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 |
|---|---|---|---|---|
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $12,405.39 | $29,536.65 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $6,384.50 | $15,201.20 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $23.75 – $25.83 | 4 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,300.00 – $5,644.25 | 6 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $5,619.00 – $11,399.75 | 5 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,300.00 – $5,644.25 | 6 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,300.00 – $11,399.75 | 6 |
| Shoe post-op mens m HCPCS L3260 | $34.13 | $81.25 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,000.00 – $3,467.69 | 6 |
| Shortening of thigh bone CPT 27465 | not published | not published | $2,619.37 – $7,690.19 | 5 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $2,811.35 – $7,187.00 | 3 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,300.00 – $9,871.54 | 6 |
| Shorten radius & ulna CPT 25392 | not published | not published | $2,300.00 – $7,690.19 | 6 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,750.00 – $11,399.75 | 6 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,743.02 | $6,531.00 | $339.95 – $1,047.33 | 5 |
| Shoulder MRI (with contrast) CPT 73222 | $2,696.40 | $6,420.00 | $763.87 – $925.84 | 5 |
| Shoulder MRI (without contrast) CPT 73221 | $1,570.80 | $3,740.00 | $232.50 – $620.95 | 5 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $4,660.97 – $7,690.19 | 5 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $2,670.08 – $7,690.19 | 5 |
| Shoulder X-ray CPT 73030 | $179.76 | $428.00 | $84.80 – $92.23 | 4 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $2,765.70 – $3,400.94 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $2,765.70 – $3,400.94 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $2,695.43 – $3,319.18 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,110.14 | $12,167.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $232.68 | $554.00 | $101.87 – $110.80 | 4 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $2,653.42 – $3,638.70 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,801.92 – $3,840.74 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,992.45 – $3,882.09 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $11.85 – $12.89 | 4 |
| Sialography s&i CPT 70390 | not published | not published | $232.50 – $252.87 | 4 |
| Sialolithotomy 42330 CPT 42330 | $3,793.02 | $9,031.00 | $295.23 – $3,513.75 | 5 |
| Sickling rbc CPT 85660 | $52.92 | $126.00 | $5.34 – $5.81 | 4 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $906.17 – $1,295.11 | 6 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $906.17 – $2,170.59 | 6 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,255.38 | $2,989.00 | $1,000.00 – $2,170.59 | 6 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $906.17 – $1,295.11 | 6 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,166.03 – $2,170.59 | 5 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $2,170.59 – $6,433.98 | 5 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,170.59 – $2,941.67 | 5 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $906.17 – $2,170.59 | 6 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $906.17 – $1,295.11 | 6 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $57.48 – $113.54 | 5 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,000.00 – $2,170.59 | 6 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $8.87 – $8.87 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $238.57 – $290.77 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $375.34 – $375.34 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $81.14 – $110.80 | 4 |
| Single transfer toe-hand CPT 26553 | not published | not published | $6,794.00 – $7,690.19 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,627.92 | $3,876.00 | $170.91 – $584.74 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | $1,572.48 | $3,744.00 | $170.91 – $522.32 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | $959.28 | $2,284.00 | $101.87 – $260.21 | 5 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $3,076.71 – $3,346.32 | 4 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $2,150.00 – $5,105.49 | 6 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $2,150.00 – $9,785.04 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $54,581.12 – $59,364.00 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $33.65 – $33.65 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.50 – $91.90 | 4 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,600.00 – $6,037.67 | 6 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.01 – $8.01 | 1 |
| Skin Biopsy CPT 11102 | $240.66 | $573.00 | $152.34 – $430.83 | 4 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,010.50 – $6,037.67 | 6 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $2,300.00 – $3,755.67 | 6 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,010.50 – $3,692.11 | 6 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $28.18 – $30.65 | 4 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $5,332.93 – $7,008.61 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $8,775.94 – $9,292.21 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | $1,048.41 | $2,496.21 | $2,898.47 – $2,898.47 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $169.57 – $184.42 | 4 |
| Sleep study attended CPT 95807 | not published | not published | $363.61 – $889.26 | 5 |
| Sleep Study (Polysomnography) CPT 95810 | $4,312.56 | $10,268.00 | $836.77 – $1,091.97 | 5 |
| Sleep study unattended CPT 95806 | not published | not published | $189.35 – $234.54 | 5 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $6.12 – $6.12 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $6,439.80 – $8,418.24 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $24.57 | $58.50 | $9.83 – $9.83 | 1 |
| Sling pelv split sam med HCPCS L0621 | $163.80 | $390.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $13,632.92 | $32,459.33 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $2,150.00 – $4,272.75 | 6 |
| Slitting of prepuce CPT 54001 | $2,472.96 | $5,888.00 | $2,036.91 – $4,272.75 | 6 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $71.49 – $73.00 | 2 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $192.39 – $197.27 | 2 |
| Slp pure tone screening CPT 92551 | $10.50 | $25.00 | $25.09 – $26.41 | 2 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $57.48 – $92.42 | 5 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $153.61 – $158.44 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,065.01 – $3,333.59 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $16.33 – $17.77 | 4 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,869.82 – $2,236.19 | 6 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,869.82 – $3,277.57 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,869.82 – $3,277.57 | 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.