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 |
|---|---|---|---|---|
| Pelvic CT scan (with contrast) CPT 72193 | $1,231.86 | $2,933.00 | $170.91 – $522.32 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $751.80 | $1,790.00 | $101.87 – $260.21 | 5 |
| Pelvic exenteration CPT 45126 | not published | not published | $5,835.65 – $7,382.64 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,559.48 | $6,094.00 | $339.95 – $1,047.33 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $2,512.86 | $5,983.00 | $339.95 – $925.84 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,826.20 – $7,690.19 | 5 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $2,094.20 – $7,690.19 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | $375.06 | $893.00 | $101.87 – $110.80 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.41 – $64.62 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.92 – $4.26 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | $8.40 | $20.00 | $17.07 – $20.60 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,353.55 | $3,222.74 | $30.52 – $33.20 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $91.14 | $217.00 | $5.49 – $5.49 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $78.02 – $78.02 | 1 |
| Penile injection CPT 54235 | $286.44 | $682.00 | $87.78 – $264.79 | 5 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $19,235.57 | $45,798.97 | not published | 0 |
| Penile vascular study CPT 93980 | not published | not published | $101.87 – $128.93 | 5 |
| Penile vascular study CPT 93981 | not published | not published | $101.87 – $111.07 | 5 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,300.00 – $5,863.63 | 6 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,300.00 – $8,962.11 | 6 |
| Penis study CPT 54240 | not published | not published | $76.16 – $228.84 | 5 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $557.24 – $557.24 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $447.65 – $447.65 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $35.73 – $38.86 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,547.54 – $2,770.78 | 4 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,357.92 – $11,265.58 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $7,837.00 – $38,946.93 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $7,837.00 – $25,256.92 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $7,837.00 – $38,946.93 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $7,837.00 – $25,256.92 | 5 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $5,890.88 – $10,744.81 | 5 |
| Percut ablate liver rf CPT 47382 | not published | not published | $5,890.88 – $10,744.81 | 5 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $780.89 – $1,000.82 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $353.71 – $353.71 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $124.32 | $296.00 | $475.93 – $475.93 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $5,184.43 – $6,739.85 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,118.90 | $5,045.00 | $1,533.89 – $1,668.30 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $124.32 | $296.00 | $1,838.49 – $2,406.69 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,600.00 – $7,903.44 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,750.00 – $4,843.16 | 6 |
| Peripheral vascular rehab CPT 93668 | $114.24 | $272.00 | $38.02 – $62.52 | 5 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $28.73 – $42.58 | 2 |
| Peri-proc device eval pm CPT 93286 | $73.50 | $175.00 | $26.41 – $42.58 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,000.00 – $5,897.28 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $532.44 – $579.09 | 4 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $389.55 – $423.68 | 4 |
| Permanent tear duct plug HCPCS A4263 | $511.01 | $1,216.70 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.04 – $1.04 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,762.43 – $7,837.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $1,666.81 – $2,177.93 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $345.63 – $750.48 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $345.63 – $750.48 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $7,187.00 – $10,032.63 | 5 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,794.00 – $10,032.63 | 5 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $7,837.00 – $12,234.62 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $7,837.00 – $19,428.01 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,624.00 – $12,234.62 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,624.00 – $12,234.62 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $5,619.00 – $10,803.42 | 5 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $5,619.00 – $10,803.42 | 5 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $5,619.00 – $10,803.42 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $226.38 | $539.00 | $243.46 – $264.79 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,000.00 – $5,358.51 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,613.00 – $5,358.51 | 5 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,000.00 – $2,761.38 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $7,837.00 – $38,946.93 | 5 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $7,837.00 – $38,761.86 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $7,837.00 – $38,761.86 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $1,567.58 – $7,837.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $1,222.04 – $1,222.04 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $3,969.00 | $9,450.00 | $2,150.00 – $5,358.51 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,150.00 – $6,273.88 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $11.62 – $12.64 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.51 – $17.95 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $58.42 – $63.54 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $263.12 | $626.47 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $271.83 – $1,515.47 | 5 |
| Pet CT whole body initial CPT 78816 | not published | not published | $273.39 – $1,515.47 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $162.32 – $1,515.47 | 5 |
| Pet image full body CPT 78813 | not published | not published | $222.90 – $1,515.47 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $173.96 – $1,372.08 | 5 |
| Pet image skull-thigh CPT 78812 | not published | not published | $213.57 – $1,515.47 | 5 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $247.74 – $1,515.47 | 5 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $389.55 – $423.68 | 4 |
| Pet scan brain perf study CPT 78609 | not published | not published | $168.54 – $175.72 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $47,767.34 | $113,731.75 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.55 – $55.91 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $27.85 – $84.66 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.21 – $28.73 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,300.00 – $4,573.81 | 6 |
| Ph body fluid CPT 83986 | $21.00 | $50.00 | $3.47 – $3.78 | 4 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $94.68 – $94.68 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $174.72 | $415.99 | $103.62 – $103.62 | 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.