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COVENANT HOSPITAL PLAINVIEW

Hospital

2601 DIMMITT RD

PLAINVIEW, TX, 79072

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Procedure Prices at COVENANT HOSPITAL PLAINVIEW

HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD

CPT 36415

$2.4

EKG Interpretation

CPT 93010

$18

EKG Tracing

CPT 93005

$22

Mechanical Traction

CPT 97012

$23.1

EKG

CPT 93000

$25.2

Therapeutic Exercises

CPT 97110

$46.73

Therapeutic Activities

CPT 97530

$60.77

HC CBC WITH DIFF AUTO

CPT 85025

$63.29

HC PR 99213 OFFICE OUTPATIENT VISIT RHC

CPT 99213

$66.8

HC COMPREHEN METABOLIC PANEL

CPT 80053

$126.94

Chest X-Ray (1 view)

CPT 71045

$128.13

Chest X-Ray (2 views)

CPT 71046

$128.13

Screening Mammogram (bilateral)

CPT 77067

$130.4

OB Ultrasound

CPT 76805

$131.2

Diagnostic Mammogram (unilateral)

CPT 77065

$164.41

HC PR 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL RHC

CPT 64483

$193.2

Thoracic Spine X-Ray

CPT 72072

$209.26

Diagnostic Mammogram (bilateral)

CPT 77066

$210.31

Abdominal Ultrasound

CPT 76700

$297.62

Abdominal Ultrasound — Limited

CPT 76705

$297.62

Retroperitoneal Ultrasound

CPT 76770

$297.62

ER Visit — Low-Moderate Complexity

CPT 99283

$408.68

CT Chest

CPT 71250

$541.38

Cataract Surgery

CPT 66984

$560

ER Visit — Moderate Complexity

CPT 99284

$641.85

Cataract Surgery — Complex

CPT 66982

$719.2

ER Visit — High Complexity

CPT 99285

$921.33

Echocardiogram w/ Doppler

CPT 93306

$1,026.6

MRI Brain w/o Contrast

CPT 70551

$1,244.8

MRI Joint of Lower Extremity

CPT 73721

$1,459.67

CT Abdomen & Pelvis

CPT 74177

$1,828.87

MRI Brain w/ Contrast

CPT 70553

$2,039.7

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.