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 |
|---|---|---|---|---|
| Salmonella antibody CPT 86768 | not published | not published | $12.79 – $13.92 | 4 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,154.32 – $4,843.16 | 5 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $129.73 – $230.40 | 5 |
| Sargramostim injection HCPCS J2820 | not published | not published | $60.03 – $65.29 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $43.82 – $54.26 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $124.49 | $296.40 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $7.24 | $17.24 | $34.27 – $37.27 | 4 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $68.18 – $74.16 | 4 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $5,915.61 – $8,329.21 | 6 |
| Sbrt management CPT 77435 | not published | not published | $1,826.98 – $1,826.98 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $294.28 – $309.88 | 2 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $31.50 | $75.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $21.00 | $50.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $21.00 | $50.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $14.70 | $35.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $98.99 – $107.67 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $792.54 | $1,887.00 | $232.50 – $493.16 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $441.42 | $1,051.00 | $101.87 – $270.27 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $932.40 | $2,220.00 | $232.50 – $333.18 | 5 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $375.06 | $893.00 | $101.87 – $210.47 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $160.44 | $382.00 | $101.87 – $228.34 | 5 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $375.06 | $893.00 | $101.87 – $216.69 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $932.40 | $2,220.00 | $232.50 – $485.40 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $375.06 | $893.00 | $101.87 – $281.93 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $375.06 | $893.00 | $101.87 – $230.66 | 5 |
| Scan proc cranial extra CPT 61782 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,900.96 | $9,288.00 | $1,226.12 – $2,471.11 | 5 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,188.30 – $6,200.00 | 6 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,163.35 | $17,055.60 | $22.26 – $22.26 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $17.98 – $19.56 | 4 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $120.03 – $120.03 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $30.98 – $33.70 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $42.65 – $46.39 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $25.70 – $27.95 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $26.24 – $28.54 | 4 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $19.65 – $21.37 | 4 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $120.03 – $120.03 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $906.17 – $2,150.00 | 6 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $906.17 – $2,150.00 | 6 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.51 – $19.04 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $27.42 – $29.82 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $44.96 – $48.90 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $23.36 – $25.40 | 4 |
| Screening Mammogram CPT 77067 | $157.50 | $375.00 | $80.49 – $87.54 | 4 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $120.03 – $120.03 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $18.73 – $20.37 | 4 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $17.98 – $19.56 | 4 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $7.14 | $17.00 | $6.08 – $6.98 | 2 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $64,280.97 | $153,049.92 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $78.12 | $186.00 | $70.16 – $196.49 | 5 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $131.88 | $314.00 | $1,712.44 – $2,212.16 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $12.17 – $12.40 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $26.04 | $62.00 | $2.62 – $2.85 | 4 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $7,722.88 – $7,722.88 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $2,995.34 – $3,926.27 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $57.48 – $93.92 | 5 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.00 – $1.00 | 1 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $19.01 – $19.01 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $28.18 – $30.65 | 4 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $28.89 – $29.51 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $21.29 – $21.75 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $6.30 – $6.86 | 4 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $11.69 – $12.71 | 4 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.35 – $9.08 | 4 |
| Sensorimotor examination CPT 92060 | not published | not published | $57.48 – $112.87 | 5 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $36.40 – $93.92 | 5 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,316.67 – $4,025.92 | 6 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $186.24 – $202.56 | 4 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,150.00 – $6,826.20 | 6 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,150.00 – $7,690.19 | 6 |
| Serial casting application 97139app CPT 97139 | not published | not published | $31.95 – $32.63 | 2 |
| Serial tonometry CPT 92100 | $114.24 | $272.00 | $73.01 – $74.56 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $42.34 – $46.05 | 4 |
| Set radiation therapy field CPT 77280 | not published | not published | $130.97 – $142.45 | 4 |
| Set radiation therapy field CPT 77285 | not published | not published | $364.85 – $396.82 | 4 |
| Set radiation therapy field CPT 77290 | not published | not published | $364.85 – $396.82 | 4 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $299.28 – $536.67 | 5 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $82.35 – $82.35 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,902.77 – $3,630.85 | 6 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.44 – $18.97 | 4 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.75 – $8.43 | 4 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,434.81 – $8,962.11 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,843.16 – $5,301.63 | 5 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $187.45 – $203.88 | 4 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,166.03 – $2,170.59 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $92.82 | $221.00 | $174.11 – $212.63 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $95.34 | $227.00 | $177.46 – $212.63 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $63.00 | $150.00 | $210.07 – $430.83 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $210.07 – $430.83 | 5 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $240.66 | $573.00 | $195.50 – $258.37 | 5 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $99.12 | $236.00 | $195.50 – $212.63 | 5 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $240.66 | $573.00 | $177.46 – $212.63 | 5 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $210.07 – $430.83 | 5 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $497.70 | $1,185.00 | $194.15 – $430.83 | 5 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $94.92 | $226.00 | $195.50 – $212.63 | 5 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $113.82 | $271.00 | $195.50 – $212.63 | 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.