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 |
|---|---|---|---|---|
| Microbe susceptible mlc CPT 87187 | not published | not published | $38.96 – $42.38 | 4 |
| Microdissection laser CPT 88380 | not published | not published | $292.04 – $292.04 | 1 |
| Microdissection manual CPT 88381 | not published | not published | $481.37 – $481.37 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $21.81 – $23.72 | 4 |
| Microsatellite instability CPT 81301 | not published | not published | $338.10 – $367.73 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $125.38 – $276.49 | 5 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $8,624.00 – $16,583.51 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $57.96 | $138.00 | $0.30 – $0.30 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $218.20 | $519.52 | $1.26 – $1.26 | 1 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $101.87 – $110.80 | 4 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $246.34 – $246.34 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $84.76 | $201.81 | $6.53 – $6.53 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.58 – $2.81 | 4 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $1.37 – $1.37 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $68.99 – $75.04 | 4 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $2.82 – $2.82 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,224.28 – $3,506.82 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $27.61 – $30.02 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $313.48 – $340.95 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $37.46 – $40.74 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $5,871.87 – $7,645.76 | 2 |
| Mlh1 gene CPT 81288 | not published | not published | $186.55 – $202.90 | 4 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $196.33 – $213.53 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $655.14 – $712.55 | 4 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $321.07 – $349.20 | 4 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $16.59 – $18.04 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.85 – $5.28 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,600.00 – $13,606.53 | 6 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $84.80 – $92.23 | 4 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,000.00 – $3,018.60 | 6 |
| Mnpj elbow under anes CPT 24300 | $1,912.68 | $4,554.00 | $1,566.86 – $3,018.60 | 5 |
| Mnpj of tmj w/anesth CPT 21073 | $2,017.68 | $4,804.00 | $517.21 – $1,644.38 | 5 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $21.37 – $59.79 | 5 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $254.27 – $330.80 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $129.64 – $218.65 | 5 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,835.25 – $3,722.32 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,217.70 – $1,589.10 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $36.60 – $39.81 | 4 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $69.34 – $69.34 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.00 – $11.97 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,256.80 | $22,040.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $635.68 – $691.38 | 4 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $129.73 – $141.10 | 4 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $62.04 – $67.48 | 4 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $145.82 – $158.60 | 4 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $266.59 – $289.95 | 4 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $292.31 – $317.92 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $274.39 – $298.44 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $820.88 – $892.81 | 4 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,940.00 – $2,110.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $146.64 | $349.14 | $0.26 – $0.26 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $57.96 | $138.00 | $30.79 – $30.79 | 1 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $12.69 – $12.69 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $17.29 – $17.29 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $166.01 – $180.56 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $349.28 – $379.88 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $494.34 | $1,177.00 | $166.01 – $180.56 | 4 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $634.91 – $690.54 | 4 |
| Motion analysis video/3d CPT 96000 | not published | not published | $206.84 – $395.48 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $222.90 – $910.10 | 5 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $205.90 – $473.44 | 5 |
| Mouth piece HCPCS A4617 | not published | not published | $3.96 – $3.96 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $177.34 – $177.34 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $166.01 – $180.56 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $293.37 – $293.37 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $166.01 – $180.56 | 4 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $145.82 – $158.60 | 4 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $19.45 – $21.15 | 4 |
| M.pneumon dna quant CPT 87582 | not published | not published | $293.54 – $319.26 | 4 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $454.66 – $454.66 | 1 |
| MRA abdomen post contrast CPT 74185 | $2,512.86 | $5,983.00 | $679.57 – $712.03 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $667.93 – $703.73 | 2 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $339.95 – $369.74 | 4 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $232.50 – $252.87 | 4 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $339.95 – $369.74 | 4 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $678.01 – $708.70 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $677.23 – $709.53 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $339.95 – $369.74 | 4 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $232.50 – $252.87 | 4 |
| MRA spinal canal CPT 72159 | not published | not published | $735.24 – $735.24 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $690.43 – $707.87 | 2 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $339.95 – $369.74 | 4 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $339.95 – $369.74 | 4 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $339.95 – $369.74 | 4 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $339.95 – $369.74 | 4 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $232.50 – $252.87 | 4 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $232.50 – $252.87 | 4 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $232.50 – $252.87 | 4 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $232.50 – $252.87 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $339.95 – $369.74 | 4 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $339.95 – $369.74 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $339.95 – $369.74 | 4 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $339.95 – $369.74 | 4 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $339.95 – $369.74 | 4 |
| Mr elastography CPT 76391 | not published | not published | $232.50 – $252.87 | 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.