25 – $24.20 | 4 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $218.82 | $521.00 | $22.25 – $24.20 | 4 |
| Mayo factor x CPT 85260 | not published | not published | $17.36 – $18.88 | 4 |
| Mayo factor xi CPT 85270 | not published | not published | $17.36 – $18.88 | 4 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.30 – $17.72 | 4 |
| Mayo fbl culture fungi blood CPT 87103 | $142.38 | $339.00 | $19.85 – $21.59 | 4 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $78.05 – $84.89 | 4 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $7.59 – $8.25 | 4 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.03 – $15.26 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $21.02 – $22.86 | 4 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $94.91 – $94.91 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.61 – $5.01 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $13.38 – $14.55 | 4 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.04 – $27.23 | 4 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $74.76 | $178.00 | $8.62 – $9.38 | 4 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $113.82 | $271.00 | $13.11 – $14.26 | 4 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | not published | not published | $26.35 – $28.66 | 4 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $50.82 | $121.00 | $16.75 – $18.22 | 4 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $14.54 – $15.81 | 4 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $123.06 | $293.00 | $20.19 – $21.95 | 4 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $20.19 – $21.95 | 4 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | not published | not published | $15.59 – $16.95 | 4 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | not published | not published | $11.62 – $12.64 | 4 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | not published | not published | $41.55 – $45.20 | 4 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $70.02 – $76.16 | 4 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $37.41 – $40.69 | 4 |
| Mayo inhab inhibin a CPT 86336 | not published | not published | $15.12 – $16.45 | 4 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.56 – $13.66 | 4 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $20.77 – $22.59 | 4 |
| Mayo iodine CPT 83789 | not published | not published | $23.39 – $25.44 | 4 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $26.30 – $28.60 | 4 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $26.30 – $28.60 | 4 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | not published | not published | $12.85 – $13.98 | 4 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $12.41 – $13.49 | 4 |
| Mayo legionella antibody CPT 86713 | not published | not published | $14.84 – $16.14 | 4 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $15.71 – $17.09 | 4 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $10.92 – $11.88 | 4 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | not published | not published | $15.03 – $16.34 | 4 |
| Mayo manganese CPT 83785 | not published | not published | $25.85 – $28.12 | 4 |
| Mayo metanephrines plasma CPT 83835 | not published | not published | $16.43 – $17.87 | 4 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $11.69 – $12.71 | 4 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $17.85 – $19.41 | 4 |
| Mayo microsomal antibody liver-kidney CPT 86376 | not published | not published | $14.11 – $15.35 | 4 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $41.58 | $99.00 | $18.08 – $19.67 | 4 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $132.89 – $144.54 | 4 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $179.64 – $195.39 | 4 |
| Mayo muramidase CPT 85549 | not published | not published | $18.19 – $19.78 | 4 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $17.85 – $19.41 | 4 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $17.51 – $19.04 | 4 |
| Mayo myoglobin CPT 83874 | not published | not published | $12.53 – $13.63 | 4 |
| Mayo nickel CPT 83885 | not published | not published | $23.77 – $25.86 | 4 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $20.57 – $22.38 | 4 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $15.96 – $17.35 | 4 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $14.02 – $15.24 | 4 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.18 – $12.16 | 4 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $14.58 – $15.86 | 4 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | not published | not published | $11.69 – $12.71 | 4 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $34.04 – $37.02 | 4 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $17.44 – $18.97 | 4 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | not published | not published | $13.35 – $14.52 | 4 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $8.19 – $8.90 | 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.