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 |
|---|---|---|---|---|
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $5,619.00 – $11,809.11 | 4 |
| MRI brain w/dye CPT 70558 | not published | not published | $170.91 – $185.89 | 4 |
| MRI brain without dye CPT 70557 | not published | not published | $532.44 – $579.09 | 4 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $170.91 – $185.89 | 4 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $232.50 – $252.87 | 4 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $677.21 – $677.21 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $232.50 – $252.87 | 4 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $673.90 – $673.90 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $232.50 – $620.95 | 5 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $339.95 – $1,047.33 | 5 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $763.87 – $2,472.72 | 5 |
| MRI chest without contrast CPT 71550 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| MRI chest without & w/contrast CPT 71552 | $2,512.86 | $5,983.00 | $339.95 – $1,047.33 | 5 |
| MRI chest w IV cont CPT 71551 | not published | not published | $763.87 – $925.84 | 5 |
| MRI compatible system HCPCS L0859 | $3,139.50 | $7,475.00 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $306.97 – $327.41 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $232.50 – $716.25 | 5 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,375.58 – $1,375.58 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $744.71 – $744.71 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,512.86 | $5,983.00 | $339.95 – $925.84 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,559.48 | $6,094.00 | $339.95 – $1,047.33 | 5 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,608.18 | $3,829.00 | $232.50 – $620.95 | 5 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,572.08 | $6,124.00 | $339.95 – $1,047.33 | 5 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,281.86 | $5,433.00 | $339.95 – $925.84 | 5 |
| MRI tmj CPT 70336 | not published | not published | $232.50 – $620.95 | 5 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,512.86 | $5,983.00 | $339.95 – $1,047.33 | 5 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $339.95 – $925.84 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $339.95 – $369.74 | 4 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $170.91 – $185.89 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $339.95 – $369.74 | 4 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $339.95 – $369.74 | 4 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.80 – $92.23 | 4 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $57.48 – $62.52 | 4 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $28.18 – $30.65 | 4 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $232.50 – $252.87 | 4 |
| Mr spectroscopy CPT 76390 | not published | not published | $84.80 – $92.23 | 4 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $206.90 – $225.03 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $370.25 – $402.69 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $327.60 – $356.31 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $230.86 – $251.09 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $622.59 – $677.15 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $298.76 – $324.94 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $5,703.33 – $7,690.19 | 5 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $63.38 – $68.93 | 4 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.07 – $28.36 | 4 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $41.55 – $45.20 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.68 – $6.18 | 4 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.64 – $30.07 | 4 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.55 – $15.82 | 4 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $36.51 – $39.71 | 4 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $49.46 – $49.46 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $33.14 – $33.14 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $123.18 – $136.37 | 4 |
| Multiple sleep latency test CPT 95805 | $1,390.62 | $3,311.00 | $774.88 – $910.10 | 5 |
| Mumps antibody igg CPT 86735 | not published | not published | $12.66 – $13.77 | 4 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,010.50 – $3,692.11 | 6 |
| Muscle-skin graft leg CPT 15738 | $4,727.52 | $11,256.00 | $2,300.00 – $6,037.67 | 6 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,300.00 – $6,037.67 | 6 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $112.61 – $228.84 | 5 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $125.38 – $205.90 | 5 |
| Muscle test larynx CPT 95865 | not published | not published | $129.64 – $205.90 | 5 |
| Muscle test one fiber CPT 95872 | not published | not published | $93.54 – $228.84 | 5 |
| Muscle transfers CPT 23397 | not published | not published | $3,300.00 – $9,871.54 | 6 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,750.00 – $9,871.54 | 6 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,453.08 – $7,109.98 | 5 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $46.79 – $50.89 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $19.45 – $21.15 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $41.55 – $45.20 | 4 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $4.62 | $11.00 | $2.11 – $2.11 | 1 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $7.31 – $7.31 | 1 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $12.84 – $13.97 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $170.14 – $185.05 | 4 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography l-s spine CPT 72265 | $1,676.64 | $3,992.00 | $763.87 – $830.81 | 4 |
| Myelography neck spine CPT 72240 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography thoracic spine CPT 72255 | not published | not published | $763.87 – $830.81 | 4 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,339.40 | $5,570.00 | $763.87 – $1,611.45 | 5 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,226.42 | $5,301.00 | $763.87 – $1,611.45 | 5 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,226.42 | $5,301.00 | $763.87 – $1,611.45 | 5 |
| Myelography via inj w/s&i thoracic CPT 62303 | $2,226.42 | $5,301.00 | $763.87 – $1,611.45 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $68.46 | $163.00 | $11.18 – $12.16 | 4 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $5,520.55 – $7,174.01 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $160.76 – $1,515.47 | 5 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $286.98 – $1,515.47 | 4 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $337.85 – $1,608.39 | 4 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $369.33 – $2,334.53 | 4 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $201.93 – $1,515.47 | 5 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $317.25 – $2,334.53 | 4 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $272.46 – $1,515.47 | 4 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $2,357.87 – $3,074.84 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,896.44 – $8,624.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,750.00 – $4,843.16 | 6 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $11.25 – $11.25 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Nabilone oral HCPCS J8650 | not published | not published | $145.43 – $145.43 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $68.20 | $162.38 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $56.70 | $135.00 | $6.68 – $6.68 | 1 |
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.