Supplies, drugs & other prices at Covenant Hospital Plainview

Plainview, TX · every code in this section with a posted price and a Medicare benchmark.

22 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× 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 neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $844.62 $2,011 1.1×
Destruction neurofibromata, 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) $271.74 $647 2.0×
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×