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 |
|---|---|---|---|---|
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,417.75 | $3,375.60 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $105.82 – $115.09 | 4 |
| Oscillation chest wall mechanical per session CPT 94669 | $83.16 | $198.00 | $213.38 – $356.92 | 5 |
| Osmolality blood CPT 83930 | $39.06 | $93.00 | $6.41 – $6.97 | 4 |
| Osmolality urine CPT 83935 | $40.32 | $96.00 | $6.62 – $7.20 | 4 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,300.00 – $4,573.81 | 6 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,600.00 – $6,826.20 | 6 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $5,619.00 – $26,820.78 | 5 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $6,794.00 – $9,871.54 | 5 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $6,794.00 – $13,691.48 | 5 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $21.04 – $42.99 | 5 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $21.04 – $42.99 | 5 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $21.04 – $42.99 | 5 |
| Osteoplasty humerus CPT 24420 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $3,407.51 – $7,690.19 | 5 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $766.39 – $2,613.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $3,324.92 – $7,690.19 | 5 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $3,624.11 – $7,690.19 | 5 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,600.00 – $9,871.54 | 6 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $2,291.24 – $13,606.53 | 5 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,300.00 – $13,691.48 | 6 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $3.03 – $3.03 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $62.46 – $62.46 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.49 – $3.49 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $4.58 – $4.58 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.08 – $6.08 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.21 – $2.21 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $11.55 – $11.55 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $10.88 – $10.88 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $174.72 | $416.00 | $97.74 – $171.32 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $174.72 | $416.00 | $97.26 – $171.32 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $174.72 | $416.00 | $95.08 – $171.32 | 5 |
| Other bone graft microvasc CPT 20962 | not published | not published | $5,486.24 – $7,690.19 | 5 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $22.44 – $24.40 | 4 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $26.61 – $63.39 | 5 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $21.29 – $113.54 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $97.44 | $232.00 | $50.49 – $106.60 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $88.62 | $211.00 | $44.59 – $83.10 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $49.56 | $118.00 | $27.62 – $65.24 | 5 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $20.53 – $20.96 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,300.00 – $5,105.49 | 6 |
| Ot re-evaluation patient/family CPT 97168 | $117.60 | $280.00 | $64.60 – $113.17 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $69.72 | $166.00 | $33.83 – $76.12 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $39.48 | $94.00 | $17.98 – $19.56 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $41.16 | $98.00 | $19.19 – $20.87 | 4 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $53.76 | $128.00 | $28.09 – $70.68 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $62.16 | $148.00 | $31.89 – $73.00 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $60.06 | $143.00 | $31.28 – $76.12 | 5 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $3,285.81 – $4,289.93 | 2 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Ovulation tests CPT 84830 | not published | not published | $12.32 – $13.40 | 4 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $165.13 | $393.17 | $7.38 – $7.38 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $1.08 – $1.08 | 1 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $11.54 – $11.54 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $56.70 | $135.00 | $2.00 – $2.00 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $1,073.30 – $1,073.30 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $269.89 – $293.54 | 4 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $132.89 – $144.54 | 4 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $44,654.40 | $106,320.00 | not published | 0 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.40 – $2.40 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.67 – $0.67 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $5.84 – $6.35 | 4 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $656.20 – $713.71 | 4 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $292.31 – $317.92 | 4 |
| Palifermin injection HCPCS J2425 | not published | not published | $35.62 – $38.74 | 4 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $2,949.45 – $2,949.45 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.62 – $15.91 | 4 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $231.00 | $550.00 | $423.65 – $460.77 | 4 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $25.64 – $25.64 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $274.51 | $653.60 | $30.64 – $30.64 | 1 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,172.89 – $8,157.94 | 2 |
| Pancreatectomy CPT 48146 | not published | not published | $3,948.62 – $5,114.10 | 2 |
| Pancreatectomy CPT 48152 | not published | not published | $6,076.15 – $7,860.97 | 2 |
| Pancreatectomy CPT 48154 | not published | not published | $6,113.09 – $7,896.68 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $6,532.52 – $8,420.11 | 2 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $3,292.34 – $4,250.48 | 2 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $2,818.58 – $3,660.32 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $169.15 – $183.98 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $56.70 | $135.00 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $91.75 – $91.75 | 1 |
| Parathormone (pth) intact CPT 83970 | $243.60 | $580.00 | $40.04 – $43.55 | 4 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,909.13 – $3,768.37 | 2 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $529.08 – $575.44 | 4 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $5,619.00 – $5,619.00 | 1 |
| Parathyroid planar imaging CPT 78070 | $715.26 | $1,703.00 | $389.55 – $423.68 | 4 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $389.55 – $423.68 | 4 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $4,874.49 – $10,438.65 | 5 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $3,300.00 – $10,887.94 | 6 |
| Paricalcitol HCPCS J2501 | not published | not published | $5.38 – $5.38 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $240.66 | $573.00 | $195.50 – $258.37 | 5 |
| Parotid duct diversion CPT 42507 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Parotid duct diversion CPT 42509 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $5,619.00 – $10,790.14 | 5 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $4,109.28 | $9,784.00 | $1,000.00 – $4,843.16 | 6 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,657.76 – $3,424.42 | 2 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,300.00 – $6,826.20 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,300.00 – $4,573.81 | 6 |
| Partial excision of lip CPT 40500 | not published | not published | $2,150.00 – $3,513.75 | 6 |
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.