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Covenant Hospital Plainview

2601 Dimmitt Rd, Plainview, TX 79072 · (806) 296-5531

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Plainview, TX metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

941 price rows for 64 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $107

$107
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,540

$2,540
cash
CT scan of the head, no contrast

CPT 70450 · metro median $959

$959
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,232

$1,232
cash
Cataract surgery with lens implant

CPT 66984 · metro median $588

$588
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $101

$101
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $963

$963
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $74

$74
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $133

$133
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $254

$254
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $26

$26
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $99

$99
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $101

$101
cash
—
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,722

$4,722
cash
—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $231

$231
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $169

$169
cash
Liver function panel

CPT 80076 · metro median $103

$103
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,572

$2,572
cash
$1,571
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,178

$1,178
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,608

$1,608
cash
—
cash
$203
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $76

$76
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $114

$114
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $141

$141
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $109

$109
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $58

$58
cash
$54
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines · metro median $138

$138
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $103

$103
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $121

$121
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $13

$13
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $158

$158
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $4,313

$4,313
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $272

$272
cash
$859
cash
TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $100

$100
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $113

$113
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $375

$375
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $957

$957
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $957

$957
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $47

$47
cash
—
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $242

$242
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.