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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $70.14 | $167 | 1.7× |
| Advncd Care Plan 30 Min (99497) | $31.92 | $76 | 0.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $500.64 | $1,192 | 2.3× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$274.26 | $26–$653 | 1.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $246.54 | $587 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $26.04 | $62 | 1.8× |
| Application Modality 1/> Areas Infrared (97026) | $31.92 | $76 | 4.8× |
| Brief Emotional/Behav Assmt (96127) | $8.82 | $21 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$39.48–$236.46 | $94–$563 | varies |
| Canalith repositioning proc (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) range across 2 matching MRF lines |
$706.44–$769.86 | $1,682–$1,833 | varies |
| 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 (96549) | $299.88 | $714 | 6.4× |
| Chest Wall Manipulation (94668) | $155.82 | $371 | 1.2× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 3 matching MRF lines |
$21–$36.96 | $50–$88 | varies |
| Color/duplex Doppler, complete (93975) | $792.54 | $1,887 | 3.3× |
| Color/duplex Doppler, limited (93976) | $441.42 | $1,051 | 4.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $57.12 | $136 | 1.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $33.60 | $80 | 0.6× |
| Computerized Ophthalmic Imaging Retina (92134) | $33.60 | $80 | 0.6× |
| Continuous Pulse Ox (94762) | $349.86 | $833 | 2.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $386.82 | $921 | 1.8× |
| Cpt initial (94667) | $323.40 | $770 | 2.4× |
| Critical care first hour (99291) | $1,546.86 | $3,683 | 1.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$33.60–$149.94 | $80–$357 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $792.54 | $1,887 | 3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $375.06 | $893 | 3.6× |
| Duplex Scan Hemodialysis Access (93990) | $142.38 | $339 | 1.4× |
| Duplex up extrem art bilat (93930) | $932.40 | $2,220 | 3.9× |
| Duplex up extrem art unilat/ltd (93931) | $375.06 | $893 | 3.6× |
| ECG/monitoring and analysis (93271) | $146.58 | $349 | 1.5× |
| Echo Congenital Complete (93303) | $945.84 | $2,252 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) | $450.66 | $1,073 | 1.9× |
| Echo transesophageal (93312) | $945.84 | $2,252 | 1.7× |
| EEG awake drowsy (95816) | $438.48 | $1,044 | 2.0× |
| Electrical Stimulation Ea 15 Min (97032) | $26.46 | $63 | 1.8× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$23.10–$165.90 | $55–$395 | varies |
| Emergency Dept Visit Level 2 (99282) | $294 | $700 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $580.44 | $1,382 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $911.40 | $2,170 | 2.2× |
| Er level 1 (99281) | $158.34 | $377 | 1.9× |
| Er level v (99285) | $1,308.30 | $3,115 | 2.2× |
| Evaluate pt use of inhaler (94664) | $255.78 | $609 | 1.2× |
| Evaluate Speech Production (92522) | $244.44 | $582 | 2.2× |
| Evaluate Swallowing Function (92610) | $152.04 | $362 | 1.8× |
| Evaluation of speech fluency (92521) | $293.16 | $698 | 2.2× |
| Evoked Auditory Test,Limited (92587) | $25.20 | $60 | 0.1× |
| Extracranial Bilat Study (93880) | $450.66 | $1,073 | 1.9× |
| Extracranial Uni/Ltd Study (93882) | $160.44 | $382 | 1.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,113 | $2,650 | 2.0× |
| Fluorescein angiography (92235) | $127.68 | $304 | 0.6× |
| Fundus photography (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) range across 2 matching MRF lines |
$24.29–$26.46 | $57.83–$63 | varies |
| Holter monitor recording (93225) | $60.90 | $145 | 0.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$2.10–$5.78 | $5–$13.75 | varies |
| Immunization administration (90471) range across 9 matching MRF lines |
$5.78–$70.22 | $5–$167.20 | varies |
| Iontophoresis 15 min (97033) | $36.54 | $87 | 1.9× |
| Irrig Drug Delivery Device (96523) | $66.78 | $159 | 1.1× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$35.70–$204.96 | $85–$488 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$46.20–$386.82 | $110–$921 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $225.12 | $536 | 3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $225.12 | $536 | 4.8× |
| IV push initial (96374) range across 4 matching MRF lines |
$42–$116.34 | $100–$277 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $392.28 | $934 | 1.8× |
| Mechanical chest wall oscillation per session (94669) | $83.16 | $198 | 0.4× |
| 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× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $124.74 | $297 | 7.3× |
| Motility study esophagus (91010) | $6,256.32 | $14,896 | 16.7× |
| Motion Fluoroscopy/Swallow (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 Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $443.10 | $1,055 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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) range across 3 matching MRF lines |
$207.48–$465.78 | $494–$1,109 | varies |
| Neuromuscular Reeducation (97112) | $62.16 | $148 | 1.9× |
| Newborn resuscitation (99465) | $493.08 | $1,174 | 0.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $61.32 | $146 | 0.5× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$100.80–$103.32 | $240–$246 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$84–$87.36 | $200–$208 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$58.38–$61.32 | $139–$146 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$55.02–$152.88 | $131–$364 | varies |
| Oral Function Therapy (92526) | $153.30 | $365 | 1.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $97.44 | $232 | 1.9× |
| Orthotics Mgmt & Trainj 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 Contrast Bath Ea 15 Min (97034) | $26.46 | $63 | 1.9× |
| Ot eval high complexity (97167) | $174.72 | $416 | 1.7× |
| Ot Eval Low Complex (97165) | $174.72 | $416 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $174.72 | $416 | 1.7× |
| Ot manual therapy 15 min (97140) | $49.56 | $118 | 1.8× |
| 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× |
| Phlebotomy therapeutic (99195) | $155.40 | $370 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $86.52 | $206 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $86.52 | $206 | 1.5× |
| Physical Performance Test (97750) | $61.32 | $146 | 1.8× |
| 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× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24.36 | $58 | 0.5× |
| Pt Eval High Complex (97163) | $180.18 | $429 | 1.8× |
| Pt eval low complex 20 min (97161) | $180.18 | $429 | 1.8× |
| Pt Eval Mod Complex (97162) | $180.18 | $429 | 1.8× |
| Pt gait training 15 min (97116) | $53.76 | $128 | 1.8× |
| Pt mechanical traction (97012) | $26.46 | $63 | 1.8× |
| Pt Re-Eval Est Plan Care (97164) | $123.06 | $293 | 1.8× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $31.50 | $75 | 0.8× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$10.50–$208.32 | $25–$496 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $239.40 | $570 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $43.68 | $104 | 1.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $175.56 | $418 | 1.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $146.58 | $349 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$99.12–$235.20 | $236–$560 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $79.38 | $189 | 3.0× |
| Self Care Mngment Training (97535) | $60.06 | $143 | 1.9× |
| 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) range across 2 matching MRF lines |
$33.60–$144.90 | $80–$345 | varies |
| Stress Tte Only (93350) | $945.84 | $2,252 | 1.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $49.14 | $117 | 1.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $239.40 | $570 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $78.12 | $186 | 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 Ea Addl 15 Min (97130) | $39.48 | $94 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $52.50 | $125 | 1.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $49.14 | $117 | 1.0× |
| Ther/Proph/Diag Inj Ia (96373) | $239.40 | $570 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$10.50–$128.94 | $25–$307 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $386.82 | $921 | 1.8× |
| Therapeutic Activities (97530) | $69.72 | $166 | 2.0× |
| 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 (93306) | $1,113 | $2,650 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $167.58 | $399 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$31.50–$104.16 | $75–$248 | varies |
| Tympanometry (92567) | $6.30 | $15 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $382.20 | $910 | 2.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $866.04 | $2,062 | 4.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,658.16 | $3,948 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,267.98 | $3,019 | 2.0× |
| Visual Field Exam Extended (92083) | $63 | $150 | 0.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $49.98 | $119 | 0.8× |
| Vital capacity, total (94150) | $122.22 | $291 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $57.96 | $138 | 1.9× |
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.