Plainview Hospital — price list
← Hospital overviewVerified from Plainview Hospital’s published price file
Includes cash prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
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.
127 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abltj perc uxtr/perph nrv Outpatient | 0440T CPT | — | $9,188 | $1,639 – $39,107 | — | |
| Adapt bhv tx each 15 min Outpatient | 0373T CPT | — | $4,595 | $32.20 – $8,853 | — | |
| Allomatrix c putty 10cc Inpatient | 10093 CDM | — | $1,646 | $1,155 – $3,234 | — | |
| Allomatrix c putty 10cc Outpatient | 10093 CDM | — | $1,502 | $1,155 – $4,620 | — | |
| Autotome 44 Outpatient | 102388 CDM | — | $332 | $255 – $1,020 | — | |
| Autotome 44 Inpatient | 102388 CDM | — | $364 | $255 – $714 | — | |
| Bone srgry cmptr CT/MRI imag Outpatient | 0055T CPT | — | $4,595 | $1,132 – $14,900 | — | |
| Bone srgry cmptr fluor image Outpatient | 0054T CPT | — | $4,595 | $1,132 – $22,149 | — | |
| Cable 1mm withcrimp 750mm strl Outpatient | 10193 CDM | — | $711 | $547 – $2,189 | — | |
| Cable crmp 1.7x750mm Inpatient | 10195 CDM | — | $780 | $547 – $1,532 | — | |
| Cable crmp 1.7x750mm Outpatient | 10195 CDM | — | $711 | $547 – $2,189 | — | |
| Cath balloon dil 6-8mm Inpatient | 101265 CDM | — | $323 | $227 – $635 | — | |
| Cath renegade fg 10x150 1tip Outpatient | 101116 CDM | — | $515 | $396 – $1,585 | — | |
| Cath simmons i angiograph bx/5 Inpatient | 101216 CDM | — | $466 | $327 – $915 | — | |
| Cath simmons i angiograph bx/5 Outpatient | 101216 CDM | — | $425 | $327 – $1,308 | — | |
| Cath tesio 2lum left 10fr Inpatient | 100255 CDM | — | $528 | $370 – $1,036 | — | |
| Cath tesio 2lum left 10fr Outpatient | 100255 CDM | — | $481 | $370 – $1,481 | — | |
| Cath uro max ii 8x24fr Inpatient | 101386 CDM | — | $422 | $296 – $830 | — | |
| Cath uro max ii 8x24fr Outpatient | 101386 CDM | — | $385 | $296 – $1,185 | — | |
| Coil vortx diamd 2x4x2mm 5/bx Outpatient | 101278 CDM | — | $519 | $400 – $1,598 | — | |
| Cup acet bi-p 28mm 42mm Outpatient | 10283 CDM | — | $990 | $761 – $3,046 | — | |
| Cup acet bi-p 28mm 42mm Inpatient | 10283 CDM | — | $1,085 | $761 – $2,132 | — | |
| Cup acet rnglc bi-p 28mm 41mm Outpatient | 10282 CDM | — | $990 | $761 – $3,046 | — | |
| Cup acet rnglc bi-p 28mm 47mm Outpatient | 10270 CDM | — | $990 | $761 – $3,046 | — | |
| Ext piece revision Outpatient | 102617 CDM | — | $4,134 | $3,180 – $12,720 | — | |
| Ext piece revision Inpatient | 102617 CDM | — | $4,532 | $3,180 – $8,904 | — | |
| Filter vena cava jug subclv 12fr simon nitinol Inpatient | 101188 CDM | — | $1,415 | $993 – $2,780 | — | |
| Fna bx withus gdn 1st les Outpatient | 10005 CPT | — | $4,595 | $697 – $8,853 | — | |
| Fna bx withus gdn each addl Outpatient | 10006 CPT | — | $4,595 | $697 – $8,853 | — | |
| Graft bone infuse kit lg ii Outpatient | 102300 CDM | — | $10,036 | $7,720 – $30,879 | — |