Methodist Hospital Plainview
Methodist Hospital Plainview in Plainview, TX publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
2601 Dimmitt Rd, Plainview, TX 79072 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,539.74 | $6,047.00 | 58% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,539.74 | $6,047.00 | 58% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $959.28 | $2,284.00 | 58% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $959.28 | $2,284.00 | 58% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,231.86 | $2,933.00 | 58% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,231.86 | $2,933.00 | 58% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $254.10 | $605.00 | 58% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $254.10 | $605.00 | 58% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $198.66 | $473.00 | 58% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $198.66 | $473.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,570.80 | $3,740.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,570.80 | $3,740.00 | 58% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $2,743.02 | $6,531.00 | 58% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $2,743.02 | $6,531.00 | 58% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $1,118.04 | $2,662.00 | 58% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,569.96 | $3,738.00 | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $1,118.04 | $2,662.00 | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,569.96 | $3,738.00 | 58% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $2,572.08 | $6,124.00 | 58% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $2,572.08 | $6,124.00 | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,178.10 | $2,805.00 | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,570.80 | $3,740.00 | 58% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,178.10 | $2,805.00 | 58% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,570.80 | $3,740.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION RHC | $137.76 | $328.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS | $137.76 | $328.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $375.06 | $893.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS | $137.76 | $328.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC PR 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION RHC | $137.76 | $328.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $375.06 | $893.00 | 58% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $157.50 | $375.00 | 58% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $157.50 | $375.00 | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $157.50 | $375.00 | 58% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $157.50 | $375.00 | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE 95810 | $4,312.56 | $10,268.00 | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $4,312.56 | $10,268.00 | 58% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $4,312.56 | $10,268.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE 95810 | $4,312.56 | $10,268.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $4,312.56 | $10,268.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $4,312.56 | $10,268.00 | 58% |
| Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB | $112.98 | $269.00 | 58% |
| Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 TRANSVAGINAL US NON-OB RHC | $112.98 | $269.00 | 58% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $375.06 | $893.00 | 58% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB | $112.98 | $269.00 | 58% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC PR 76830 TRANSVAGINAL US NON-OB RHC | $112.98 | $269.00 | 58% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $375.06 | $893.00 | 58% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $375.06 | $893.00 | 58% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $375.06 | $893.00 | 58% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $241.92 | $576.00 | 58% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $241.92 | $576.00 | 58% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $106.68 | $254.00 | 58% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $106.68 | $254.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $168.84 | $402.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $168.84 | $402.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $168.84 | $402.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $168.84 | $402.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $168.84 | $402.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $168.84 | $402.00 | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $74.34 | $177.00 | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $74.34 | $177.00 | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $74.34 | $177.00 | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $74.34 | $177.00 | 58% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $61.74 | $147.00 | 58% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $61.74 | $147.00 | 58% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $61.74 | $147.00 | 58% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $61.74 | $147.00 | 58% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $133.14 | $317.00 | 58% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $133.14 | $317.00 | 58% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $109.62 | $261.00 | 58% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $109.62 | $261.00 | 58% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $103.32 | $246.00 | 58% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $103.32 | $246.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $108.78 | $259.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $108.78 | $259.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $108.78 | $259.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $108.78 | $259.00 | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $57.54 | $137.00 | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $57.54 | $137.00 | 58% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $57.54 | $137.00 | 58% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $57.54 | $137.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $39.90 | $95.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $39.90 | $95.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 | $39.90 | $95.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $39.90 | $95.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610 | $39.90 | $95.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $39.90 | $95.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $99.54 | $237.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $99.54 | $237.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $99.54 | $237.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $99.54 | $237.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $99.54 | $237.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $99.54 | $237.00 | 58% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $46.62 | $111.00 | 58% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $46.62 | $111.00 | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $46.62 | $111.00 | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $46.62 | $111.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $33.18 | $79.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $33.18 | $79.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $33.18 | $79.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $33.18 | $79.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $33.18 | $79.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $33.18 | $79.00 | 58% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $51.24 | $122.00 | 58% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $51.24 | $122.00 | 58% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $51.24 | $122.00 | 58% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $51.24 | $122.00 | 58% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $51.24 | $122.00 | 58% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $51.24 | $122.00 | 58% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 HC PR 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP CDM | $588.00 | $1,400.00 | 58% |
| Cataract surgery with lens implant inpatient CPT 66984 HC PR 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP CDM | $588.00 | $1,400.00 | 58% |
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $963.48 | $2,294.00 | 58% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $963.48 | $2,294.00 | 58% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $4,722.48 | $11,244.00 | 58% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $4,722.48 | $11,244.00 | 58% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC PR 66821 POST-CATARACT LASER SURGERY CDM | $231.42 | $551.00 | 58% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC PR 66821 POST-CATARACT LASER SURGERY CDM | $231.42 | $551.00 | 58% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $859.32 | $2,046.00 | 58% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $859.32 | $2,046.00 | 58% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC PR 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN RHC | $272.38 | $648.52 | 58% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,136.10 | $2,705.00 | 58% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC PR 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN RHC | $272.38 | $648.52 | 58% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,136.10 | $2,705.00 | 58% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PR 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL RHC | $202.86 | $483.00 | 58% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PR 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL RHC | $202.86 | $483.00 | 58% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $957.18 | $2,279.00 | 58% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $957.18 | $2,279.00 | 58% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $957.18 | $2,279.00 | 58% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $957.18 | $2,279.00 | 58% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R RHC | $26.46 | $63.00 | 58% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PR 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R RHC | $26.46 | $63.00 | 58% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $76.44 | $182.00 | 58% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 OFFICE OUTPATIENT NEW RHC | $87.36 | $208.00 | 58% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $76.44 | $182.00 | 58% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 OFFICE OUTPATIENT NEW RHC | $87.36 | $208.00 | 58% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $114.24 | $272.00 | 58% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 OFFICE OUTPATIENT NEW RHC | $118.86 | $283.00 | 58% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $114.24 | $272.00 | 58% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 OFFICE OUTPATIENT NEW RHC | $118.86 | $283.00 | 58% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $141.12 | $336.00 | 58% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 OFFICE OUTPATIENT NEW RHC | $147.00 | $350.00 | 58% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $141.12 | $336.00 | 58% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 OFFICE OUTPATIENT NEW RHC | $147.00 | $350.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $53.76 | $128.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $53.76 | $128.00 | 58% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS RHC | $103.32 | $246.00 | 58% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS RHC | $103.32 | $246.00 | 58% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREVENTIVE VISIT NEW 40-64 RHC | $121.38 | $289.00 | 58% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 PREVENTIVE VISIT NEW 40-64 RHC | $121.38 | $289.00 | 58% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES CDM | $75.18 | $179.00 | 58% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES CDM | $75.18 | $179.00 | 58% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC PR 99244 OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES CDM | $106.68 | $254.00 | 58% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC PR 99244 OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES CDM | $106.68 | $254.00 | 58% |
Source file: https://pricetransparency.providence.org/txnm/live/752426010_covenant-hospital-plainview_standardcharges.json