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 |
|---|---|---|---|---|
| Proph rta dtchmnt pc CPT 67145 | $370.44 | $882.00 | $514.84 – $637.70 | 5 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,300.00 – $26,820.78 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,300.00 – $13,606.53 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $80.95 | $192.74 | $0.63 – $0.63 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $25.82 – $25.82 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $349.28 – $379.88 | 4 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $19.01 – $19.43 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $2,600.00 – $8,168.38 | 6 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,224.64 – $8,168.38 | 5 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,763.70 – $3,735.80 | 5 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,641.18 – $3,925.35 | 5 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,472.76 | $3,506.58 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $56.70 | $135.00 | $4.45 – $4.45 | 1 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,927.26 | $11,731.56 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $97.01 – $97.01 | 1 |
| Protein c activity CPT 85303 | not published | not published | $13.42 – $14.60 | 4 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.60 – $15.88 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $63.42 | $151.00 | $10.42 – $11.33 | 4 |
| Protein s total CPT 85305 | not published | not published | $11.26 – $12.25 | 4 |
| Protein total 24 hour urine CPT 84156 | $22.26 | $53.00 | $3.56 – $3.87 | 4 |
| Protein total body fluid CPT 84157 | $23.94 | $57.00 | $3.88 – $4.22 | 4 |
| Protein total serum plasma whole blood CPT 84155 | $22.26 | $53.00 | $3.56 – $3.87 | 4 |
| Protein western blot tissue CPT 88371 | not published | not published | $82.25 – $82.25 | 1 |
| Prothrombin complex kcentra HCPCS J7168 | $13,704.37 | $32,629.46 | $1.99 – $2.17 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.82 – $4.16 | 4 |
| Proton treatment complex CPT 77525 | not published | not published | $1,217.77 – $1,324.49 | 4 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,217.77 – $1,324.49 | 4 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,217.77 – $1,324.49 | 4 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $538.41 – $585.59 | 4 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.45 – $10.28 | 4 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $129.73 – $230.40 | 5 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $920.70 – $920.70 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,488.81 – $7,018.50 | 6 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $31.92 | $76.00 | $86.98 – $107.67 | 5 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $31.50 | $75.00 | $70.73 – $70.73 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $8,624.00 – $19,428.01 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $8,624.00 – $19,428.01 | 4 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $1,404.59 – $25,256.92 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $2,172.89 – $38,946.93 | 2 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $7,837.00 – $25,256.92 | 5 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,566.86 – $5,358.51 | 6 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $8,819.16 | $20,998.00 | $2,150.00 – $7,690.19 | 6 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $7,837.00 – $25,256.92 | 5 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $7,837.00 – $38,946.93 | 5 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $5,545.97 – $11,907.81 | 5 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $8,624.00 – $25,256.92 | 5 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $7,837.00 – $25,256.92 | 5 |
| Pr removal drug delivery implant CPT 11982 | $503.58 | $1,199.00 | $345.63 – $473.44 | 5 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $247.38 | $589.00 | $129.64 – $345.63 | 5 |
| Pr removal intrauterine device CPT 58301 | $224.28 | $534.00 | $105.18 – $322.95 | 5 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $779.10 | $1,855.00 | $316.13 – $430.83 | 5 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $483.00 | $1,150.00 | $195.50 – $258.37 | 5 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $530.46 | $1,263.00 | $195.50 – $258.37 | 5 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $483.00 | $1,150.00 | $195.50 – $258.37 | 5 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $504.00 | $1,200.00 | $195.50 – $258.37 | 5 |
| Pr robotic surgical system HCPCS S2900 | $0.42 | $1.00 | $2,172.89 – $2,172.89 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $619.50 | $1,475.00 | $2,010.50 – $6,037.67 | 6 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $90.50 – $90.86 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $2,150.00 – $6,826.20 | 6 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $429.89 – $929.67 | 5 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,600.00 – $7,690.19 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $909.30 | $2,165.00 | $1,283.72 – $1,668.30 | 5 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $21.00 | $50.00 | $37.26 – $37.26 | 1 |
| PSA (Prostate) Test CPT 84153 | $108.78 | $259.00 | $17.84 – $19.40 | 4 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $28.18 – $30.65 | 4 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $98.99 – $107.67 | 4 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $210.40 – $228.84 | 4 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $179.46 – $179.46 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $48.51 – $473.44 | 4 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $48.51 – $141.01 | 4 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $41.82 – $41.82 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $82.12 – $82.12 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $26.46 | $63.00 | $14.20 – $41.93 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $39.48 | $94.00 | $13.20 – $13.69 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $36.54 | $87.00 | $18.59 – $71.46 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $26.04 | $62.00 | $14.06 – $27.97 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $26.46 | $63.00 | $14.07 – $34.95 | 5 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $112.55 – $119.05 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $291.00 – $316.50 | 4 |
| Pten gene full sequence CPT 81321 | not published | not published | $582.00 – $633.00 | 4 |
| Pten gene known fam variant CPT 81322 | not published | not published | $45.20 – $49.16 | 4 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,797.58 – $6,273.88 | 5 |
| Pt evaluation high complexity patient/family CPT 97163 | $180.18 | $429.00 | $95.14 – $176.74 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $180.18 | $429.00 | $94.96 – $176.74 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $180.18 | $429.00 | $95.14 – $176.74 | 5 |
| Pt-focused hlth risk assmt CPT 96160 | $31.50 | $75.00 | $6.84 – $39.71 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.01 – $55.91 | 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.