How many shoppable procedure prices are published for Covenant Hospital Plainview?

Covenant Hospital Plainview in Plainview, TX currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Covenant Hospital Plainview's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Covenant Hospital Plainview's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Covenant Hospital Plainview's CMS Care Compare overall star rating?

CMS Care Compare assigns Covenant Hospital Plainview an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 49 Beds · rural Updated: 2026-04-01

Covenant Hospital Plainview

2601 Dimmitt Rd, Plainview, TX 79072 · 120 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.95×vs. Fair Market Price

Typical commercial prices here are +95% above the fair benchmark (1.95×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness61

Price Logic83

Peer Alignment71

Clean Billing81

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.95× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,869), Covenant Hospital Plainview commands a 1.95× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#268 of 307 in TX · 86th State Percentile#3,054 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.60× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 71% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.95× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.9×) & laboratory (4.1×) services average 1.05× higher multiples than routine shoppable care (2.0×)
Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,869) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.05× Divergence

2.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+11% Upper Tail

Q25 1.60× · Q50 1.94× · Q75 2.16×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.1× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

40% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Covenant Hospital Plainview

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,155	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,740	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,634	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,346	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$12,734	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,734	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,078	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,815	$6,109	1.6×
C-section delivery (full package) CPT Code: `59510`	—	$6,954	$2,975	2.3×
Inguinal hernia repair CPT Code: `49505`	$4,722	$6,794	$3,629	1.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$6,272	$2,680	2.3×
Breast lump removal CPT Code: `19120`	—	$5,686	$3,875	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,644	$3,372	1.7×
Bunion correction surgery CPT Code: `28296`	$3,969	$5,619	$3,446	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,150	$1,256	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$963	$2,072	$981	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$957	$2,059	$987	2.1×
Trauma team activation HCPCS Code: `G0390`	$1,915	$1,928	$1,453	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,638	$855	1.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,313	$1,092	$1,021	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,572	$970	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,540	$878	$448	unverified
Rabies immune globulin HCPCS Code: `90375`	$9,113	$746	$322	2.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,374	$592	$338	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,344	$592	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,571	$592	$369	1.6×
Cataract surgery with lens implant CPT Code: `66984`	$588	$588	$2,540	0.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,588	$536	$303	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,572	$463	$242	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,628	$463	$258	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,113	$445	$583	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$793	$356	$272	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,057	$313	$151	2.1×
X-ray, pelvis CPT Code: `72170`	$242	$244	$110	2.2×
X-ray, lower back CPT Code: `72110`	$242	$244	$112	2.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$375	$244	$126	1.9×
Ultrasound, pelvis CPT Code: `76856`	$212	$244	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$375	$244	$132	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$375	$244	$134	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$254	$258	$148	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$959	$260	$160	1.6×
CT scan, pelvis CPT Code: `72192`	$752	$260	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$959	$260	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$752	$260	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$752	$260	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$959	$260	$169	1.5×
Psychological testing by technician CPT Code: `96138`	—	$256	$395	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$158	$211	$123	1.7×
Neurobehavioral status check CPT Code: `96116`	—	$222	$231	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$168	$173	$86	2.0×
X-ray, chest (single view) CPT Code: `71045`	$155	$180	$92	2.0×
X-ray, foot CPT Code: `73630`	$180	$180	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$155	$180	$93	1.9×
X-ray, hand CPT Code: `73130`	$180	$180	$93	1.9×
X-ray, hip CPT Code: `73502`	$180	$180	$93	1.9×
X-ray, ankle CPT Code: `73610`	$180	$180	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$180	$180	$93	unverified
X-ray, shoulder CPT Code: `73030`	$180	$180	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$95	$128	$64	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$60	$134	$87	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$143	$143	$201	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$86	$40	2.1×
Orthotic fitting and training CPT Code: `97760`	$89	$101	$51	2.0×
Prosthetic fitting and training CPT Code: `97761`	—	$87	$45	1.9×
Group therapy session CPT Code: `90853`	—	$105	$100	1.1×
Psychological testing evaluation CPT Code: `96136`	—	$103	$128	0.8×
Blood transfusion CPT Code: `36430`	$432	$113	$498	0.2×
New patient office visit (30-44 min) CPT Code: `99203`	$82	$82	$110	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$80	$80	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$2,153	$2,153	$347	6.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$350	$261	$111	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$169	$169	$14	12.1×
Blood test, vitamin D CPT Code: `82306`	$175	$175	$31	5.6×
Hepatitis C antibody test CPT Code: `86803`	$123	$123	$15	8.2×
Pneumococcal vaccine HCPCS Code: `90732`	$125	$125	$140	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$286	$147	$56	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$109	$109	$19	5.7×
Blood antibody screen CPT Code: `86850`	$78	$119	$46	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$81	$81	$14	5.8×
Blood test, vitamin B12 CPT Code: `82607`	$89	$89	$16	5.6×
Colorectal cancer screening HCPCS Code: `G0010`	—	$112	$49	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$114	$85	$37	2.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$103	$49	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$54	$71	$35	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$60	$76	$38	2.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$62	$75	$38	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$61	$75	$38	2.0×
Blood test, lipase CPT Code: `83690`	$41	$41	$7	5.9×
Physical therapy (gait training) CPT Code: `97116`	$54	$65	$33	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$50	$65	$34	1.9×
Speech therapy (group session) CPT Code: `92508`	—	$51	$27	1.9×
Flu vaccine injection HCPCS Code: `G0008`	—	$51	$48	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$73	$63	$25	unverified
Blood test, calcium CPT Code: `82310`	$31	$31	$5	6.2×
Blood test, sodium CPT Code: `84295`	$29	$29	$5	5.8×
Blood test, amylase CPT Code: `82150`	$38	$38	$7	5.4×
Blood test, magnesium CPT Code: `83735`	$39	$16	$7	2.3×
Culture, blood CPT Code: `87040`	$72	$25	$11	2.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$100	$40	$18	2.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$63	$49	$35	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$47	$8	$3	2.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$12	$5	2.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$58	$14	$6	2.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$133	$25	$11	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$24	$9	$4	2.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$9	$4	2.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$18	$8	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$107	$20	$9	2.2×
Culture, bacterial CPT Code: `87070`	$60	$20	$9	2.2×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$30	$14	2.1×
Blood test, liver function panel CPT Code: `80076`	$103	$19	$9	2.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$32	$32	$33	1.0×
Blood test, hemoglobin CPT Code: `85018`	$16	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$10	$5	2.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$26	$26	$25	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$31	$31	$86	0.4×
Blood test, potassium CPT Code: `84132`	$28	$11	$5	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$11	$11	$39	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$15	$15	$203	unverified

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 21.5%

Audit a Bill or Quote at Covenant Hospital Plainview (Zero PHI Required)

CMS CCN: 450539

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,155

1. Amount on Your Bill or Quote ($) Pre-filled with Covenant Hospital Plainview’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $15,531 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,531

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.5% of gross = $15,531).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Covenant Hospital Plainview's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$41,597 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($72,372) is $41,597 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (21.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait158 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Covenant Hospital Plainview. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-09·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (131 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Covenant Hospital Plainview.

Price Index: 1.07× regional baseline

Quality: 55/100 CMS composite

Median Household Income$52,788U.S. Census ACS

Local Uninsured Share23.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 450539

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 450539) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows961 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450539

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy