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 pregnenolone CPT 84140 | not published | not published | $20.05 – $21.81 | 4 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.09 – $17.50 | 4 |
| Mayo proinsulin CPT 84206 | not published | not published | $25.89 – $28.16 | 4 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $17.84 – $19.40 | 4 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $17.85 – $19.41 | 4 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $12.96 – $14.09 | 4 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $35.47 – $38.58 | 4 |
| Mayo renin CPT 84244 | not published | not published | $21.33 – $23.20 | 4 |
| Mayo repu protein electrophoresis urine CPT 84166 | not published | not published | $17.30 – $18.81 | 4 |
| Mayo selenium CPT 84255 | not published | not published | $24.76 – $26.93 | 4 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.04 – $16.35 | 4 |
| Mayo serotonin CPT 84260 | not published | not published | $30.05 – $32.68 | 4 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $18.77 – $20.41 | 4 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $31.08 | $74.00 | $13.32 – $14.49 | 4 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $89.27 – $97.09 | 4 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $36.54 | $87.00 | $4.14 – $4.50 | 4 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $125.05 – $136.01 | 4 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $202.65 – $220.41 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $147.84 | $352.00 | $24.71 – $26.87 | 4 |
| Mayo tgrp testosterone total CPT 84403 | $152.46 | $363.00 | $25.04 – $27.23 | 4 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $21.50 – $23.39 | 4 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $15.58 – $16.94 | 4 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $9.87 – $10.74 | 4 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $12.02 – $13.07 | 4 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $49.74 – $54.10 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $13.74 – $14.94 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.13 – $14.28 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $34.27 – $37.27 | 4 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $19.63 – $21.35 | 4 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $16.55 – $18.00 | 4 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.31 – $14.47 | 4 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $12.85 – $13.98 | 4 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,768.22 – $2,303.33 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $38.13 – $41.47 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,300.00 – $5,644.25 | 6 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,566.86 – $5,644.25 | 6 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $44.86 – $45.83 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,453.08 – $7,109.98 | 5 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $34.67 – $34.67 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $19.01 – $19.43 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $41.82 – $395.48 | 5 |
| Measure kidney pressure CPT 50396 | not published | not published | $560.82 – $1,000.00 | 6 |
| Measurement post void urine by ultrasound CPT 51798 | $70.14 | $167.00 | $57.48 – $137.39 | 5 |
| Measure ureter pressure CPT 50686 | not published | not published | $125.38 – $162.78 | 5 |
| Mecasermin injection HCPCS J2170 | not published | not published | $414.04 – $414.04 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $1,183.49 – $1,183.49 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $145.50 – $158.25 | 4 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $512.03 – $556.90 | 4 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $116.40 – $126.60 | 4 |
| Medial canthopexy CPT 21280 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,619.00 – $8,271.11 | 5 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,619.00 – $8,271.11 | 5 |
| Medical services after hrs CPT 99050 | not published | not published | $34.17 – $34.17 | 1 |
| Medical testimony CPT 99075 | not published | not published | $288.96 – $295.13 | 2 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $363.61 – $395.48 | 4 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $293.95 | $699.89 | $0.78 – $0.78 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.33 – $0.33 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $406.07 – $420.16 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $464.62 – $910.10 | 5 |
| Meg spontaneous CPT 95965 | not published | not published | $836.77 – $952.18 | 5 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $26.08 – $26.08 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $2,975.28 | $7,084.00 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $13,762.02 | $32,766.72 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $3,239.96 | $7,714.20 | not published | 0 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $141,644.09 – $141,644.09 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $101.73 – $131.89 | 4 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $30,618.03 | $72,900.08 | not published | 0 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $849.89 – $849.89 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,619.00 – $11,399.75 | 5 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $57.96 | $138.00 | $6.75 – $6.75 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.87 – $33.57 | 4 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $8.76 – $8.76 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $88.43 | $210.54 | $8.20 – $8.20 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $3,300.00 – $8,624.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $26.27 – $26.27 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $106.68 | $254.00 | $8.21 – $8.93 | 4 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $133.14 | $317.00 | $10.24 – $11.14 | 4 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.32 – $14.49 | 4 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $2.78 – $2.78 | 1 |
| Methadone injection HCPCS J1230 | not published | not published | $44.89 – $44.89 | 1 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.07 – $0.07 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $60.71 | $144.55 | $46.71 – $46.71 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $21.89 | $52.13 | $7.61 – $7.61 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $60.90 | $145.00 | $4.41 – $4.41 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $56.28 | $134.00 | $37.41 – $40.69 | 4 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $291.72 – $291.72 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $148.40 – $148.40 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,624.12 | $3,866.95 | $4.30 – $10.85 | 4 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $56.70 | $135.00 | $50.68 – $50.68 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $831.04 | $1,978.66 | $3.56 – $3.56 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $12.31 | $29.30 | $1.37 – $1.37 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $119.33 | $284.12 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $442.13 | $1,052.70 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $56.70 | $135.00 | $5.64 – $5.64 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $69.30 | $165.00 | $0.07 – $0.07 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $88.43 – $96.17 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $120.90 – $131.50 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $483.98 | $1,152.33 | $6.94 – $6.94 | 1 |
| Microalbumin urine screen CPT 82044 | $7.98 | $18.99 | $6.04 – $6.57 | 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.