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 |
|---|---|---|---|---|
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $3,553.84 – $6,273.88 | 5 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $3,158.31 – $6,273.88 | 5 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $3,349.56 – $6,273.88 | 5 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $3,482.85 – $6,273.88 | 5 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $4,537.55 – $6,373.35 | 5 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $4,089.89 – $6,273.88 | 5 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $3,801.57 – $6,273.88 | 5 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $5,768.40 – $7,073.46 | 5 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $5,439.42 – $6,519.02 | 5 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,230.65 – $5,105.49 | 5 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,619.00 – $9,785.04 | 5 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Realignment of knee CPT 27457 | not published | not published | $2,005.82 – $7,690.19 | 5 |
| Realignment of knee CPT 27455 | not published | not published | $1,955.13 – $7,690.19 | 5 |
| Realignment of tendons CPT 26437 | not published | not published | $2,300.00 – $3,467.69 | 6 |
| Realignment of thigh bone CPT 27454 | not published | not published | $2,707.03 – $7,690.19 | 5 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Rechanneling of artery CPT 35361 | not published | not published | $3,172.81 – $4,242.95 | 2 |
| Rechanneling of artery CPT 35306 | not published | not published | $930.83 – $1,245.15 | 2 |
| Rechanneling of artery CPT 35311 | not published | not published | $3,266.25 – $4,319.08 | 2 |
| Rechanneling of artery CPT 35363 | not published | not published | $3,392.30 – $4,875.41 | 2 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $2,579.53 – $3,405.64 | 2 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,893.19 – $3,784.34 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $2,681.68 – $3,573.85 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $3,067.78 – $4,048.44 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $2,055.08 – $5,897.28 | 5 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $2,604.18 – $3,454.52 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,989.88 – $2,571.14 | 2 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $122.30 – $122.30 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $3,055.46 – $6,273.88 | 5 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $3,070.68 – $6,273.88 | 5 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,780.19 – $3,831.35 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $2,152.87 – $7,690.19 | 5 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,105.49 – $6,273.88 | 5 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $2,629.40 – $28,756.84 | 5 |
| Reconstruct bronchus CPT 31775 | not published | not published | $2,932.31 – $3,345.49 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,070.60 – $13,691.48 | 5 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $4,419.49 – $6,273.88 | 5 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $4,835.28 – $6,273.88 | 5 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $5,205.44 – $6,518.07 | 5 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,750.00 – $8,825.63 | 6 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $2,750.00 – $26,820.78 | 6 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $2,750.00 – $13,606.53 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,070.60 – $9,871.54 | 5 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $6,794.00 – $13,606.53 | 5 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,750.00 – $3,467.69 | 6 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,600.00 – $5,797.82 | 6 |
| Reconstruct finger joint CPT 26548 | $4,326.00 | $10,300.00 | $2,600.00 – $5,797.82 | 6 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,750.00 – $26,820.78 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,750.00 – $26,820.78 | 6 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $3,014.71 – $18,582.47 | 5 |
| Reconstruction knee CPT 27427 | not published | not published | $2,300.00 – $16,586.67 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $2,600.00 – $26,820.78 | 6 |
| Reconstruction knee CPT 27429 | not published | not published | $2,600.00 – $16,586.67 | 6 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,300.00 – $5,092.98 | 6 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $3,299.58 – $4,299.32 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,300.00 – $4,025.92 | 6 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,300.00 – $4,025.92 | 6 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $2,300.00 – $4,166.53 | 6 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,300.00 – $4,025.92 | 6 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $3,533.44 – $13,606.53 | 5 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $2,976.17 – $7,690.19 | 5 |
| Reconstruction of jaw CPT 21245 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Reconstruction of jaw CPT 21246 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Reconstruction of jaw CPT 21248 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Reconstruction of jaw CPT 21249 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $2,750.00 – $28,756.84 | 6 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $3,300.00 – $9,785.04 | 6 |
| Reconstruction of midface CPT 21188 | not published | not published | $3,481.40 – $6,273.88 | 5 |
| Reconstruction of mouth CPT 40840 | not published | not published | $2,150.00 – $6,273.88 | 6 |
| Reconstruction of mouth CPT 40842 | not published | not published | $2,300.00 – $9,785.04 | 6 |
| Reconstruction of mouth CPT 40843 | not published | not published | $2,300.00 – $6,273.88 | 6 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruction of nail bed CPT 11762 | $2,301.18 | $5,479.00 | $375.75 – $2,186.68 | 5 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruction of nose CPT 30420 | not published | not published | $2,750.00 – $9,785.04 | 6 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,768.40 – $9,785.04 | 5 |
| Reconstruction of throat CPT 42950 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Reconstruction of urethra CPT 53410 | not published | not published | $2,150.00 – $6,583.40 | 6 |
| Reconstruction of urethra CPT 53415 | not published | not published | $2,368.74 – $3,048.53 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $2,150.00 – $6,583.40 | 6 |
| Reconstruction of urethra CPT 54308 | not published | not published | $2,300.00 – $8,962.11 | 6 |
| Reconstruction of urethra CPT 54312 | not published | not published | $2,300.00 – $5,863.63 | 6 |
| Reconstruction of urethra CPT 54316 | not published | not published | $2,300.00 – $10,032.63 | 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.