Ashland, AL
Not rated by CMS
CMS star rating
135
Beds
15
Inpatient discharges a year
$2.2M
Net patient revenue a year
23
In-network payers
Clay County Hospital is a 135-bed government - hospital district or authority hospital in Ashland, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 120 disclosed rate categories.
The 24 services Clay County Hospital 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.
CT imaging
CPT 74177
$564 - $2,802
from 3 insurers · median $2,638
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,616 - $4,947
from 2 insurers · median $4,782
32 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$554 - $1,056
from 3 insurers · median $994
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$554 - $2,479
from 3 insurers · median $1,269
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$640 - $2,474
from 2 insurers · median $1,557
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$828 - $1,128
from 3 insurers · median $903
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,296 - $1,708
from 2 insurers · median $1,502
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$796 - $1,471
from 2 insurers · median $1,133
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,487 - $2,530
from 3 insurers · median $1,733
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$101 - $213
from 3 insurers · median $196
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$449 - $2,338
from 2 insurers · median $1,393
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,720 - $2,530
from 3 insurers · median $1,733
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,340 - $8,227
from 3 insurers · median $6,157
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$6,576 - $11,288
from 2 insurers · median $8,932
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,655 - $2,862
from 2 insurers · median $2,259
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$90 - $152
from 3 insurers · median $111
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$455 - $1,063
from 2 insurers · median $759
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,011 - $5,423
from 2 insurers · median $4,717
Typical for a hospital with this service line
Ultrasound
CPT 76705
$285 - $347
from 2 insurers · median $316
Common here, based on CMS Medicare volume
MRI imaging
CPT 72141
$443 - $1,584
from 2 insurers · median $1,013
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,856
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 62322 · CPT 62323
$1,340 - $1,524
from 2 insurers · median $1,432
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,428 - $4,218
from 2 insurers · median $3,823
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$2,530 - $14,758
from 2 insurers · median $8,644
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* | 6 | 380% | 6 | 0 |
| Insurer B* | 22 | 213% | 17 | 4 |
| Insurer C* | 24 | 182% | 11 | 1 |
| Insurer D* | 4 | 139% | 2 | 1 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 6 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 Clay County Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
No Medicare-funded residents
Finances
$2.2M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Clay County Hospital 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 |
|---|---|---|
| 63-6002184Clay County Healthcare Authority | 40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 35 more | 1477551554 Clay County Healthcare Authority1235285867 Clay County Healthcare Authority1558417386 Clay County Healthcare Authorityand 5 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.
83825 Highway 9, Ashland, AL 36251
(256) 354-2131
How Clay County Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Death rates
No different on 2 measures
0 better, 2 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 1 measures
0 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 3 measures
1 better, 2 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.19
Higher than 89% 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
91 min
Lower than 94% 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 |
|---|---|---|
| Death rates | No different on 2 measures | |
| Safety | No different on 1 measures | |
| Readmissions | Better on 1 of 3 measures | |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.19 | 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 | 91 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 Clay County Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Each result CMS publishes for Clay County Hospital, beside the US median and the average of AL 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 | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.469 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 103 cases | 5.4 | 3.9 | 4.658 | Worse than 94% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.46 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.7 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.869 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.65 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 45 cases | 16.8 | 15.2 | 16.81 | Worse than 73% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 14.25 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 336 cases | 1.28 | 0.51 | 0.6234 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 380 cases | 0.21 | 0.2 | 0.2114 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 379 cases | 0.27 | 0.27 | 0.2777 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.258 | Number of Cases Too Small | ||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.702 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.91 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.831 | Number of Cases Too Small | ||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.911 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.803 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.058 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.616 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.68 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 44 cases | -22.5 | 3.85 | 12.55 | Better than 83% 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 · 85 cases | 12.6 | 12.9 | 12.93 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.28 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.113 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.986 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.31 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.67 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.89 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.29 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.979 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 53 cases | 17.2 | 17.2 | 17.3 | Better than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3169 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.803 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 106 | 1,370 | 3,994 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.069 | 0.9835 | 4.09 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.932 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6373 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1812 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.656 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 315 | 1,799 | 5,240 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.188 | 1.377 | 6.563 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.286 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5151 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2584 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.032 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 1 | 61 | 115 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.022 | 1.591 | 3.302 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.222 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6198 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3223 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.058 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 169 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.547 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.1 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.6612 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3413 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.26 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 2,907 | 14,451 | 38,119 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.074 | 0.567 | 2.905 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.295 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8121 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2104 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.307 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 2,907 | 13,646 | 35,794 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.546 | 5.683 | 20 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.833 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3683 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 70.64 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 10.56 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 18.79 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 83.69 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.759 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.88 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.09 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.699 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.315 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.42 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 81.51 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.22 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.027 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.278 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 13.47 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 62.21 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 77.09 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 19.6 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.685 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 18.19 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.46 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 14.63 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.056 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 85.37 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 16.42 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 83.58 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 76.38 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6.297 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 17.33 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 79.28 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 5.516 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 15.2 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 86.14 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.688 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.17 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 8.753 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 20.79 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 70.45 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.57 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.222 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 74.89 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 9.938 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 15.17 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.05 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.95 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.77 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 5.703 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 17.53 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 84.83 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.531 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.64 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 66.56 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 6.575 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 26.86 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.96 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 4 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 6.466 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 70.55 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.26 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 22.99 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.389 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 48.08 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 30.03 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 21.89 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.241 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 13 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 87 |
How often the hospital gave recommended care, and how fast.
| Measure | Clay County Hospital | US median | AL 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 | 10 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.7 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.5 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 288 cases | 60 | 79 | 62.92 | Worse than 77% 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 · 377 cases | 94 | 154 | 158 | Better than 95% 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 · 351 cases | 91 | 148 | 153 | Better than 94% 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 | 255 | |||
| 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 · 20 cases | 318 | 293 | 311 | Worse than 60% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 4,633 cases | 0 | 1 | 2.342 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.37 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 19 cases | 68 | 97 | 90.8 | Worse than 95% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.43 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 27 cases | 15 | 15 | 14.5 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 33 cases | 61 | 65 | 62.47 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 45 | 73 | 70.8 | Worse than 93% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 87.48 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 33 cases | 85 | 82 | 79.9 | Better than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 24 cases | 96 | 94 | 90.95 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.75 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 0 cases | Not Available | 77.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.83 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 121 cases | 55 | 90 | 75.44 | Worse than 89% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 89.85 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.1 | 5 | 7.666 | Worse than 71% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.4 | 6.6 | 6.484 | Worse than 70% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.04 | 0.99 | 0.9828 | Worse than 75% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.029 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.996 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1.009 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.039 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9776 | 0.9955 | 1.003 | Better than 63% 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 | 0.9642 | 0.9528 | 0.9886 | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9581 | 0.9243 | 0.9498 | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.97 | 0.9885 | 0.9972 | 0.9913 | 0.9695 | 0.9776 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Clay County Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5999 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.561 | 0.346 | 0.4007 | Worse than 78% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8784 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8744 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.193 | 0.9628 | 1.049 | Worse than 89% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5688 | |||
| Total HAC scoreFY 2026 | 1.07 | -0.0453 | 0.09962 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | No | Yes |
| Total HAC score | 1.64 | 1.723 | 0 | -1.416 | -1.545 | 1.07 |
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.
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Clay County Hospital reported to Medicare in its latest cost report, covering Oct 1, 2025 to Nov 17, 2025.
15
Inpatient discharges
Medicare 33%, Medicaid 13%
49
Inpatient days
2% of available bed days used
123
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 840386). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Clay County Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 22 | 9 | 18 | 49 |
| Discharges | 5 | 2 | 8 | 15 |
| Average length of stay | 4.4 days | 4.5 days | 2.3 days | 3.3 days |
| Average daily census | 0.5 | 0.2 | 0.4 | 1.0 |
1
Medicare Advantage days
1 discharges
16
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 42 | 49 | 22 | 2% |
| Skilled nursing facility | 83 | 3,482 | 22 | 87% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840386, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Clay County Hospital treats Medicare patients for most often, in 2024. 45 Medicare discharges in 2 published DRGs; 0% surgical; 0% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 33 | $7,897 | $11,521 | $4,841 | 1.61 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $16,832 | $7,439 | $10,318 | 1.03 |
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) Clay County Hospital billed Medicare for most in 2024: 66 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 34 | 33 | $7,494 | $1,700 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 32 | 22 | $9,181 | $1,514 | $1,752 |
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 Clay County Hospital 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 284 in 2020 to 103 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 36251 | 47 | 46% | 244 | $1.2M | 26% | 45% |
| 36266 | 44 | 43% | 207 | $839,014 | 21% | 38% |
| 36258 | 12 | 12% | 56 | $192,350 | 20% | 42% |
Source: CMS Hospital Service Area file. Shares are of the 103 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
18 clinicians who bill Medicare list Clay County Hospital as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Charles Hensleigh, M.D.
Family Medicine Physician
NPI 1528051133
See commercial rates for Charles Hensleigh, M.D.John Fischer, MD
Family Medicine Physician
NPI 1497780761
See commercial rates for John Fischer, MDBibb Allen, MD
Diagnostic Radiology Physician
NPI 1538164785
See commercial rates for Bibb Allen, MDGeorge Smith, M.D.
Family Medicine Physician
NPI 1285627828
See commercial rates for George Smith, M.D.Douglas Stewart, DPM
Primary Podiatric Medicine Podiatrist
NPI 1497819536
See commercial rates for Douglas Stewart, DPMBrandi Crawford, CRNP
Family Nurse Practitioner
NPI 1790939684
See commercial rates for Brandi Crawford, CRNPCharles Ogles, M.D.
Family Medicine Physician
NPI 1801811799
See commercial rates for Charles Ogles, M.D.William Fialkowski, MD
Emergency Medicine Physician
NPI 1619962347
See commercial rates for William Fialkowski, MDRichard Snouffer, MD
Family Medicine Physician
NPI 1821006628
See commercial rates for Richard Snouffer, MDMary Miller
Family Nurse Practitioner
NPI 1033721477
See commercial rates for Mary MillerAdetunji Adaraloye, D.O., M.P.H.
Family Medicine Physician
NPI 1457589350
See commercial rates for Adetunji Adaraloye, D.O., M.P.H.Dale Trammell, M.D.
Internal Medicine Physician
NPI 1871596205
See commercial rates for Dale Trammell, M.D.Julian Robledo, MD
Emergency Medicine Physician
NPI 1497713036
See commercial rates for Julian Robledo, MDWilliam Tyndall, M.D.
Emergency Medicine Physician
NPI 1508824764
See commercial rates for William Tyndall, M.D.Scott Cassidy, MD
Surgery Physician
NPI 1164403937
See commercial rates for Scott Cassidy, MDJohn Lucke, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI 1316995301
See commercial rates for John Lucke, M.D.Karen Fischer, CRNA
Certified Registered Nurse Anesthetist
NPI 1609919638
See commercial rates for Karen Fischer, CRNAKeith Jackson, CRNA
Certified Registered Nurse Anesthetist
NPI 1205866142
See commercial rates for Keith Jackson, CRNASource: 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 Clay County Hospital reported to Medicare for Oct 1, 2025 to Nov 17, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $4.6M | 207.9% |
| Inpatient | $1.3M | 57.0% |
| Outpatient | $3.3M | 150.9% |
| Contractual allowances and discounts | -$2.4M | -107.9% |
| Net patient revenue | $2.2M | 100.0% |
| Operating expenses | -$2.1M | -97.0% |
| Operating income from patient care | $66,132 | 3.0% |
| Other income | $117,703 | 5.3% |
| Contributions and donations | $4,879 | 0.2% |
| Investment income | $291 | 0.0% |
| Government appropriations | $61,731 | 2.8% |
| Other | $50,802 | 2.3% |
| Other expenses | -$2,350 | -0.1% |
| Net income | $181,485 | 8.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $595,071 | 13.5% |
| Medicaid (including managed care) | $227,917 | 5.2% |
| Other payers and self-pay | $3.6M | 81.3% |
| Total charges | $4.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840386, 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 Clay County Hospital's latest cost report, which covers 48 days; income and expense figures are scaled to a year.
3.0%
Operating margin
Operating income from patient care / net patient revenue
7.8%
Total margin
Net income / net patient revenue plus other income
11.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
63% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$19.83
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
14.7%
Return on assets
Net income for a year / total assets
29.7%
Return on equity
Net income for a year / fund balance
0.15
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.81
Current ratio
Current assets / current liabilities
0.59
Quick ratio
Cash, temporary investments and net receivables / current liabilities
12 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
39 days
Days in patient receivables
Net patient receivables / daily net patient revenue
92 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.88
Asset turnover
Total revenue for a year / total assets
42.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 840386, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Clay County Hospital owned and owed at the end of its reporting period (Nov 2025), across all fund types: $9.4M in total assets and a $4.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $506,870 | 5.4% |
| Patient receivables, net | $1.8M | 19.2% |
| Inventory | $534,734 | 5.7% |
| Total current assets | $3.2M | 34.0% |
| Property and equipment, net of depreciation | $6M | 64.1% |
| Investments and other assets | $178,517 | 1.9% |
| Total assets | $9.4M | 100.0% |
| Current liabilities | $4M | 42.0% |
| Long-term debt | $683,726 | 7.3% |
| Total liabilities | $4.8M | 50.6% |
| Fund balance (net assets) | $4.7M | 49.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840386, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Clay County Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2,355
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$124,194
Bad debt
Patient bills written off as uncollectible, at charges
$63,004
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$118,302
Total unreimbursed and uncompensated care
5.5% 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 840386, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Clay County Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $18.2M | $19.5M | $18.5M | $17.6M | $19.4M | $18.8M |
| Operating expenses | $20M | $22.6M | $21.8M | $21.5M | $21.5M | $21.2M |
| Operating margin | -9.6% | -15.9% | -17.6% | -21.8% | -10.6% | -12.9% |
| Net income | -$681,838 | $217,279 | -$366,095 | -$1.8M | -$753,068 | -$371,919 |
| Total assets | $18M | $15.4M | $8.9M | $8M | $8.4M | $8.5M |
| Discharges | 984 | 938 | 873 | 736 | 665 | 544 |
| Inpatient days | 4,895 | 4,593 | 4,341 | 4,052 | 3,807 | 3,155 |
| Medicare Advantage days | 378 | 429 | 305 | 322 | 436 | 301 |
| Beds | 139 | 139 | 139 | 139 | 139 | 135 |
| Employees (FTE) | 162 | 161 | 164 | 163 | 156 | 147 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840386, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Clay County Hospital 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 |
|---|---|---|---|---|---|
| Emergency | $93,635 | $267,342 | $526,724 | 0.51 | 3,471 |
| Laboratory | $44,161 | $122,907 | $387,970 | 0.32 | 823 |
| Radiology-diagnostic | $44,883 | $120,991 | $872,529 | 0.14 | 2,530 |
| Drugs charged to patients | $32,969 | $113,805 | $259,311 | 0.44 | 1,103 |
| Physical therapy | $60,871 | $78,412 | $142,025 | 0.55 | |
| Respiratory therapy | $43,043 | $72,166 | $295,092 | 0.24 | 2,041 |
| Operating room | $21,200 | $62,785 | $456,831 | 0.14 | 6,832 |
| Observation beds (non-distinct part | $45,868 | $27,105 | 1.69 | ||
| Durable medical equip-sold | $13,029 | $40,318 | $66,287 | 0.61 | |
| Medical supplies charged to patient | $7,616 | $36,768 | $141,509 | 0.26 | 1,056 |
| Recovery room | $1,785 | $6,819 | $153,968 | 0.04 | 900 |
| Anesthesiology | $16,589 | $4,292 | $4,185 | 1.03 | 98 |
| Impl. dev. charged to patients | $836 | $2,228 | 0.38 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Skilled nursing facility | $343,787 | $691,578 | $902,053 | 0.77 | |
| Adults & pediatrics | $56,347 | $186,341 | $59,563 | 3.13 | 9,138 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $160,368 | $238,773 | 8,727 | $18.38 | 10,519 |
| Employee benefits department | $191,566 | ||||
| Dietary | $29,737 | $77,859 | 3,052 | $9.75 | 4,949 |
| Cap rel costs-bldg & fixt | $46,995 | 57,739 | |||
| Operation of plant | $41,287 | 7,603 | |||
| Housekeeping | $37,174 | $40,886 | 3,672 | $10.12 | 1,015 |
| Maintenance & repairs | $16,875 | $34,188 | 896 | $18.84 | |
| Cap rel costs-mvble equip | $33,176 | ||||
| Medical records & library | $7,576 | $19,158 | 687 | $11.04 | 1,412 |
| Laundry & linen service | $14,648 | $18,011 | 1,393 | $10.52 | 1,216 |
| Social service | $17,713 | $17,713 | 865 | $20.48 | 192 |
| Nursing administration | $12,828 | $12,828 | 367 | $34.95 | 195 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840386, 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 Clay County Hospital for an inpatient stay.
1.25
Case mix index
Higher than 8% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
50.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
140
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 1.23 | 1.24 | 1.33 | 1.32 | 1.23 | 1.25 |
| Wage index | 0.757 | 0.746 | 0.749 | 0.789 | 0.758 | 0.739 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +0.83% | +0.82% | +0.82% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 404 | 404 | 325 | 252 | 199 | 140 |
Source: CMS IPPS final rule Impact File (FY 2026).
Clay county hospital
CCN 01U073, certified 1985, Medicare prospective payment
Clay county nursing home
CCN 015124, certified 1966, Medicare prospective payment
Clay county hospital
CCN 011538, certified 1994
Source: Worksheet S-2 Part I of Clay County Hospital's latest Medicare cost report (HCRIS).
About Clay County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Clay County Hospital range from $796 to $1,471 across 2 insurers. UnitedHealthcare's rate is $1,471. The median at nearby comparable hospitals is $640. 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 Clay County Hospital range from $564 to $2,802 across 3 insurers. Blue Cross Blue Shield's rate is $564. The median at nearby comparable hospitals is $525. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Clay County Hospital range from $1,487 to $2,530 across 3 insurers. Blue Cross Blue Shield's rate is $1,733. The median at nearby comparable hospitals is $1,558. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Clay County Hospital range from $90 to $152 across 3 insurers. Aetna's rate is $111. The median at nearby comparable hospitals is $98. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Clay County Hospital for fiscal year 2026.
No. Clay County Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2026.
In 2024, the most common were alcohol, drug abuse or dependence with rehabilitation therapy (33 discharges), septicemia or severe sepsis without mv >96 hours without mcc (12 discharges).
Clay County Hospital's Medicare case mix index is 1.25 for fiscal year 2026, higher than 8% of hospitals paid under the inpatient prospective payment system.
Clay County Hospital reported 15 inpatient discharges and 49 inpatient days from Oct 1, 2025 to Nov 17, 2025.
Clay County Hospital reported 123 full-time-equivalent employees on payroll from Oct 1, 2025 to Nov 17, 2025.
Clay County Hospital reported $2.2M in net patient revenue on $4.6M of gross charges for Oct 1, 2025 to Nov 17, 2025, an operating margin of 3.0%, and net income of $181,485.
Clay County Hospital reported $118,302 of unreimbursed and uncompensated care for Oct 1, 2025 to Nov 17, 2025, including $2,355 of charity care at cost.
Insurers' price transparency files list Clay County Hospital under employer identification number 63-6002184 (Clay County Healthcare Authority). 40 health plans and networks list 63-6002184 for it.
18 clinicians who bill Medicare list Clay County Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (6), emergency medicine physician (3), certified registered nurse anesthetist (2).
CMS lists 26 services at Clay County Hospital, including Alcohol and/or Drug Service, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Dental Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Clay County Hospital came from ZIP codes 36251 (47), 36266 (44), 36258 (12).
Clay County Hospital has 135 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Clay County Hospital is located at 83825 Highway 9, Ashland, AL 36251. Its main phone number is (256) 354-2131.
Clay County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 010073.
The National Provider Identifier (NPI) on file for Clay County Hospital is 1477551554.
Clay County Hospital lists 23 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
120 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