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 |
|---|---|---|---|---|
| Nuclear Stress Test (Heart) CPT 78452 | $2,476.74 | $5,897.00 | $890.82 – $1,372.08 | 5 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $227.37 – $247.29 | 4 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $282.62 – $307.38 | 4 |
| Nursing fac care supervision CPT 99379 | not published | not published | $121.66 – $123.49 | 2 |
| Nursing fac care supervision CPT 99380 | not published | not published | $190.11 – $194.95 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $37.80 | $90.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $5,532.28 | $13,172.10 | not published | 0 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,247.21 – $1,356.50 | 4 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $79.35 – $86.31 | 4 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $3,201.07 – $4,193.13 | 2 |
| Observation care discharge CPT 99217 | not published | not published | $156.65 – $159.22 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $65.94 | $157.00 | $268.43 – $838.92 | 5 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $466.14 – $477.64 | 2 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $285.17 – $293.57 | 2 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $362.73 – $370.45 | 2 |
| Observation per hour HCPCS G0378 | $30.66 | $73.00 | $268.43 – $274.15 | 2 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $2,168.81 – $2,847.43 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $72.61 – $78.98 | 4 |
| Obstetrics panel CPT 80055 | not published | not published | $46.38 – $50.44 | 4 |
| Obtaining screen pap smear HCPCS Q0091 | $10.60 | $25.23 | $28.18 – $30.65 | 4 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $441.42 | $1,051.00 | $101.87 – $110.80 | 4 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $98.08 – $98.08 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,154.32 – $4,843.16 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $57.81 – $62.87 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $56.70 | $135.00 | $2.30 – $2.30 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $182.70 – $198.71 | 4 |
| Ocular function screen CPT 99172 | not published | not published | $101.13 – $103.28 | 2 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $12.17 – $16.30 | 2 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $9.90 – $16.30 | 2 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $307.57 – $582.89 | 5 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,750.00 – $6,999.01 | 6 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,750.00 – $8,191.47 | 6 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,750.00 – $6,999.01 | 6 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $60.37 – $65.66 | 4 |
| Office consultation CPT 99241 | not published | not published | $69.97 – $73.78 | 2 |
| Office emergency care CPT 99058 | not published | not published | $34.17 – $34.17 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | $75.18 | $179.00 | $205.32 – $214.35 | 2 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $106.68 | $254.00 | $330.03 – $339.41 | 2 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $408.35 – $421.73 | 2 |
| Off/op consltj new/est sf 20 CPT 99242 | $58.38 | $139.00 | $146.77 – $153.78 | 2 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,499.07 | $3,569.21 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $368.68 | $877.82 | not published | 0 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $10.31 – $10.31 | 1 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $57.79 – $57.79 | 1 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $92.02 – $92.02 | 1 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $28.13 – $28.13 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $40.57 – $44.12 | 4 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,967.08 – $3,863.31 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $742.49 – $961.37 | 2 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,434.90 – $2,648.27 | 4 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $6,977.21 – $7,588.62 | 4 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,022.52 – $3,287.38 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $493.60 – $536.86 | 4 |
| Oncology gynecologic CPT 81535 | not published | not published | $562.08 – $611.33 | 4 |
| Oncology gynecologic CPT 81536 | not published | not published | $172.23 – $187.33 | 4 |
| Oncology lung CPT 81538 | not published | not published | $2,784.87 – $3,028.90 | 4 |
| Oncology prostate prob score CPT 81539 | not published | not published | $737.20 – $801.80 | 4 |
| Oncology thyroid CPT 81545 | not published | not published | $13,320.00 – $13,320.00 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $504.40 – $548.60 | 4 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,637.50 – $3,956.25 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $870.09 – $946.33 | 4 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $252.68 – $274.83 | 4 |
| Oncoprotein dcp CPT 83951 | not published | not published | $62.48 – $67.95 | 4 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $62.48 – $67.95 | 4 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,969.10 – $2,141.65 | 4 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,756.81 – $4,086.02 | 4 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,492.00 – $3,798.00 | 4 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,215.00 – $8,203.68 | 4 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $2.31 | $5.50 | $3.34 – $3.34 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $94.10 | $224.05 | $0.85 – $0.85 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $56.70 | $135.00 | $2.19 – $2.19 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $166.01 – $180.56 | 4 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,476.68 – $3,161.30 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $3,076.47 – $7,187.00 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $3,030.84 – $7,187.00 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $3,679.89 – $4,915.80 | 2 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $3,908.79 – $5,286.06 | 2 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $4,055.84 – $5,286.06 | 2 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,815.28 – $4,149.61 | 4 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $1,591.48 – $2,081.55 | 2 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $483.16 – $631.51 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,750.00 – $6,273.88 | 6 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,600.00 – $7,903.44 | 6 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $4,410.78 – $5,786.02 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $565.09 – $2,150.00 | 6 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,422.15 – $8,449.33 | 6 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,872.91 – $6,273.88 | 5 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $1,508.16 – $7,690.19 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,750.00 – $6,273.88 | 6 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,230.65 – $5,105.49 | 6 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,874.36 – $3,722.32 | 5 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $5,358.51 – $7,690.19 | 5 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $5,358.51 – $7,690.19 | 5 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,566.86 – $5,358.51 | 5 |
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.