Visits & medical services prices at Covenant Hospital Plainview

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $31.92 $76 0.3×
Aep threshold estimation mlt frequencies i&r (92652) $500.64 $1,192 2.3×
Airway inhalation treatment (94640) $274.26 $339.50 1.2×
Anogenital exam, child (99170) $246.54 $587 1.2×
Behav assmt w/score & docd/stand instrument (96127) $8.82 $21 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $137.97 $328.50 0.4×
Canalith Repositioning (95992) $68.88 $164 1.7×
Car seat/bed test 60 min (94780) $69.72 $166 1.9×
Cardiac Stress Tst,Tracing Only (93017) $427.98 $1,019 2.0×
Cardiopulmonary resuscitation (92950) $738.15 $1,757.50 3.4×
Cardioversion (92960) $1,564.92 $3,726 2.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $4.20 $10 0.1×
Chemo Hormon Antineopl Sq/Im (96402) $42 $100 0.6×
Chemo IV push addl drug (96411) $115.92 $276 1.6×
Chemotherapy, unspecified procedure (96549) $299.88 $714 6.4×
Color vision examination (92283) $36.54 $87 0.6×
Color/duplex Doppler, complete (93975) $792.54 $1,887 3.3×
Color/duplex Doppler, limited (93976) $441.42 $1,051 4.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) $33.60 $80 0.6×
Cpap initiation and management (94660) $386.82 $921 1.8×
Cpt initial (94667) $323.40 $770 2.4×
Cptrized oph dx img pst segment uni/bi retina (92134) $33.60 $80 0.6×
Critical care (99291) $1,546.86 $3,683 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $149.94 $357 0.7×
Demo &/or eval,pt use,aerosol device (94664) $255.78 $609 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $932.40 $2,220 3.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $375.06 $893 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $932.40 $2,220 3.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $375.06 $893 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $932.40 $2,220 3.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $375.06 $893 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $375.06 $893 3.6×
Duplex hemodialysis access (93990) $142.38 $339 1.4×
Duplex scan extracranial art compl bi study (93880) $450.66 $1,073 1.9×
Echo Heart Xthoracic,Limited (93308) $450.66 $1,073 1.9×
Echo transesophageal (93312) $945.84 $2,252 1.7×
Echo Transthoracic - Congenital Tte Complete (93303) $945.84 $2,252 1.7×
Echo Transthoracic - Congenital Tte Limited (93304) $1,113 $2,650 2.0×
EEG awake drowsy (95816) $438.48 $1,044 2.0×
EKG (93005) $94.50 $225 1.6×
EKG rhythm strip (93041) $146.58 $349 2.5×
Er level 1 (99281) $158.34 $377 1.9×
Er level ii (99282) $294 $700 1.9×
Er level iii (99283) $580.44 $1,382 2.1×
Er level IV (99284) $911.40 $2,170 2.2×
Er level v (99285) $1,308.30 $3,115 2.2×
Evaluation of speech fluency (92521) $293.16 $698 2.2×
Evaluation of speech sound production (92522) $244.44 $582 2.2×
Evaluation of swallowing function (92610) $152.04 $362 1.8×
Evoked auditory test,limited (92587) $25.20 $60 0.1×
Exam of visual field with extended testing (92083) $63 $150 0.5×
Exam of visual field with intermediate testing (92082) $49.98 $119 0.8×
Eye exam, new patient,comprehesv (92004) $102.06 $243 0.8×
Fluorescein angiography (92235) $127.68 $304 0.6×
Fundus photography w/interpretation & report (92250) $52.50 $125 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,243.22 $5,341 2.6×
Gonioscopy (92020) $29.40 $70 0.2×
Group Therapeutic Procedures (97150) $25.38 $60.42 1.4×
Holter Monitor Recording (93225) $60.90 $145 0.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $70.14 $167 1.7×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $3.94 $9.38 0.1×
Immunization Admin (90471) $70.22 $13.75 1.0×
Immunotherapy, 2+ Injections (95117) $24.36 $58 0.5×
Injection intra arterial (96373) $239.40 $570 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $66.78 $159 1.1×
IV infusion hydration each additional hour (96361) $204.96 $488 4.4×
IV infusion hydration initial 31 min-1 hour (96360) $386.82 $921 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $225.12 $536 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $386.82 $921 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $225.12 $536 4.8×
IV push initial (96374) $116.34 $277 0.5×
Manual therapy 15 min (97140) $49.56 $118 1.8×
Massage 15 min (97124) $52.50 $125 1.8×
Mechanical chest wall oscillation (94669) $83.16 $198 0.4×
Mechanical traction (97012) $26.46 $63 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $86.94 $207 2.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $92.40 $220 2.5×
Mnt Group Ea 30 Min (97804) $124.74 $297 7.3×
Motility study esophagus (91010) $6,256.32 $14,896 16.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $199.92 $476 2.2×
Multiple sleep latency test (95805) $1,390.62 $3,311 1.6×
Nasopharyngoscopy (92511) $207.06 $493 1.0×
Neg press wnd tx </=50 sq cm (97607) $443.10 $1,055 1.1×
Neg press wound tx >50 cm (97608) $465.78 $1,109 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $117.18 $279 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $207.48 $494 0.5×
New patient problem focused exam of visual system (92002) $59.22 $141 0.4×
Newborn resuscitation (99465) $493.08 $1,174 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $382.20 $910 2.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $866.04 $2,062 4.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $349.86 $833 2.7×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $85.68 $204 0.6×
Ophth medical xm&eval intermediate estab pt (92012) $59.85 $142.50 0.4×
Ophthalmic biometry (92136) $61.32 $146 0.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $88.62 $211 1.9×
Osteopathic manipulative tx 1-2 body regions (98925) $13.02 $31 0.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $57.12 $136 1.8×
Ot Contrast Bath Ea 15 Min (97034) $26.46 $63 1.9×
Ot eval high complex 60 min (97167) $174.72 $416 1.7×
Ot eval low complex 30 min (97165) $174.72 $416 1.7×
Ot eval mod complex 45 min (97166) $174.72 $416 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $97.44 $232 1.9×
Ot Range Motion Measure,Each Extrem (95851) $79.38 $189 3.0×
Ot re-eval est plan care (97168) $117.60 $280 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $283.50 $675 2.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $283.50 $675 2.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $225.12 $536 1.0×
Peripheral arterial disease rehab per session (93668) $114.24 $272 1.9×
Phy/qhp op pulm rhb w/mntr (94626) $86.52 $206 1.5×
Phy/qhp op pulm rhb w/o mntr (94625) $86.52 $206 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,312.56 $10,268 5.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $7.14 $17 0.2×
Pt Electric Current Therapy (97033) $36.54 $87 1.9×
Pt Electrical Stimulation (97032) $26.46 $63 1.8×
Pt eval high complex 45 min (97163) $180.18 $429 1.8×
Pt eval low complex 20 min (97161) $180.18 $429 1.8×
Pt Gait Training Therapy (97116) $53.76 $128 1.8×
Pt Infrared Therapy (97026) $31.92 $76 4.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $62.16 $148 1.9×
Pt Physical Performance Test (97750) $61.32 $146 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $180.18 $429 1.8×
Pt re-evaluation (97164) $123.06 $293 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $60.06 $143 1.9×
Pt Ultrasound Therapy (97035) $26.04 $62 1.8×
Pt-focused hlth risk assmt (96160) $31.50 $75 0.8×
Pure Tone Audiometry, Air (92552) $109.41 $260.50 0.8×
Refill/Maint Pump/Resvr Syst (96522) $239.40 $570 1.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $43.68 $104 1.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $175.56 $418 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $99.12 $236 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $155.82 $371 1.2×
Sc Ther Infusion Reset Pump (96371) $78.12 $186 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $256.20 $610 1.2×
Speech sound lang comprehen (92523) $504 $1,200 2.2×
Spirometry (94010) $89.25 $212.50 0.4×
Stress echo (93350) $945.84 $2,252 1.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $49.14 $117 1.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $239.40 $570 1.1×
Temp transcutaneous pacing (92953) $1,144.08 $2,724 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $41.16 $98 1.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $39.48 $94 1.9×
Ther/prop/diag inj/inf proc (96379) $49.14 $117 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $128.94 $307 1.8×
Therapeutic Activities (97530) $69.72 $166 2.0×
Therapeutic phlebotomy (99195) $155.40 $370 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $8.40 $20 0.2×
Trans Care Mgmt 14 Day Disch (99495) $139.44 $332 1.0×
Trans Care Mgmt 7 Day Disch (99496) $189.84 $452 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,113 $2,650 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $167.58 $399 2.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $153.30 $365 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $104.16 $248 2.2×
Tympanometry (92567) $6.30 $15 0.2×
Vasc Duplex Extrem Venous,Bilat (93970) $792.54 $1,887 3.3×
Vasc Duplex Scan Extracranial,Limited (93882) $160.44 $382 1.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $392.28 $934 1.8×
Ventilation assist & mgmt inpatient 1st day (94002) $1,658.16 $3,948 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,267.98 $3,019 2.0×
Vital capacity total (94150) $122.22 $291 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $57.96 $138 1.9×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $146.58 $349 1.5×