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 |
|---|---|---|---|---|
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $1,129.32 – $7,690.19 | 5 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,680.58 – $2,196.19 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,679.86 – $2,196.19 | 2 |
| Ophthalmic biometry CPT 92136 | $61.32 | $146.00 | $129.64 – $218.65 | 5 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $1,331.89 – $1,331.89 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $36.40 – $112.87 | 5 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $129.64 – $141.01 | 4 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $101.87 – $110.80 | 4 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $101.87 – $110.80 | 4 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $2,548.40 – $8,624.00 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $848.98 – $7,837.00 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $4,837.00 – $68,632.21 | 5 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,000.00 – $44,874.55 | 6 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,000.00 – $13,879.04 | 6 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,300.00 – $13,879.04 | 6 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $4,837.00 – $32,703.22 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,650.53 – $6,273.88 | 5 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $2,232.57 – $6,273.88 | 5 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $2,300.00 – $6,273.88 | 6 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $2,102.90 – $6,273.88 | 5 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $2,249.21 – $6,273.88 | 5 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $7,760.34 | $18,477.00 | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $406.59 – $838.92 | 5 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $1,628.69 – $1,628.69 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $57.48 – $62.52 | 4 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $57.48 – $62.52 | 4 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $189.37 – $189.37 | 1 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $9.12 – $9.32 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,600.00 – $11,092.43 | 6 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,300.00 – $11,092.43 | 6 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,300.00 – $11,092.43 | 6 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,300.00 – $11,092.43 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | $8,819.16 | $20,998.00 | $2,300.00 – $14,610.48 | 6 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $3,634.24 – $6,273.88 | 5 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,490.78 – $6,273.88 | 5 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $4,262.29 – $6,273.88 | 5 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,921.45 – $6,273.88 | 5 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,300.00 – $11,092.43 | 6 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,750.00 – $14,610.48 | 6 |
| Optx lunate dislocation CPT 25695 | $8,819.16 | $20,998.00 | $2,150.00 – $7,690.19 | 6 |
| Optx medial ankle fx CPT 27766 | $8,819.16 | $20,998.00 | $2,300.00 – $11,092.43 | 6 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Optx mndblr/max alv ridge fx CPT 21445 | $7,760.34 | $18,477.00 | $2,600.00 – $9,785.04 | 6 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,374.16 – $6,273.88 | 5 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,609.59 – $6,273.88 | 5 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,750.00 – $14,610.48 | 6 |
| Optx post ankle fx CPT 27769 | not published | not published | $5,619.00 – $11,092.43 | 5 |
| Optx prox humrl fx w/int fix CPT 23615 | $18,962.58 | $45,149.00 | $2,600.00 – $14,610.48 | 6 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,600.00 – $18,582.47 | 6 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,300.00 – $11,092.43 | 6 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,600.00 – $11,092.43 | 6 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,750.00 – $11,092.43 | 6 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,300.00 – $14,610.48 | 6 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,300.00 – $14,610.48 | 6 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,300.00 – $14,610.48 | 6 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,300.00 – $14,610.48 | 6 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,300.00 – $13,606.53 | 6 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,300.00 – $11,092.43 | 6 |
| Optx thigh fx CPT 27269 | not published | not published | $2,596.20 – $7,690.19 | 5 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Optx ulnar shft fx int fixj CPT 25545 | $8,819.16 | $20,998.00 | $2,300.00 – $11,092.43 | 6 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $5,619.00 – $11,092.43 | 5 |
| Oral aprepitant HCPCS J8501 | $374.43 | $891.51 | $27.01 – $27.01 | 1 |
| Oral busulfan HCPCS J8510 | not published | not published | $9.82 – $10.68 | 4 |
| Oral everolimus HCPCS J7527 | not published | not published | $32.61 – $32.61 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.62 – $12.64 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $385.86 – $419.67 | 4 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $6,064.55 – $7,903.26 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $6,896.15 – $8,950.13 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $6,704.92 – $8,816.71 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,300.00 – $4,753.93 | 6 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,488.81 – $7,018.50 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | $5,147.52 | $12,256.00 | $2,600.00 – $7,018.50 | 6 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $22.89 – $24.90 | 4 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.41 – $46.12 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $27.71 – $30.14 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $207.47 – $1,644.38 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $39.99 – $39.99 | 1 |
| Orthopantogram CPT 70355 | not published | not published | $84.80 – $92.23 | 4 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $112.87 – $116.07 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $57.48 – $62.52 | 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.