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 |
|---|---|---|---|---|
| Prep donor intestine/artery CPT 44721 | not published | not published | $809.15 – $1,049.69 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $578.78 – $750.84 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $4,669.39 – $6,057.61 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $804.78 – $1,045.00 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $4,563.62 – $5,920.40 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $683.10 – $901.22 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $4,881.63 – $6,332.95 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $3,820.41 – $4,956.20 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $497.66 – $645.60 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $3,183.68 – $4,130.17 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $836.77 – $910.10 | 4 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $399.15 – $517.79 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $379.57 – $499.00 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $455.65 – $591.11 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $844.62 | $2,011.00 | $396.12 – $2,150.00 | 6 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,508.24 | $5,972.00 | $720.17 – $2,150.00 | 6 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,254.54 | $2,987.00 | $1,000.00 – $2,613.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $125.38 – $349.66 | 5 |
| Pressure treatment esophagus CPT 43460 | $131.88 | $314.00 | $450.56 – $599.56 | 2 |
| Pressure velocity wire add ves CPT 93572 | $463.68 | $1,104.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $166.01 – $180.56 | 4 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $57.48 – $62.52 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $166.01 – $180.56 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $53.34 | $127.00 | $57.48 – $62.52 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $166.01 – $180.56 | 4 |
| Preventive counseling group CPT 99411 | not published | not published | $16.73 – $17.08 | 2 |
| Preventive counseling group CPT 99412 | not published | not published | $27.37 – $28.73 | 2 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $8.40 | $20.00 | $53.24 – $53.59 | 2 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $107.99 – $109.51 | 2 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $161.20 – $164.64 | 2 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $213.68 – $220.58 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $116.76 | $278.00 | $129.73 – $230.40 | 5 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,999.20 | $4,760.00 | $178.45 – $1,750.38 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,999.20 | $4,760.00 | $1,000.00 – $3,518.94 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $610.68 | $1,454.00 | $199.49 – $1,000.00 | 6 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,856.97 – $4,086.06 | 5 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $36.37 – $76.21 | 5 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $36.37 – $76.21 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $350.56 – $364.25 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $433.44 – $445.01 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $293.52 – $300.55 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $217.48 – $222.90 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $222.79 – $228.34 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $155.89 – $158.44 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $84.40 – $85.44 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $8,449.33 – $19,428.01 | 5 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $4,837.00 – $4,837.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $98.99 – $107.67 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $569.10 | $1,355.00 | $232.13 – $430.83 | 5 |
| Pr incision & drainage abscess simple/single CPT 10060 | $494.76 | $1,178.00 | $151.61 – $212.63 | 5 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $726.60 | $1,730.00 | $133.18 – $322.95 | 5 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $355.32 | $846.00 | $214.73 – $430.83 | 5 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $189.84 | $452.00 | $129.73 – $230.40 | 5 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $139.44 | $332.00 | $129.73 – $230.40 | 5 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $131.88 | $314.00 | $26.61 – $27.12 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,902.77 – $3,630.85 | 6 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $9,639.00 | $22,950.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $309.29 – $1,000.00 | 6 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,150.00 – $4,025.92 | 6 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,150.00 – $4,025.92 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,316.67 – $4,025.92 | 5 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $208.37 – $226.63 | 4 |
| Procalcitonin CPT 84145 | $160.86 | $383.00 | $26.40 – $28.72 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $374.19 – $374.19 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $137.20 | $326.66 | $46.15 – $46.15 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.52 – $0.52 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $3,913.13 – $5,121.60 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $3,863.16 – $5,028.58 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,000.00 – $4,348.59 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,019.91 – $1,268.21 | 5 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $963.48 | $2,294.00 | $189.32 – $985.58 | 5 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,000.00 – $2,941.67 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,000.00 – $4,348.59 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,979.06 | $7,093.00 | $1,000.00 – $4,348.59 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $1,000.00 – $8,329.21 | 6 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $11.25 – $131.89 | 4 |
| Progesterone CPT 84144 | $123.06 | $293.00 | $20.23 – $22.01 | 4 |
| Prolactin CPT 84146 | $114.24 | $272.00 | $18.80 – $20.45 | 4 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $19.38 – $21.29 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $1.56 – $9.12 | 2 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $88.22 – $88.22 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $31.50 | $75.00 | $70.73 – $70.73 | 1 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $202.71 – $261.58 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $195.71 – $197.71 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $207.26 – $747.94 | 5 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $66.91 – $66.91 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $239.53 – $239.98 | 2 |
| Prolong serv without contact add CPT 99359 | not published | not published | $114.95 – $115.59 | 2 |
| Promethazine 25 mg tablet HCPCS Q0169 | $13.72 | $32.66 | $0.22 – $0.22 | 1 |
| Promethazine hcl injection HCPCS J2550 | $56.70 | $135.00 | $1.11 – $1.11 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $309.29 – $2,150.00 | 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.