Covenant Hospital Plainview — price list
← Hospital overviewVerified from Covenant Hospital Plainview’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient | 82652 HCPCS | $119 | $49.98 | — | — | |
| HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient | 82306 HCPCS | $416 | $175 | — | — | |
| HC 3D RENDER W/O POSTPROCESS Inpatient & outpatient | 76376 HCPCS | $108 | $45.36 | — | — | |
| HC 3D RENDERING W/POSTPROCESS Inpatient & outpatient | 76377 HCPCS | $181 | $76.02 | — | — | |
| HC ABD/PELVIC ANGIO 2ND ORDER Inpatient & outpatient | 36246 HCPCS | $7,526 | $3,161 | — | — | |
| HC ABD/PELVIC ANGIO 3RD ORDER Inpatient & outpatient | 36247 HCPCS | $5,782 | $2,428 | — | — | |
| HC ABD/PELVIC ANGIO ADDT Inpatient & outpatient | 36248 HCPCS | $928 | $390 | — | — | |
| HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM Inpatient & outpatient | 49083 HCPCS | $4,693 | $1,971 | — | — | |
| HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE CDM Inpatient & outpatient | 49082 HCPCS | $4,199 | $1,764 | — | — | |
| HC ACC SYS BMX96 80 STR 105 BER BMX9680BER105 Inpatient & outpatient | C1887 HCPCS | $6,208 | $2,607 | — | — | |
| HC ACC SYS BMX96 90 STR 125 SIM BMX9690SIM125 Inpatient & outpatient | C1887 HCPCS | $6,208 | $2,607 | — | — | |
| HC ACCUDRAIN W/O ANTI REFLUX VAL INS8400 Inpatient & outpatient | C1729 HCPCS | $2,711 | $1,139 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Inpatient & outpatient | 82040 HCPCS | $70.00 | $29.40 | — | — | |
| HC ALKALINE PHOS Inpatient & outpatient | 84075 HCPCS | $73.00 | $30.66 | — | — | |
| HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH Inpatient & outpatient | 86003 HCPCS | $107 | $44.94 | — | — | |
| HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH LAB Inpatient & outpatient | 86003 HCPCS | $107 | $44.94 | — | — | |
| HC ALLERGEN SPECIFIC IGE Inpatient & outpatient | 86003 HCPCS | $107 | $44.94 | — | — | |
| HC ALLERGEN SPECIFIC IGE - IGE QUANT Inpatient & outpatient | 86003 HCPCS | $107 | $44.94 | — | — | |
| HC ALLERGEN SPECIFIC IGE PANEL EACH ALLERGEN Inpatient & outpatient | 86003 HCPCS | $107 | $44.94 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM CDM Inpatient & outpatient | 82105 HCPCS | $236 | $99.12 | — | — | |
| HC AMNIOCENTESIS DIAGNOSTIC CDM Inpatient & outpatient | 59000 HCPCS | $2,815 | $1,182 | — | — | |
| HC AMYLASE Inpatient & outpatient | 82150 HCPCS | $91.00 | $38.22 | — | — | |
| HC ANESTHESIA BLOCK IN LABOR/DELIVERY CDM Inpatient & outpatient | PX00037010016 CDM | $1,978 | $831 | — | — | |
| HC ANGIOPLAST BALLN TRNSL 1ST ART Inpatient & outpatient | 37246 HCPCS | $19,378 | $8,139 | — | — | |
| HC ANGIOPLAST BLLN TRNSL 1ST VEIN Inpatient & outpatient | 37248 HCPCS | $19,378 | $8,139 | — | — | |
| HC ANGIOPLASTY BALLN DIALY CIRC Inpatient & outpatient | 36907 HCPCS | $19,378 | $8,139 | — | — | |
| HC ANGIOSEAL VIP 6F 610130 Inpatient & outpatient | C1760 HCPCS | $1,894 | $795 | — | — | |
| HC ANGIOSEAL VIP 8F 610131 Inpatient & outpatient | C1760 HCPCS | $1,894 | $795 | — | — | |
| HC ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19 Inpatient & outpatient | 86769 HCPCS | $150 | $63.00 | — | — | |
| HC ANTI-CENTROMERE ANTIBODY Inpatient & outpatient | 83516 HCPCS | $163 | $68.46 | — | — |