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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44369 | not published | not published | $1,869.82 – $3,277.57 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,869.82 – $2,236.19 | 6 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,869.82 – $3,277.57 | 6 |
| Small bowel endoscopy CPT 44382 | not published | not published | $883.78 – $2,236.19 | 6 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,869.82 – $2,236.19 | 5 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,869.82 – $2,236.19 | 6 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,869.82 – $3,277.57 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,869.82 – $2,236.19 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,869.82 – $3,277.57 | 6 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $883.78 – $2,236.19 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,869.82 – $2,236.19 | 5 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,915.61 – $8,329.21 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $5.23 – $5.69 | 4 |
| Smear gram stain CPT 87205 | $29.82 | $71.00 | $4.14 – $4.50 | 4 |
| Smear nasal eosinophil CPT 89190 | $13.02 | $31.00 | $5.62 – $6.11 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $37.38 | $89.00 | $5.81 – $6.32 | 4 |
| Smear wet mount CPT 87210 | $40.74 | $97.00 | $5.65 – $6.14 | 4 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $292.31 – $317.92 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $179.64 – $195.39 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $45.59 – $49.58 | 4 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $49.54 – $53.88 | 4 |
| Sodium 24 hour urine CPT 84300 | $29.82 | $71.00 | $4.91 – $5.34 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $48.11 | $114.54 | $55.28 – $55.28 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.22 | $110.04 | $27.64 – $27.64 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $48.74 | $116.04 | $13.80 – $13.80 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $46.85 | $111.54 | $0.19 – $0.19 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $68.72 | $163.61 | $5.94 – $5.94 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $314.01 – $314.01 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $28.56 | $68.00 | $4.67 – $5.07 | 4 |
| Soft interface below knee se HCPCS L2820 | $347.76 | $827.99 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $84.80 – $92.23 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,304.95 – $1,419.30 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,159.96 – $1,261.60 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,212.27 – $3,469.38 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,014.96 – $1,103.90 | 4 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.09 – $4.09 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $9.12 – $9.12 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $210.40 – $273.39 | 5 |
| Somatropin injection HCPCS J2941 | not published | not published | $202.64 – $202.64 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,212.27 – $3,153.98 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $869.96 – $946.20 | 4 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $37.06 – $37.06 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $461.41 – $2,613.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $511.23 – $2,613.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Special physics consult CPT 77370 | not published | not published | $130.97 – $142.45 | 4 |
| Special pump services CPT 99190 | not published | not published | $758.90 – $775.09 | 2 |
| Special pump services CPT 99191 | not published | not published | $564.24 – $576.28 | 2 |
| Special pump services CPT 99192 | not published | not published | $375.64 – $383.65 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $54.29 – $142.45 | 4 |
| Special radiation treatment CPT 77470 | not published | not published | $72.40 – $585.59 | 4 |
| Special teletx port plan CPT 77321 | not published | not published | $124.69 – $396.82 | 4 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.18 – $3.46 | 4 |
| Specimen fat stain CPT 89125 | not published | not published | $5.70 – $6.20 | 4 |
| Speech audiometry complete CPT 92556 | not published | not published | $57.48 – $93.92 | 5 |
| Speech evaluation complex CPT 70371 | not published | not published | $232.50 – $252.87 | 4 |
| Speech recep thresh CPT 92555 | not published | not published | $57.48 – $93.92 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $10.35 – $11.26 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.00 – $20.67 | 4 |
| Sperm identification CPT 89257 | not published | not published | $50.78 – $55.23 | 4 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.78 – $55.23 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.78 – $55.23 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $12.34 – $214.26 | 5 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,600.00 – $9,785.04 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,300.00 – $6,823.41 | 6 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,613.00 – $2,613.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,613.00 – $8,157.94 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $747.18 | $1,779.00 | $687.82 – $748.10 | 4 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,187.00 – $13,606.53 | 4 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $210.40 – $349.66 | 5 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $236.46 | $563.00 | $99.61 – $395.48 | 5 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $125.38 – $349.66 | 5 |
| Spleen imaging CPT 78185 | not published | not published | $389.55 – $423.68 | 4 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,423.08 – $3,135.94 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $4,882.37 – $6,315.08 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $2,415.82 – $3,111.49 | 2 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.41 – $2.41 | 1 |
| Splint func pos polyflex ii med HCPCS L3999 | $248.57 | $591.84 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.03 | $252.46 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,727.52 | $11,256.00 | $2,150.00 – $6,037.67 | 6 |
| Split blood or products CPT 86985 | $233.10 | $555.00 | $166.01 – $180.56 | 4 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $2,300.00 – $5,619.00 | 2 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $22.81 – $23.31 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $127.03 – $350.06 | 4 |
| Sputum specimen collection CPT 89220 | not published | not published | $166.01 – $180.56 | 4 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,021.94 – $4,374.38 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,938.12 – $3,855.78 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $2,154.32 – $2,823.95 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $650.50 – $854.23 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $469.40 – $620.23 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $170.14 – $185.05 | 4 |
| Srs linear based CPT 77372 | not published | not published | $3,040.60 – $7,805.79 | 4 |
| Srs multisource CPT 77371 | not published | not published | $3,040.60 – $7,805.79 | 4 |
| Srs spinal lesion CPT 63620 | not published | not published | $2,382.51 – $3,100.21 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $541.84 – $708.56 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $125.38 – $255.72 | 5 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,043.49 – $2,641.63 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $106.10 – $197.27 | 5 |
| Staph a dna amp probe CPT 87640 | $50.82 | $121.00 | $34.04 – $37.02 | 4 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $71.70 – $71.70 | 1 |
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.