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 |
|---|---|---|---|---|
| Pt re-evaluation patient/family CPT 97164 | $123.06 | $293.00 | $63.68 – $120.15 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $68.88 | $164.00 | $28.94 – $81.54 | 5 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.26 – $30.29 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $53.76 | $128.00 | $28.33 – $62.14 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $52.50 | $125.00 | $29.82 – $58.25 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $57.96 | $138.00 | $28.83 – $66.80 | 5 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $8,624.00 – $25,256.92 | 5 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,247.31 – $5,707.13 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $8,922.27 – $11,545.71 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,077.54 – $2,708.34 | 2 |
| Pulmonary vent imaging CPT 78579 | $841.26 | $2,003.00 | $389.55 – $423.68 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $349.86 | $833.00 | $125.38 – $244.36 | 5 |
| Pulse ox multiple CPT 94761 | $97.44 | $232.00 | $9.12 – $10.88 | 2 |
| Pulse ox single CPT 94760 | $10.92 | $26.00 | $5.32 – $6.98 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,393.72 | $3,318.39 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $1,159.20 | $2,760.00 | $687.82 – $1,280.34 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $61.74 | $147.00 | $129.64 – $345.63 | 5 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $396.48 | $944.00 | $167.57 – $430.83 | 5 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,000.00 – $9,785.04 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $747.18 | $1,779.00 | $687.82 – $1,000.00 | 6 |
| Puraply 1 sq cm HCPCS Q4195 | $10,722.42 | $25,529.58 | $121.26 – $131.89 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $121.26 – $131.89 | 4 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $257.48 – $748.10 | 5 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $218.94 – $748.10 | 5 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,352.08 – $3,028.80 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $2,059.43 – $2,651.02 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,989.16 – $2,560.80 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $2,163.74 – $2,787.27 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,955.13 – $2,526.99 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $97.67 | $232.54 | $28.68 – $28.68 | 1 |
| Pyruvate CPT 84210 | not published | not published | $14.05 – $15.28 | 4 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.16 – $9.96 | 4 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $129.64 – $141.01 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $529.08 – $575.44 | 4 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $389.55 – $423.68 | 4 |
| Quest t3 uptake CPT 84479 | $38.22 | $91.00 | $6.28 – $6.83 | 4 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,505.07 – $1,505.07 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $341.87 – $371.82 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $14,705.15 | $35,012.25 | $266.92 – $290.31 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $229.75 – $249.89 | 4 |
| Radial keratotomy CPT 65771 | not published | not published | $1,339.38 – $8,624.00 | 3 |
| Radiation handling CPT 77790 | not published | not published | $43.25 – $43.25 | 1 |
| Radiation physics consult CPT 77336 | not published | not published | $130.97 – $142.45 | 4 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $96.53 – $142.45 | 4 |
| Radiation therapy management CPT 77431 | not published | not published | $297.64 – $297.64 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $81.44 – $142.45 | 4 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $130.97 – $142.45 | 4 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $193.07 – $396.82 | 4 |
| Radiation treatment delivery CPT 77401 | not published | not published | $70.39 – $70.39 | 1 |
| Radiation treatment delivery CPT 77402 | not published | not published | $99.42 – $108.13 | 4 |
| Radiation treatment delivery CPT 77412 | not published | not published | $538.41 – $585.59 | 4 |
| Radiation tx management x5 CPT 77427 | not published | not published | $539.95 – $539.95 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $3,869.67 – $8,624.00 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $3,161.23 – $7,690.19 | 5 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $4,080.46 – $7,690.19 | 5 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $3,713.19 – $7,690.19 | 5 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,794.00 – $7,690.19 | 5 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,566.51 – $7,690.19 | 5 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,830.41 – $3,518.94 | 5 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Radiology port images(s) CPT 77417 | not published | not published | $32.17 – $32.17 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,348.72 – $1,466.91 | 4 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $165.96 – $180.50 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $529.08 – $575.44 | 4 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,913.96 | $6,938.00 | $529.08 – $575.44 | 4 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,261.53 – $1,372.08 | 4 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $529.08 – $575.44 | 4 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $389.55 – $423.68 | 4 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $279.72 – $279.72 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $5,619.00 – $9,871.54 | 5 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,300.00 – $3,518.94 | 6 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,300.00 – $3,518.94 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,300.00 – $3,518.94 | 6 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,300.00 – $3,518.94 | 6 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,830.41 – $4,785.74 | 5 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $5,619.00 – $9,871.54 | 5 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,830.41 – $3,518.94 | 5 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $73.21 – $79.62 | 4 |
| Range of motion measurements CPT 95852 | not published | not published | $4.83 – $13.20 | 5 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $65.82 – $71.58 | 4 |
| Rapid desensitization CPT 95180 | not published | not published | $285.64 – $473.44 | 5 |
| Rapid Strep Test CPT 87880 | $115.08 | $274.00 | $16.03 – $17.44 | 4 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $370.72 – $403.21 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $216.96 – $235.98 | 4 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $964.60 – $964.60 | 1 |
| Rbc count only automated CPT 85041 | not published | not published | $2.93 – $3.19 | 4 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $429.89 – $1,647.94 | 5 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.34 – $9.07 | 4 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.25 – $7.88 | 4 |
| Rbc serum pretx incubj drugs CPT 86975 | $418.32 | $996.00 | $403.41 – $473.44 | 4 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $213.53 – $365.77 | 2 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $137.47 – $208.36 | 2 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $36.50 – $66.15 | 2 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $95.82 – $137.47 | 2 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $100.37 – $137.47 | 2 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $95.82 – $137.47 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,768.40 – $9,785.04 | 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.