Providence Saint Joseph Health · Plainview, TX
4 of 5
CMS star rating
49
Beds
1,180
Inpatient discharges a year
$67.6M
Net patient revenue a year
34
In-network payers
Covenant Hospital Plainview is a 49-bed voluntary non-profit - private hospital in Plainview, TX, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 346 disclosed rate categories.
The 24 services Covenant Hospital Plainview most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$4,904 - $10,425
from 4 insurers · median $6,505
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,205 - $24,985
from 4 insurers · median $10,937
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$6,978 - $57,619
from 4 insurers · median $27,411
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$951 - $4,210
from 4 insurers · median $3,486
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$6,514 - $57,619
from 4 insurers · median $27,411
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$1,800 - $57,619
from 4 insurers · median $10,249
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$562 - $2,310
from 4 insurers · median $2,208
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$29,515 - $62,525
from 2 insurers · median $46,020
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$4,904 - $10,425
from 4 insurers · median $6,505
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58571
$7,837 - $44,251
from 4 insurers · median $33,722
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $8,523
from 4 insurers · median $3,503
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$775 - $4,969
from 4 insurers · median $3,782
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$12,889 - $43,136
from 2 insurers · median $28,013
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$16,313 - $38,393
from 2 insurers · median $27,353
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$426 - $1,908
from 4 insurers · median $1,429
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$441 - $1,837
from 4 insurers · median $1,551
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$269 - $1,214
from 4 insurers · median $398
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $3,638
from 4 insurers · median $2,150
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$257 - $347
from 3 insurers · median $271
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,394 - $8,090
from 4 insurers · median $4,437
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$209 - $285
from 4 insurers · median $277
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$8,290 - $19,497
from 2 insurers · median $13,894
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 72148
$400 - $2,310
from 4 insurers · median $1,392
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,800 - $57,619
from 4 insurers · median $10,627
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 933% | 13 | 1 |
| Insurer B* | 24 | 310% | 10 | 8 |
| Insurer C* | 20 | 302% | 14 | 1 |
| Insurer D* | 24 | 230% | 12 | 7 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Covenant Hospital Plainview, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$67.6M net patient revenue
Ownership and leadership
Owned by Covenant Health System
The employer identification numbers (EINs) health plans and networks list for Covenant Hospital Plainview in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 75-2426010Covenant Hospital Plainview | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1073580726 Methodist Hospital Plainview Texas1245724384 Methodist Hospital Plainview Texas1891258877 Methodist Hospital Plainview Texasand 15 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
2601 Dimmitt Road, Plainview, TX 79072
(806) 296-5531
How Covenant Hospital Plainview compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
71%
Lower than 49% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.94
Lower than 61% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
156 min
Higher than 55% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
61%
Lower than 60% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 2 measures | |
| Readmissions | No different on 5 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 71% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.94 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 156 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 61% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Covenant Hospital Plainview's inpatient payments for its readmissions, quality and cost results.
-0.09% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.67% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Covenant Hospital Plainview, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 284 cases | 4.4 | 3.9 | 3.887 | Worse than 72% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 37 cases | 10.7 | 11 | 10.52 | Better than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 68 cases | 14.2 | 15.2 | 14.69 | Better than 65% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 334 cases | 0.52 | 0.51 | 0.52 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 420 cases | 0.21 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 408 cases | 0.27 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 97 cases | 2.29 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 49% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.06 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 104 cases | 3.27 | 3.4 | 3.337 | No Different Than the National Rate | Better than 62% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.234 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 47 cases | 1.74 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 69 cases | 1.02 | 1.02 | 1.035 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 36 cases | 14.3 | 1.25 | -1.323 | Worse than 67% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 69 cases | -27.1 | 3.85 | 2.422 | Better than 87% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 197 cases | 13.3 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 71 cases | 1 | 1 | 1.017 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.48 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.85 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 45 cases | 21 | 21.3 | 21.26 | Better than 60% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 101 cases | 16.3 | 17.2 | 17.32 | Better than 86% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2089 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 165 | 1,370 | 5,045 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.099 | 0.9835 | 5.124 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.481 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 931 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.461 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 24 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.615 | 1.591 | 3.62 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.647 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 58 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.567 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 0.9659 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,733 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.124 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.775 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,059 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.688 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2623 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 144 cases | 75 | 73 | 75.97 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 144 cases | 8 | 8 | 7.771 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 144 cases | 17 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 88 | 87 | 87.82 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 144 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 144 cases | 80 | 80 | 79.96 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 92 | 91 | 90.97 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 144 cases | 6 | 4 | 4.535 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 144 cases | 4 | 3 | 3.275 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 144 cases | 14 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 144 cases | 81 | 79 | 79.72 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 92 | 91 | 90.24 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 144 cases | 5 | 5 | 5.687 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 144 cases | 4 | 3 | 2.956 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 144 cases | 14 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 144 cases | 61 | 61 | 62.66 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 76 | 77 | 76.88 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 144 cases | 22 | 19 | 19.26 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 144 cases | 2 | 3 | 2.672 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 144 cases | 17 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 85 | 86 | 84.56 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 144 cases | 15 | 13 | 13.98 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 144 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 144 cases | 85 | 87 | 86.02 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 144 cases | 17 | 14 | 16.2 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 144 cases | 83 | 86 | 83.8 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 144 cases | 81 | 74 | 74.6 | Better than 85% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 144 cases | 5 | 7 | 7.327 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 144 cases | 14 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 144 cases | 76 | 77 | 77.72 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 144 cases | 5 | 6 | 6.395 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 144 cases | 19 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 144 cases | 86 | 85 | 85.15 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 144 cases | 4 | 3 | 4.015 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 144 cases | 10 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 144 cases | 12 | 8 | 8.293 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 144 cases | 17 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 144 cases | 71 | 72 | 73.52 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 86 | 88 | 88.12 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 144 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 144 cases | 74 | 74 | 74.97 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 144 cases | 12 | 9 | 9.68 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 144 cases | 14 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 144 cases | 76 | 75 | 75.27 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 144 cases | 7 | 5 | 6.154 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 144 cases | 17 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 144 cases | 77 | 77 | 76.85 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 144 cases | 7 | 4 | 5 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 144 cases | 16 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 144 cases | 87 | 86 | 85.92 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 144 cases | 4 | 3 | 3.094 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 144 cases | 9 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 144 cases | 65 | 59 | 65.6 | Better than 69% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 144 cases | 5 | 9 | 7.774 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 144 cases | 30 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 86 | 82 | 84.26 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 144 cases | 4 | 3 | 3.821 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 144 cases | 7 | 5 | 6.017 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 144 cases | 71 | 71 | 72.87 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 144 cases | 87 | 87 | 87.21 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 144 cases | 22 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 144 cases | 4 | 4 | 3.694 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 144 cases | 48 | 47 | 49.46 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 144 cases | 32 | 30 | 29.64 | Worse than 57% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 144 cases | 20 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 144 cases | 3 | 3 | 3.266 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 144 cases | 12 | 12 | 12.55 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 144 cases | 88 | 88 | 87.45 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 227 cases | 1 | 1 | 1.192 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 711 cases | 0 | 0 | 0.2381 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 673 cases | 50 | 79 | 72.24 | Worse than 86% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 401 cases | 164 | 154 | 151 | Worse than 57% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 369 cases | 156 | 148 | 146 | Worse than 55% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 331 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 24 cases | 288 | 293 | 279 | Better than 53% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 14,127 cases | 3 | 1 | 1.372 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 67 cases | 94 | 97 | 90.54 | Worse than 65% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 302 cases | 7 | 15 | 13.94 | Better than 93% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 87 cases | 61 | 65 | 66.54 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 23 cases | 78 | 73 | 71.35 | Better than 60% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 87 | 88 | 89.11 | Worse than 54% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 87 cases | 75 | 82 | 82.14 | Worse than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 88 | 94 | 92.38 | Worse than 79% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.56 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 122 cases | 99 | 97 | 93.78 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 19.5 | 5 | 7.719 | Worse than 99% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.5 | 6.6 | 6.859 | Better than 50% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.99 | 0.99 | 1.034 | Worse than 47% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 25.32 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 6.413 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 6.145 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 1.611 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 55 | 34 | 39.47 | Better than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 13.75 | 8.75 | 10.13 | Better than 79% of US hospitals | |
| VBP safety domain scoreFY 2026 | 70 | 40 | 48.35 | Better than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 17.5 | 10 | 12.26 | Better than 88% of US hospitals | |
| VBP total performance scoreFY 2026 | 38.75 | 29.5 | 29.94 | Better than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 67.5 | 6.667 | 6.667 | 10 | 10 |
| VBP clinical outcomes weighted domain score | 22.5 | 1.667 | 1.667 | 3.333 | 2.5 |
| VBP efficiency and cost reduction domain score | 0 | 60 | 80 | 50 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | 15 | 20 | 16.67 | 5 |
| VBP person and community engagement domain score | 37 | Not Available | 23 | 23 | 55 |
| VBP person and community engagement weighted domain score | 12.33 | Not Available | 5.75 | 7.667 | 13.75 |
| VBP safety domain score | Not Available | Not Available | 55 | Not Available | 70 |
| VBP safety weighted domain score | Not Available | Not Available | 13.75 | Not Available | 17.5 |
| VBP total performance score | 34.83 | Not Available | 41.17 | 27.67 | 38.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.999 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 1.022 | 0.9983 | 1 | Worse than 65% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9497 | 0.9955 | 1.003 | Better than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9857 | 0.9913 | 0.9915 | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9886 | 1.022 | 1.033 | 0.9971 | 1.015 | 1.022 |
| READM-30-HIP-KNEE-HRRP | 0.8527 | 0.8985 | 0.9015 | 0.9537 | N/A | N/A |
| READM-30-PN-HRRP | 0.9259 | 0.9702 | 0.9854 | 0.9626 | 0.9323 | 0.9497 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Covenant Hospital Plainview | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.317 | 0.346 | 0.2562 | Better than 54% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9367 | 0.9628 | 0.9684 | Better than 61% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.391 | 0.7945 | 0.7483 | Better than 76% of US hospitals | |
| Total HAC scoreFY 2026 | -0.4609 | -0.0453 | -0.1734 | Better than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | No |
| Total HAC score | -0.3877 | 0.8925 | 0 | -0.4956 | -0.4188 | -0.4609 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
100
Medicare-certified beds
98
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Covenant Hospital Plainview reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,180
Inpatient discharges
Medicare 25%, Medicaid 2%
4,047
Inpatient days
23% of available bed days used
240
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 823512). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Covenant Hospital Plainview reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 879 | 169 | 2,999 | 4,047 |
| Discharges | 293 | 20 | 867 | 1,180 |
| Average length of stay | 3.0 days | 8.4 days | 3.5 days | 3.4 days |
| Average daily census | 2.4 | 0.5 | 8.2 | 11.1 |
874
Medicare Advantage days
231 discharges
1,138
Medicaid managed care days
223 discharges
1,414
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 44 | 3,212 | 847 | 20% |
| Intensive care unit | 5 | 154 | 32 | 8% |
| Nursery | 681 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Covenant Hospital Plainview treats Medicare patients for most often, in 2024. 62 Medicare discharges in 3 published DRGs; 0% surgical; 100% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 35 | $39,695 | $17,465 | $10,638 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 14 | $40,722 | $14,507 | $10,914 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 13 | $29,655 | $12,291 | $7,948 | 1.28 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Covenant Hospital Plainview billed Medicare for most in 2024: 213 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 85 | 81 | $16,222 | $2,026 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 52 | 49 | $108,521 | $10,378 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 28 | 28 | $80,459 | $4,272 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 17 | $12,163 | $1,190 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 14 | 14 | $58,201 | $5,297 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 12 | 12 | $23,346 | $2,358 | $2,405 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Covenant Hospital Plainview in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 523 in 2020 to 492 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 79072 | 362 | 74% | 1,091 | $16.5M | 38% | 43% |
| 79041 | 26 | 5% | 67 | $1.1M | 22% | 27% |
| 79052 | 20 | 4% | 75 | $930,890 | 56% | 100% |
| 79064 | 19 | 4% | 55 | $1.1M | 21% | 24% |
| 79235 | 17 | 3% | 59 | $658,768 | 14% | 18% |
| 79088 | 13 | 3% | 52 | $930,957 | 5% | 8% |
| 79241 | 13 | 3% | 46 | $786,250 | 17% | 11% |
| 79043 | 11 | 2% | 31 | $595,718 | 31% | 36% |
| 79073 | 11 | 2% | 31 | $471,761 | 31% | 48% |
Source: CMS Hospital Service Area file. Shares are of the 492 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Covenant Hospital Plainview reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
8
Operating rooms
1
Endoscopy rooms
30
Psychiatric unit beds
1
Off-site locations
1
Off-site emergency departments
98
Registered nurses
7
Nurse practitioners
2
Pharmacists
8
Respiratory therapists
6
Physical therapists
10
Radiology technicians
1
Nuclear medicine technicians
7
Medical technologists
3
Social workers
210
Other personnel
Source: CMS Provider of Services file.
154 clinicians who bill Medicare list Covenant Hospital Plainview as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Jitendra Vasandani, MD
Rheumatology Physician
NPI 1194707406
See commercial rates for Jitendra Vasandani, MDNaga Bushan, MD
Rheumatology Physician
NPI 1740262757
See commercial rates for Naga Bushan, MDJames Calmes, MD, MBA
Rheumatology Physician
NPI 1750363057
See commercial rates for James Calmes, MD, MBAJoshua Rollins, D.O.
Orthopaedic Surgery Physician
NPI 1144532763
See commercial rates for Joshua Rollins, D.O.Katie Hendley, MD
Neurology Physician
NPI 1831484831
See commercial rates for Katie Hendley, MDSalman Ahmad, MD
Internal Medicine Physician
NPI 1043281025
See commercial rates for Salman Ahmad, MDBrent Paulger, M.D.
Dermatology Physician
NPI 1093701468
See commercial rates for Brent Paulger, M.D.Hemmo Bosscher, M.D.
Interventional Pain Medicine Physician
NPI 1780687517
See commercial rates for Hemmo Bosscher, M.D.David Williams, MD
Diagnostic Radiology Physician
NPI 1669440228
See commercial rates for David Williams, MDStephanie Macklin, FNP
Family Nurse Practitioner
NPI 1730454240
See commercial rates for Stephanie Macklin, FNPSenthilraj Ganeshan, M.D. ,M.P.H.
Clinical Cardiac Electrophysiology Physician
NPI 1689019101
See commercial rates for Senthilraj Ganeshan, M.D. ,M.P.H.Mohammad Otahbachi, M.D.
Cardiovascular Disease Physician
NPI 1184818353
See commercial rates for Mohammad Otahbachi, M.D.Fatima Salas, MD, MPH
Interventional Pain Medicine Physician
NPI 1649500299
See commercial rates for Fatima Salas, MD, MPHNelson Lum, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1902845449
See commercial rates for Nelson Lum, M.D.Ramakrishnan Ranganath, MD
Interventional Cardiology Physician
NPI 1225213028
See commercial rates for Ramakrishnan Ranganath, MDGary Simmons, M.D.
Diagnostic Radiology Physician
NPI 1265438691
See commercial rates for Gary Simmons, M.D.Derek Skinner, MD
Family Medicine Physician
NPI 1255394920
See commercial rates for Derek Skinner, MDParesh Rawal, MD
Cardiovascular Disease Physician
NPI 1710985916
See commercial rates for Paresh Rawal, MDLynsey Rather
Family Nurse Practitioner
NPI 1518634245
See commercial rates for Lynsey RatherAutumn Beasley
Family Nurse Practitioner
NPI 1699075960
See commercial rates for Autumn BeasleyKevin Jones, DO
Cardiovascular Disease Physician
NPI 1003881343
See commercial rates for Kevin Jones, DOClarence Wheeler, M.D.
Sleep Medicine (Internal Medicine) Physician
NPI 1699776732
See commercial rates for Clarence Wheeler, M.D.Cody Cox, M.D.
Diagnostic Radiology Physician
NPI 1538163175
See commercial rates for Cody Cox, M.D.Seshadri Thirumala, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1265412340
See commercial rates for Seshadri Thirumala, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Covenant Hospital Plainview reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $288.1M | 426.3% |
| Inpatient | $54.5M | 80.6% |
| Outpatient | $233.7M | 345.7% |
| Contractual allowances and discounts | -$220.6M | -326.3% |
| Net patient revenue | $67.6M | 100.0% |
| Operating expenses | -$74.7M | -110.5% |
| Operating income from patient care | -$7.1M | -10.5% |
| Other income | $3.1M | 4.6% |
| Contributions and donations | $93,530 | 0.1% |
| Investment income | $49,639 | 0.1% |
| Other | $3M | 4.4% |
| Other expenses | -$55,764 | -0.1% |
| Net income | -$4M | -5.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $38.7M | 13.4% |
| Medicaid (including managed care) | $33.8M | 11.7% |
| Other payers and self-pay | $215.7M | 74.8% |
| Total charges | $288.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Covenant Hospital Plainview's latest cost report.
-10.5%
Operating margin
Operating income from patient care / net patient revenue
-5.7%
Total margin
Net income / net patient revenue plus other income
1.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
40% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$32.26
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-5.3%
Return on assets
Net income for a year / total assets
-6.5%
Return on equity
Net income for a year / fund balance
2.53
Current ratio
Current assets / current liabilities
2.22
Quick ratio
Cash, temporary investments and net receivables / current liabilities
108 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
59 days
Days in patient receivables
Net patient receivables / daily net patient revenue
74 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.93
Asset turnover
Total revenue for a year / total assets
6.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Covenant Hospital Plainview owned and owed at the end of its reporting period (Jun 2025), across all fund types: $76.1M in total assets and a $61.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $20.6M | 27.1% |
| Patient receivables, net | $10.9M | 14.3% |
| Inventory | $395,445 | 0.5% |
| Total current assets | $35.9M | 47.2% |
| Property and equipment, net of depreciation | $39.3M | 51.7% |
| Investments and other assets | $826,441 | 1.1% |
| Total assets | $76.1M | 100.0% |
| Current liabilities | $14.2M | 18.7% |
| Total liabilities | $14.7M | 19.3% |
| Fund balance (net assets) | $61.4M | 80.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Covenant Hospital Plainview provided without full payment, as reported on Worksheet S-10 of its cost report.
$6.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$5.6M
Bad debt
Patient bills written off as uncollectible, at charges
$1.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$7.8M
Total unreimbursed and uncompensated care
10.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Covenant Hospital Plainview's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $40.9M | $54.2M | $59.2M | $68.5M | $66.4M | $67.6M |
| Operating expenses | $42.2M | $46.7M | $79.7M | $80.4M | $80.9M | $74.7M |
| Operating margin | -3.2% | 13.9% | -34.6% | -17.4% | -22.0% | -10.5% |
| Net income | $3.6M | -$1.9M | -$12.4M | -$9.2M | -$12.5M | -$4M |
| Total assets | $61.7M | $71.1M | $71.7M | $80M | $92M | $76.1M |
| Discharges | 1,450 | 1,444 | 1,279 | 1,206 | 1,092 | 1,180 |
| Inpatient days | 5,046 | 6,794 | 5,838 | 4,289 | 3,525 | 4,047 |
| Medicare Advantage days | 660 | 993 | 992 | 647 | 648 | 874 |
| Beds | 49 | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 356 | 375 | 229 | 235 | 235 | 240 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Covenant Hospital Plainview reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic vii | $2.4M | $7.6M | $8.4M | 0.90 | 15,011 |
| Operating room | $2.3M | $7.5M | $55.4M | 0.13 | 14,897 |
| Rural health clinic | $1.3M | $5.6M | $3.4M | 1.65 | |
| Laboratory | $1M | $5M | $48.3M | 0.10 | 2,841 |
| Radiology-diagnostic | $1.3M | $4.7M | $53.6M | 0.09 | 6,022 |
| Emergency | $1.6M | $4.1M | $41.4M | 0.10 | 4,471 |
| Rural health clinic ii | $824,349 | $3.5M | $3.6M | 0.98 | |
| Drugs charged to patients | $3.4M | $28.3M | 0.12 | ||
| Physical therapy | $953,374 | $2.5M | $6.9M | 0.36 | 4,221 |
| Rural health clinic iv | $373,823 | $2.4M | $1.8M | 1.30 | |
| Observation beds (non-distinct part | $2.2M | $2.2M | 1.02 | ||
| Delivery room & labor room | $794,059 | $2.1M | $2.2M | 0.95 | 4,109 |
| Respiratory therapy | $791,983 | $1.9M | $4.2M | 0.46 | 2,045 |
| Medical supplies charged to patient | $1.8M | $6.5M | 0.28 | ||
| Impl. dev. charged to patients | $1.2M | $6M | 0.20 | ||
| Recovery room | $363,899 | $1.1M | $4M | 0.28 | 2,746 |
| Rural health clinic v | $361,610 | $967,890 | $1.5M | 0.64 | 3,685 |
| Rural health clinic vi | $316,417 | $782,089 | $500,966 | 1.56 | |
| Clinic | $88,351 | $219,932 | $144,127 | 1.53 | |
| Electrocardiology | $8,523 | $2.2M | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.3M | $7.3M | $6.2M | 1.18 | 13,873 |
| Intensive care unit | $633,300 | $1.4M | $596,639 | 2.30 | 2,134 |
| Nursery | $1.3M | $943,171 | 1.39 | 1,833 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $803,682 | $13.5M | 16,029 | $50.14 | 31,809 |
| Employee benefits department | $96,947 | $8.3M | 3,042 | $31.87 | |
| Cap rel costs-mvble equip | $2.9M | ||||
| Cap rel costs-bldg & fixt | $2.4M | 136,035 | |||
| Maintenance & repairs | $527,718 | $2.2M | 18,658 | $28.28 | 7,980 |
| Operation of plant | $929,487 | ||||
| Housekeeping | $684,345 | $918,612 | 39,475 | $17.94 | 2,272 |
| Pharmacy | $452,105 | $584,088 | 8,459 | $53.45 | 5,303 |
| Dietary | $352,191 | $475,040 | 20,532 | $7.58 | 1,714 |
| Laundry & linen service | $411,675 | 235 | |||
| Nursing administration | $288,834 | $346,315 | 7,266 | $39.75 | 694 |
| Cafeteria | $135,738 | 2,276 | |||
| Central services & supply | $65,706 | 4,450 | |||
| Social service | $25,182 | $61,370 | 1,139 | $22.11 | |
| Medical records & library | $56,654 | 441 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823512, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Covenant Hospital Plainview for an inpatient stay.
1.52
Case mix index
Higher than 30% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
38.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
277
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.51 | 1.52 | 1.82 | 1.96 | 1.68 | 1.60 | 1.52 |
| Wage index | 0.832 | 0.912 | 0.867 | 0.876 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | 0.00% | -0.16% | -0.19% | -0.02% | -0.08% | -0.09% |
| Value-based purchasing adjustment | +0.27% | +0.24% | +0.24% | +1.85% | +1.91% | +0.48% | +0.67% |
| Medicare inpatient stays | 561 | 561 | 325 | 249 | 228 | 206 | 277 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Covenant Hospital Plainview reports to Medicare as owners or with operational control.
Covenant Health System
5% or greater direct ownership interest, since 1999
Providence Health & Services - Washington
Operational/managerial control, since 2019
Sources: CMS Hospital All Owners.
The officers and board members on Covenant Hospital Plainview's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 17 of 19 are shown.
Methodist Hospital Plainview files the Form 990 for the tax ID insurers list for Covenant Hospital Plainview, so these people may lead the wider organization rather than Covenant Hospital Plainview alone.
| Name | Title |
|---|---|
| Cassie Mogg | Board Member/ceo |
| Cora Rivera | CFO |
| Kathleen Burrell | Secretary |
Board members: Joshua Rollins, Chris Williams, Ht Sanchez, John Tye, Kimberlee Bentley, Mark Bacher, Mark True, Norma Galvan, Randy Kaufman, Regan Manning, Sheron Collins, Tyke Dippery.
Source: IRS Form 990 Part VII filed by Methodist Hospital Plainview (EIN 75-2426010), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2013
340B ID SCH450539-00, registered as a sole community hospital; 5 registered outpatient sites; 7 active contract pharmacies. Authorizing official: Cora Rivera, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Covenant ACO, Inc.
ACO A2021, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Covenant Hospital Plainview's legal name.
Covenant
CCN 45U539, certified 1992, Medicare prospective payment
Rhc dimmitt rd plv
CCN 673992, certified 1992, Medicare cost reimbursed
Covenant fmc i-27
CCN 673485, certified 2020, Medicare cost reimbursed
Rhc yonkers plv
CCN 673464, certified 2018, Medicare cost reimbursed
Covenant wtfm hale center
CCN 678553, certified 2021, Medicare cost reimbursed
Covenant wtfm floydada
CCN 678552, certified 2021, Medicare cost reimbursed
Covenant wtmf plainview
CCN 678554, certified 2021, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Covenant Hospital Plainview's latest Medicare cost report (HCRIS).
About Covenant Hospital Plainview's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Covenant Hospital Plainview range from $792 to $3,638 across 4 insurers. Blue Cross Blue Shield's rate is $920. The median at nearby comparable hospitals is $1,592. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Covenant Hospital Plainview range from $951 to $4,210 across 4 insurers. Aetna's rate is $3,592. The median at nearby comparable hospitals is $1,497. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Covenant Hospital Plainview range from $775 to $4,969 across 4 insurers. Cigna's rate is $4,969. The median at nearby comparable hospitals is $1,735. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Covenant Hospital Plainview range from $4,904 to $10,425 across 4 insurers. UnitedHealthcare's rate is $4,904. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Covenant Hospital Plainview range from $257 to $347 across 3 insurers. Aetna's rate is $271. The median at nearby comparable hospitals is $279. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Covenant Hospital Plainview range from $12,889 to $43,136 across 2 insurers. Blue Cross Blue Shield's rate is $43,136. The median at nearby comparable hospitals is $18,446. What a patient pays depends on their plan's deductible, coinsurance and network status.
Covenant Hospital Plainview has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Covenant Hospital Plainview for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Covenant Hospital Plainview's base inpatient payments by an estimated 0.09% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (35 discharges), simple pneumonia and pleurisy with mcc (14 discharges), heart failure and shock with mcc (13 discharges).
Covenant Hospital Plainview's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.
Covenant Hospital Plainview reported 1,180 inpatient discharges and 4,047 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Covenant Hospital Plainview reported 240 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Covenant Hospital Plainview reported $67.6M in net patient revenue on $288.1M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -10.5%, and net income of -$4M.
Covenant Hospital Plainview reported $7.8M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $6.5M of charity care at cost.
Covenant Hospital Plainview's Medicare enrollment lists Cassie Dale Mogg as CEO since 2021.
Insurers' price transparency files list Covenant Hospital Plainview under employer identification number 75-2426010 (Covenant Hospital Plainview). 57 health plans and networks list 75-2426010 for it.
Yes. HRSA's 340B database lists Covenant Hospital Plainview (340B ID SCH450539-00) as a participating sole community hospital since 2013, with 7 active contract pharmacies.
154 clinicians who bill Medicare list Covenant Hospital Plainview as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (23), family medicine physician (19), internal medicine physician (15).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Covenant Hospital Plainview, effective 2025.
In its Medicare enrollment, Covenant Hospital Plainview reports Covenant Health System as 5% or greater direct ownership interest.
CMS lists 31 services at Covenant Hospital Plainview, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Covenant Hospital Plainview came from ZIP codes 79072 (362), 79041 (26), 79052 (20).
Covenant Hospital Plainview has 49 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 100 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Covenant Hospital Plainview is located at 2601 Dimmitt Road, Plainview, TX 79072. Its main phone number is (806) 296-5531.
Covenant Hospital Plainview's CMS Certification Number (CCN), also called its Medicare provider number, is 450539.
The National Provider Identifier (NPI) on file for Covenant Hospital Plainview is 1073580726.
Covenant Hospital Plainview is affiliated with Providence Saint Joseph Health.
Covenant Hospital Plainview lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
346 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers