Home › Hospitals › Covenant Hospital Plainview › Supplies, drugs & other 22 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
2d tte w or w/o fol w/con,fu (C8924) $601.44
$1,432
1.7×
Annual alcohol screen 15 min (G0442) $11.27
$26.84
0.3×
Behavior counsel obesity 15m (G0447) $32.10
$76.42
0.3×
Brief chkin, 5-10, non-e/m (G2251) $31.50
$75
2.2×
Ca screen;pelvic/breast exam (G0101) $96.29
$229.26
0.9×
Catheterize for urine spec (P9612) $44.10
$105
4.7×
Depression screen annual (G0444) $18.90
$45
0.5×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $844.62
$2,011
1.1×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $844.62
$2,011
1.1×
Direct refer hospital observ (G0379) $65.94
$157
0.1×
Ekg tracing for initial prev (G0404) $23.10
$55
0.8×
Hospital outpt clinic visit (G0463) range across 19 matching MRF lines $208.74–$447.30
$497–$1,065
varies
Initial preventive exam (G0402) $116.76
$278
0.9×
Obtaining screen pap smear (Q0091) $10.60
$25.23
0.4×
Pathogen test for platelets (P9100) $86.94
$207
1.5×
Ppps, initial visit (G0438) $141.12
$336
0.8×
Ppps, subseq visit (G0439) $95.34
$227
0.7×
Tee w or w/o fol w/cont, mon (C8927) $654.36
$1,558
0.8×
Tomosynthesis, mammo (G0279) $63
$150
5.0×
Trauma respons w/hosp criti (G0390) $1,914.78
$4,559
1.4×
Tte w or w/o fol w/con,stres (C8928) $1,123.08
$2,674
1.4×
Tte w or wo fol wcon,doppler (C8929) $1,002.96
$2,388
1.3×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.